Yan Weidong, Ji Bingyang
Department of Cardiopulmonary Bypass, National Center for Cardiovascular Disease and Fuwai Hospital, State Key Laboratory of Cardiovascular Medicine, Chinese Academy of Medical Science, Peking Union Medical College.
Department of Cardiopulmonary Bypass, National Center for Cardiovascular Disease and Fuwai Hospital, State Key Laboratory of Cardiovascular Medicine, Chinese Academy of Medical Science, Peking Union Medical College;
J Vis Exp. 2022 Dec 16(190). doi: 10.3791/63571.
Deep hypothermic circulatory arrest (DHCA) is routinely applied during surgeries for complex congenital heart disease and aortic arch disease. The present study aims to provide a method for establishing DHCA in rats. To evaluate the impact of the DHCA process on vital signs, a normal temperature cardiopulmonary bypass (CPB) rat model without circulatory arrest was used as a control. As expected, DHCA led to a significant decrease in body temperature and mean arterial blood pressure. The blood gas analysis indicated that DHCA increased lactic acid levels but did not influence the blood pH and the concentrations of hemoglobin, hematocrit, Na, Cl, K, and glucose. Furthermore, compared with the normal temperature CPB rats, the results of the transmission electron microscopy showed a mild increase in hippocampal autophagosomes in the DHCA rats.
深低温停循环(DHCA)常用于复杂先天性心脏病和主动脉弓疾病的手术中。本研究旨在提供一种在大鼠中建立DHCA的方法。为了评估DHCA过程对生命体征的影响,将未进行循环停止的常温体外循环(CPB)大鼠模型作为对照。正如预期的那样,DHCA导致体温和平均动脉血压显著下降。血气分析表明,DHCA会增加乳酸水平,但不影响血液pH值以及血红蛋白、血细胞比容、钠、氯、钾和葡萄糖的浓度。此外,与常温CPB大鼠相比,透射电子显微镜结果显示,DHCA大鼠海马自噬体略有增加。