Xu Zhao-jun, Wu Zhong-shi, Hu Tie-hui, Hu Jian-guo, Feng Yao-guang, Ma Zhong-sha, Wang Hui, Hu Jian, Hu Ye-rong
Department of Cardiothroacic Surgery, Second Xiangya Hospital, Central South University, Changsha, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2006 Jun;31(3):355-8.
To determine the feasibility whether the bovine jugular venous conduit (BJVC) can be fixed with polyepoxy compound (PC).
Twenty-four BJVCs were divided into 3 groups and fixed with polyepoxy compound (PC group, n = 8), glutaraldehyde (GA group, n = 8), and unfixed group (Control group, n = 8), respectively. The morphologic and mechanical properties of BJVCs in the 3 groups, including thickness, diameter, moisture content, denaturation temperature, tensile strength, elongation at break, and fixation index were measured. The rat subcutaneous model for the assessment of tissue calcification was used. The calcium content in bovine jugular vein patches and valves was determined by flame atomic absorption spectrophotometer.
There was no difference in the wall thickness, diameter, and tissue water content between PC and the control group, but significant difference was found between GA and PC groups. The mechanical properties of PC group and GA group were not significantly different, but they were better than those of the control group. GA-fixed BJVC samples showed clear calcification, while PC fixed BJVC were calcified significantly less.
PC is an effective and suitable choice for the treatment of BJVC since it can effectively preserve the structure and the anti-reflow function of valves in bovine jugular vein and it has better anti-calcification properties.
确定牛颈静脉导管(BJVC)能否用多环氧化合物(PC)固定。
将24根BJVC分为3组,分别用多环氧化合物固定(PC组,n = 8)、戊二醛固定(GA组,n = 8)和不固定(对照组,n = 8)。测量3组BJVC的形态学和力学性能,包括厚度、直径、含水量、变性温度、拉伸强度、断裂伸长率和固定指数。采用大鼠皮下模型评估组织钙化情况。用火焰原子吸收分光光度计测定牛颈静脉补片和瓣膜中的钙含量。
PC组与对照组在壁厚、直径和组织含水量方面无差异,但GA组与PC组之间存在显著差异。PC组和GA组的力学性能无显著差异,但均优于对照组。GA固定的BJVC样本显示明显钙化,而PC固定的BJVC钙化明显较少。
PC是治疗BJVC的一种有效且合适的选择,因为它能有效保留牛颈静脉瓣膜的结构和抗反流功能,且具有更好的抗钙化性能。