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[小口径血管移植物置换兔模型的建立]

[Establishment of a rabbit model of small diameter vascular graft replacement].

作者信息

Zhang Jia-Qing, Chen Kun-Tang, Zhang Fu-Wei, Li Shao-Bin, Wu Yuan-Zhou, Feng Jing, Wang Wu-Jun, Yan Yu-Sheng

机构信息

Department of Cardiothoracic Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510280, China.E-mail:

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2017 May 20;37(5):687-692. doi: 10.3969/j.issn.1673-4254.2017.05.21.

Abstract

OBJECTIVE

To establish an rabbit model that mimics the hemodynamics of the bypass graft after coronary artery bypass surgery.

METHODS

Sixteen New Zealand rabbits were randomly divided into two groups for abdominal aortic artery replacement using a 3-cm-long ePTFE graft with an inner diameter 4 mm through an incision at 1/3 from the middle to the lower part of the abdomen (group A) or in the lower abdomen (group B). The general conditions of the rabbits, operative time, number of collateral vessels that needed to be ligated, rate of massive intraoperative bleeding, fluctuation of vascular anastomosis after surgery, patency rate of the graft on day 7 after the operation were compared between the two groups.

RESULTS

The two groups of rabbits had similar body weight, diameter of the abdominal aortic artery, intraoperative bleeding rate and occlusion rate of the vascular graft at 7 days after the procedure. The operative time was longer in group A, but the difference was not statistically significant. In group A, the number of the vascular branches that needed to be ligated was smaller and the rate normal femoral artery pulsation was higher than those in group B.

CONCLUSION

It is feasible to establish models of small diameter vascular graft replacement in rabbits, and the patency rate of the graft can be monitored by observation of the general condition and ultrasound examination of the rabbits.

摘要

目的

建立一种模拟冠状动脉搭桥术后旁路移植血管血流动力学的兔模型。

方法

将16只新西兰兔随机分为两组,经腹部中下部1/3处切口(A组)或下腹部切口(B组),使用内径4mm、长3cm的ePTFE移植物行腹主动脉置换术。比较两组兔的一般情况、手术时间、需结扎的侧支血管数量、术中大出血发生率、术后血管吻合口波动情况、术后第7天移植物通畅率。

结果

两组兔体重、腹主动脉直径、术中出血率及术后7天血管移植物闭塞率相似。A组手术时间较长,但差异无统计学意义。A组需结扎的血管分支数量较少,股动脉搏动正常率高于B组。

结论

在兔体内建立小直径血管移植物置换模型是可行的,可通过观察兔的一般情况及超声检查监测移植物的通畅率。

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