Matsumae T, Iijima K, Yonezawa T
No To Shinkei. 1984 Apr;36(4):349-55.
Canine cerebral blood flow is supplied not only through carotid and vertebral arteries, but also through rich network of collaterals. Therefore, it is said that total body arrest is requested to assure the global brain ischemia. The global ischemic models, reported previously, were by the simultaneous occlusion of aorta and vena cava. In our model, however, the global cerebral ischemia was produced by clamping only the ascending aorta. Cardiovascular changes such as increases in left ventricular and pulmonary arterial pressure, and decrease in left ventricular dp/dt followed after ceasing of ascending aortic blood stream. The heart continued to beat during 60 minutes of the clamping. Despite of increased central venous pressure, sagittal sinus pressure and intracranial pressure remained unchanged during the aorta clamping. Ten-minutes of total cerebral ischemia was produced in 46 dogs and successful studies on cerebral and systemic variables were carried out in 68% of them. The method of clamping the aorta without occlusion of vena cava seems to be unsuitable for long term survival study because of severe loading of lung circulation. However, we conclude that this simple model is of great use for short term experiment on global brain ischemia.
犬脑血流不仅通过颈动脉和椎动脉供应,还通过丰富的侧支网络供应。因此,有人认为需要全身停搏以确保全脑缺血。先前报道的全脑缺血模型是通过同时阻断主动脉和腔静脉来实现的。然而,在我们的模型中,全脑缺血是通过仅夹闭升主动脉产生的。在升主动脉血流停止后,出现了诸如左心室和肺动脉压升高以及左心室dp/dt降低等心血管变化。在夹闭的60分钟内心脏持续跳动。尽管中心静脉压升高,但在夹闭主动脉期间矢状窦压力和颅内压保持不变。在46只犬中造成了10分钟的全脑缺血,其中68%的犬成功进行了关于脑和全身变量的研究。由于肺循环负担过重,不阻断腔静脉而夹闭主动脉的方法似乎不适用于长期存活研究。然而,我们得出结论,这个简单的模型对于全脑缺血的短期实验非常有用。