Kresowik T F, Vincent C K, Brunkwall J S, Stanley J C
Department of Surgery, University of Iowa College of Medicine, Iowa City.
J Surg Res. 1989 Jun;46(6):605-10. doi: 10.1016/0022-4804(89)90029-2.
The effect of heparin, administered prior to vessel dissection and excision, on the luminal release of prostanoids from an excised vessel was assessed. Eight adult mongrel dogs underwent removal of the jugular vein and carotid artery on one side, followed by intravenous administration of heparin sodium (150 IU/kg) and subsequent removal of these same vessels from the contralateral neck. The excised vessels were perfused in an ex vivo system with Hanks' balanced salt solution for five consecutive 15-min periods. Prostacyclin release (measured as 6-keto-PGF1 alpha) and thromboxane A2 (measured as thromboxane B2) release into the perfusate were quantitated by radioimmunoassay. Vessel segments were studied with and without first period thrombin stimulation (2 U/ml) and with arachidonic acid (4 micrograms/ml) stimulation during the last perfusion period. Vein segments following heparin administration exhibited greater prostacyclin production than veins not exposed to heparin. This effect did not occur in arteries. Heparin did not influence thromboxane A2 release. Luminal endothelial cell coverage was not affected by the presence or absence of heparin. Thus heparin anticoagulation prior to dissection and excision of a vein, may enhance early preservation of its endothelial cell function as evident by increased luminal release of prostacyclin.
评估了在血管解剖和切除之前给予肝素对切除血管腔内前列腺素释放的影响。八只成年杂种犬一侧的颈静脉和颈动脉被切除,随后静脉注射肝素钠(150 IU/kg),然后从对侧颈部切除相同的血管。将切除的血管在体外系统中用汉克斯平衡盐溶液连续灌注五个15分钟时段。通过放射免疫测定法对灌注液中前列环素释放(以6-酮-PGF1α测量)和血栓素A2(以血栓素B2测量)释放进行定量。在第一个时段有或无凝血酶刺激(2 U/ml)以及在最后一个灌注时段有花生四烯酸(4μg/ml)刺激的情况下对血管段进行研究。给予肝素后的静脉段比未暴露于肝素的静脉产生更多的前列环素。这种效应在动脉中未出现。肝素不影响血栓素A2的释放。肝素的存在与否不影响腔内内皮细胞覆盖情况。因此,在静脉解剖和切除之前进行肝素抗凝,可能会增强其内皮细胞功能的早期保存,这表现为腔内前列环素释放增加。