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用于血流动力学研究的离体主动脉装置。

Isolated aorta setup for hemodynamic studies.

作者信息

Sipkema P, Latham R D, Westerhof N, Rubal B J, Slife D M

机构信息

Laboratory for Physiology, Free University of Amsterdam, The Netherlands.

出版信息

Ann Biomed Eng. 1990;18(5):491-503. doi: 10.1007/BF02364613.

Abstract

A setup consisting of a high-performance hydraulic pump connected to the ascending part of an isolated aorta, including all major distal branches, each loaded with calibrated artificial resistors, was developed. The system was used to study total aortic compliance of the baboon as a function of mean aortic pressure (n = 5). The aorta loaded with the resistors was mounted in a custom-designed sink table, such that it was submersed in physiological saline maintained at 37 degrees C. Mean distending pressure in the entire aorta could be varied. The three-element Windkessel model was used to estimate total aortic compliance from pressure and flow waves generated by the pump. Total aortic compliance as a function of mean pressure was fitted with a logarithmic function: Ln(Compliance) = A + B * P. The value of A (+/- SE) was: 1.565 +/- 0.319 and B: -0.020 +/- 0.003 (P less than 0.001). The results were compared with previously published results (also using the same three-element Windkessel fit) obtained in three of the same animals in vivo. The in vivo data were A: 1.095 +/- 0.235 and B: B: -0.019 +/- 0.003. In vitro data had a significantly higher value of A than in vivo (P = 0.017), implying a significantly higher aortic compliance in vitro than in vivo. Occlusion of the proximal descending aorta was performed at a low distending pressure (55 mm Hg) to determine the proximal compliance. It was found (n = 4) that 46 +/- 11% (SD) of the total arterial compliance is to be attributed to the ascending and proximal descending aorta.

摘要

开发了一种装置,该装置由一个高性能液压泵连接到一根孤立主动脉的升段组成,主动脉包括所有主要的远端分支,每个分支都装有校准的人工电阻。该系统用于研究狒狒的总主动脉顺应性与平均主动脉压力的关系(n = 5)。装有电阻的主动脉安装在一个定制设计的水槽台上,使其浸没在保持在37摄氏度的生理盐水中。整个主动脉的平均扩张压力可以变化。使用三元Windkessel模型根据泵产生的压力和流量波来估计总主动脉顺应性。总主动脉顺应性与平均压力的关系用对数函数拟合:Ln(顺应性)= A + B * P。A(±SE)的值为:1.565 ± 0.319,B的值为:-0.020 ± 0.003(P < 0.001)。将结果与之前在三只相同动物体内获得的已发表结果(也使用相同的三元Windkessel拟合)进行比较。体内数据为A:1.095 ± 0.235,B:-0.019 ± 0.003。体外数据的A值显著高于体内(P = 0.017),这意味着体外主动脉顺应性显著高于体内。在低扩张压力(55 mmHg)下对降主动脉近端进行闭塞,以确定近端顺应性。发现(n = 4)总动脉顺应性的46 ± 11%(SD)归因于升主动脉和降主动脉近端。

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