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[桡动脉和乳内动脉的血管反应特性:在冠状动脉搭桥手术中的应用]

[Vaso-reactive properties of radial and internal mammary arteries: application to coronary bypass surgery].

作者信息

Chardigny C, Jebara V, Descombes J J, Acar C, Verbeuren T, Fabiani J N

机构信息

Laboratoire d'études des greffes et prothèses cardiaques, hôpital Broussais, Paris.

出版信息

Arch Mal Coeur Vaiss. 1994 Sep;87(9):1185-93.

PMID:7646232
Abstract

Satisfactory results were obtained with the radial artery used as a conduit for coronary artery bypass. However, spasm of this conduit was observed. Human radial and internal mammary artery ring segments were studied in organ chambers. Potassium chloride, norepinephrine, serotonin and thromboxane A2 mimetic were used to obtain dose-response curves, permitting assessment of force of contraction and sensitivity. The radial artery presents stronger contractions than the internal mammary artery. The two vessels have equal sensitivity to the vasoconstrictors used. These data emphasize the hyperreactivity of the radial artery and the need for prevention of vasospasm when this vessel is used as a conduit for coronary artery bypass.

摘要

将桡动脉用作冠状动脉搭桥的血管 conduit 取得了满意的结果。然而,观察到了该血管 conduit 的痉挛。在器官腔室中研究了人桡动脉和乳内动脉环段。使用氯化钾、去甲肾上腺素、血清素和血栓素 A2 模拟物来获得剂量反应曲线,以评估收缩力和敏感性。桡动脉的收缩比乳内动脉更强。这两种血管对所使用的血管收缩剂具有相同的敏感性。这些数据强调了桡动脉的高反应性以及当该血管用作冠状动脉搭桥的血管 conduit 时预防血管痉挛的必要性。

相似文献

1
[Vaso-reactive properties of radial and internal mammary arteries: application to coronary bypass surgery].[桡动脉和乳内动脉的血管反应特性:在冠状动脉搭桥手术中的应用]
Arch Mal Coeur Vaiss. 1994 Sep;87(9):1185-93.
2
Vasoreactivity of the radial artery. Comparison with the internal mammary and gastroepiploic arteries with implications for coronary artery surgery.桡动脉的血管反应性。与乳内动脉和胃网膜动脉的比较及其对冠状动脉手术的意义。
Circulation. 1993 Nov;88(5 Pt 2):II115-27.
3
[Comparative vasoreactivity of the radial, internal mammary and gastroepiploic arteries. Implications in coronary surgery].[桡动脉、乳内动脉和胃网膜动脉的血管反应性比较。对冠状动脉手术的影响]
Chirurgie. 1994;120(9):494-502.
4
Reactivity of gastroepiploic and internal mammary arteries. Relevance to coronary artery bypass grafting.胃网膜动脉和胸廓内动脉的反应性。与冠状动脉旁路移植术的相关性。
J Thorac Cardiovasc Surg. 1992 Jan;103(1):116-22; discussion 122-3.
5
Thromboxane receptor stimulation suppresses guanylate cyclase-mediated relaxation of radial arteries.血栓素受体刺激可抑制鸟苷酸环化酶介导的桡动脉舒张。
Ann Thorac Surg. 2006 Jun;81(6):2147-54. doi: 10.1016/j.athoracsur.2006.01.024.
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Invited commentary.特邀评论。
Ann Thorac Surg. 2006 Jun;81(6):2154. doi: 10.1016/j.athoracsur.2006.01.088.
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C-type natriuretic peptide relaxes human coronary artery bypass grafts preconstricted by endothelin-1.C型利钠肽可舒张由内皮素-1预收缩的人冠状动脉旁路移植血管。
Ann Thorac Surg. 2005 Oct;80(4):1347-51. doi: 10.1016/j.athoracsur.2005.01.069.
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Vasoreactivity of the radial artery: comparison with the internal mammary and the gastroepiploic arteries. Implications for coronary artery surgery.桡动脉的血管反应性:与乳内动脉和胃网膜动脉的比较。对冠状动脉手术的意义。
J Med Liban. 1995;43(3):135-41.
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Overview of the nature of vasoconstriction in arterial grafts for coronary operations.冠状动脉手术中动脉移植物血管收缩本质的概述。
Ann Thorac Surg. 1995 Mar;59(3):676-83. doi: 10.1016/0003-4975(94)01011-0.
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A new antispastic solution for arterial grafting: nicardipine and nitroglycerin cocktail in preparation of internal thoracic and radial arteries for coronary surgery.一种用于动脉移植的新型抗痉挛溶液:尼卡地平与硝酸甘油混合液在冠状动脉手术中制备胸廓内动脉和桡动脉时的应用
J Thorac Cardiovasc Surg. 2008 Sep;136(3):673-80, 680.e1-2. doi: 10.1016/j.jtcvs.2007.12.019. Epub 2008 May 19.

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