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体外循环选择性自身灌注对动脉侧支形成的影响。动物实验结果(作者译)

[The effect of selective autoperfusion through an extracorporeal circulation on the formation of arterial collaterals. Animal experimental results (author's transl)].

作者信息

Strecker E P, Nöldge G

出版信息

Rofo. 1979 Dec;131(6):656-9. doi: 10.1055/s-0029-1231512.

Abstract

In 11 mongrel dogs (10-15 kg) with ligated superficial femoral arteries the formation of collaterals induced by increased arterial pressure with an extracorporal circulation was studied. In general anesthesia a teflon tube was inserted into one deep femoral artery. The other end of this tube war introduced through the right carotid artery into the thoracic aorta and arterial blood was drawn by a peristaltic tube pump from the aorta to the femoral artery. Different arterial pressures created by the pump were used to perfuse this hind limb. After 40 minutes perfusion time with 200 mmHG pressure, there was marked increase of collateralization by the deep femoral artery. At the contralateral non treated side, only minimal development of collaterals was visualized. These angiograms demonstrate that collaterals are opened by increased pressure within a short time interval The experimental model might have clinical implisations and accelerate collateral formation in non-surgical treatment of arterial occlusive disease.

摘要

在11只杂种犬(体重10 - 15千克)中,结扎股浅动脉后,研究了体外循环下动脉压升高诱导侧支循环形成的情况。在全身麻醉下,将一根聚四氟乙烯管插入一条股深动脉。该管的另一端通过右颈动脉引入胸主动脉,动脉血由蠕动式管泵从主动脉抽吸至股动脉。用泵产生的不同动脉压灌注该后肢。在200 mmHg压力下灌注40分钟后,股深动脉的侧支循环明显增加。在对侧未处理侧,仅可见侧支循环的微小发展。这些血管造影显示,在短时间间隔内,压力升高可使侧支循环开放。该实验模型可能具有临床应用价值,并可在动脉闭塞性疾病的非手术治疗中加速侧支循环的形成。

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