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吻合后的宿主动脉-移植物组合生物力学特性的体外表征

Characterization in vitro of the biomechanical properties of anastomosed host artery-graft combinations.

作者信息

Rodgers V G, Teodori M F, Brant A M, Borovetz H S

出版信息

J Vasc Surg. 1986 Oct;4(4):396-402. doi: 10.1067/mva.1986.avs0040396.

Abstract

An in vitro investigation is described in which the biomechanical properties of several host artery-graft combinations are characterized under realistic hemodynamic environments. Canine carotid arteries served as the host vessel and were anastomosed to one of the following graft materials: 4 mm I.D. thin-walled expanded polytetrafluoroethylene (e-PTFE), 6 mm I.D. thin-walled e-PTFE, modified human umbilical vein, autogenous foreleg vein, and carotid artery. A novel feature of the experimental design is the use of a pulsatile perfusion apparatus that simulates realistic normotensive or hypertensive hemodynamics, including pulse rate, perfusion pressure, and flow rate. Measurements of dynamic transmural pressure and vessel radial motion (determined with a helium-neon laser micrometer) were obtained during pulsatile perfusion. From these data calculation of the mismatch in diameter and elasticity modulus between the host carotid artery and various graft materials is made. The longitudinal propagation of the non-uniform radial displacement associated with the construction of the anastomotic junction is also calculated and presented. The present methodology is directly applicable to testing of other vascular substitutes and provides repeatable and reliable biomechanical data.

摘要

本文描述了一项体外研究,该研究在实际血流动力学环境下对几种宿主动脉-移植物组合的生物力学特性进行了表征。犬颈动脉作为宿主血管,并与以下移植物材料之一进行吻合:内径4mm的薄壁膨体聚四氟乙烯(e-PTFE)、内径6mm的薄壁e-PTFE、改良人脐静脉、自体前肢静脉和颈动脉。实验设计的一个新特点是使用了一种搏动灌注装置,该装置模拟实际的正常血压或高血压血流动力学,包括脉搏率、灌注压力和流速。在搏动灌注过程中获得了动态跨壁压力和血管径向运动的测量值(用氦氖激光千分尺测定)。根据这些数据,计算宿主颈动脉与各种移植物材料之间的直径和弹性模量不匹配情况。还计算并呈现了与吻合口构建相关的非均匀径向位移的纵向传播。本方法直接适用于其他血管替代物的测试,并提供可重复且可靠的生物力学数据。

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