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在年轻和中年小鼠主动脉中,随着负荷增加,体内交叉夹闭对动脉血管反应性的影响相同。

Arterial Vasoreactivity is Equally Affected by In Vivo Cross-Clamping with Increasing Loads in Young and Middle-Aged Mice Aortas.

作者信息

Geenens Rachel, Famaey Nele, Gijbels Andy, Verhulst Valérie, Vinckier Stefan, Vander Sloten Jos, Herijgers Paul

机构信息

Department of Cardiovascular Sciences, KU Leuven, Herestraat, Leuven, Belgium.

出版信息

Ann Thorac Cardiovasc Surg. 2016;22(1):38-43. doi: 10.5761/atcs.oa.15-00225. Epub 2015 Nov 6.

DOI:10.5761/atcs.oa.15-00225
PMID:26548538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4981779/
Abstract

PURPOSE

To compensate for the lack of haptic feedback by surgical robots, limitation of exerted forces could be implemented. The limits should be based on the observed relationship between tissue load and induced damage. This study examines whether age-related changes influence this relationship.

METHODS

Descending thoracic aortas of male C57BL/6J mice of 10, 25 and 40 weeks were clamped in vivo (no clamp, 0.5N or 2.0N) for 2 min. Functional integrity was tested in vitro by studying endothelium-dependent and -independent vasoreactivity.

RESULTS

Endothelium-dependent relaxation deteriorated with increased clamping force at all ages. Clamping did not influence endothelium-independent vasodilation. Age (10, 25 and 40 weeks) did not significantly impact on the effect of clamping on endothelium-dependent and independent vasoreactivity.

CONCLUSIONS

Within the tested conditions, mechanical clamping induces damage to the vascular endothelium, but not to the smooth muscle cells. Age has no effect on the obtained results in mice from 10 to 40 weeks old.

摘要

目的

为弥补手术机器人触觉反馈的不足,可实施力施加限制。这些限制应基于观察到的组织负荷与所致损伤之间的关系。本研究探讨年龄相关变化是否会影响这种关系。

方法

将10周、25周和40周龄雄性C57BL/6J小鼠的降主动脉在体内进行夹闭(无夹闭、0.5N或2.0N)2分钟。通过研究内皮依赖性和非内皮依赖性血管反应性在体外测试功能完整性。

结果

在所有年龄段,内皮依赖性舒张功能均随夹闭力增加而恶化。夹闭不影响非内皮依赖性血管舒张。年龄(10周、25周和40周)对夹闭对内皮依赖性和非内皮依赖性血管反应性的影响无显著影响。

结论

在测试条件下,机械夹闭会导致血管内皮损伤,但不会导致平滑肌细胞损伤。年龄对10至40周龄小鼠的所得结果无影响。

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Atherosclerosis Alters Loading-Induced Arterial Damage: Implications for Robotic Surgery.动脉粥样硬化改变负荷诱导的动脉损伤:对机器人手术的影响。
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Aging and atherosclerosis: mechanisms, functional consequences, and potential therapeutics for cellular senescence.衰老与动脉粥样硬化:细胞衰老的机制、功能后果和潜在治疗方法。
Circ Res. 2012 Jul 6;111(2):245-59. doi: 10.1161/CIRCRESAHA.111.261388.
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Arterial clamping: finite element simulation and in vivo validation.动脉夹闭:有限元模拟与体内验证。
J Mech Behav Biomed Mater. 2012 Aug;12:107-18. doi: 10.1016/j.jmbbm.2012.03.010. Epub 2012 Mar 28.
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Influence of clamp duration and pressure on endothelial damage in aortic cross-clamping.主动脉阻断时钳夹持续时间和压力对内皮损伤的影响。
Interact Cardiovasc Thorac Surg. 2010 Feb;10(2):168-71. doi: 10.1510/icvts.2009.220996. Epub 2009 Nov 24.
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Robotics in cardiac surgery.心脏外科手术中的机器人技术。
Scand J Surg. 2009;98(2):120-4. doi: 10.1177/145749690909800207.
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Ann Thorac Surg. 2008 Dec;86(6):1873-7. doi: 10.1016/j.athoracsur.2008.06.047.
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Intracoronary shunt versus bulldog clamp in off-pump bypass surgery. Endothelial trauma: shunt versus clamp.非体外循环冠状动脉搭桥手术中冠状动脉内分流器与阻断钳的比较。内皮损伤:分流器与阻断钳的比较。
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