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一种通过高频超声引导经胸穿刺测量大鼠肺动脉压的新方法。

A novel method for measuring pulmonary artery pressure by high-frequency ultrasound-guided transthoracic puncture in rats.

作者信息

Zhang Xiaofeng, Li Jingtao, Zeng Decai, Liang Chunting, Zhong Yanfen, Huang Tongtong, Mo Yingying, Rao Huaqing, Pan Xiaoxiong, Wu Ji

机构信息

Department of Ultrasonic Medicine, First Affiliated Hospital of Guangxi Medical University, Nanning, China.

出版信息

Front Cardiovasc Med. 2022 Sep 28;9:995728. doi: 10.3389/fcvm.2022.995728. eCollection 2022.

Abstract

OBJECTIVES

The success of the rat model of pulmonary hypertension (PH) is primarily dependent on the measurement of pulmonary artery pressure. We herein demonstrate a novel method for measuring pulmonary artery pressure through a high-frequency ultrasound-guided transthoracic puncture in rats. The efficacy and time of this novel method are also discussed.

METHODS

A single subcutaneous injection of monocrotaline (MCT) was used to establish a rat model of PH. Through the heat shaping method, the tip of that puncture cannula was maintained at a certain angle after the needle core was removed. In-plane real-time guided trocar puncture of the right ventricular outflow tract was performed in the short-axis section of the parasternal aorta. The external pressure sensor was used to record the real-time waveform of right ventricular systolic pressure, pulmonary artery systolic pressure, and diastolic pressure.

RESULTS

The success rates of which using this novel method in the model group and the control group were 88.5 and 86.7%, respectively. The time of puncture pressure measurement was 164 ± 31 and 235 ± 50 s, respectively. The right ventricular systolic blood pressure, pulmonary systolic blood pressure, and diastolic blood pressure of the model group were higher than those of the control group.

CONCLUSION

The modified method for trocar is helpful for accurately positioning pulmonary artery manometry. The method described in this paper has a high success rate and short operation time. It can simultaneously measure systolic blood pressure, diastolic blood pressure, and mean pressure of the right ventricle and pulmonary artery. It has a broad application prospect in verifying the rat PH model and pulmonary artery pressure monitoring.

摘要

目的

肺动脉高压(PH)大鼠模型的成功主要取决于肺动脉压力的测量。我们在此展示一种通过高频超声引导经胸穿刺测量大鼠肺动脉压力的新方法。还讨论了这种新方法的有效性和所需时间。

方法

单次皮下注射野百合碱(MCT)建立大鼠PH模型。通过热成型方法,在拔出针芯后使穿刺套管尖端保持一定角度。在胸骨旁主动脉短轴切面进行右心室流出道的平面内实时引导套管针穿刺。使用外部压力传感器记录右心室收缩压、肺动脉收缩压和舒张压的实时波形。

结果

模型组和对照组使用这种新方法的成功率分别为88.5%和86.7%。穿刺测压时间分别为164±31秒和235±50秒。模型组的右心室收缩压、肺动脉收缩压和舒张压高于对照组。

结论

改良的套管针方法有助于准确进行肺动脉测压定位。本文所述方法成功率高且操作时间短。它可以同时测量右心室和肺动脉的收缩压、舒张压和平均压。在验证大鼠PH模型和肺动脉压力监测方面具有广阔的应用前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ef/9554409/b526fe7674c7/fcvm-09-995728-g001.jpg

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