Mangell P, Länne T, Sonesson B, Hansen F, Bergqvist D
Department of Surgery, Lund University, Malmö University Hospital, Sweden.
Eur J Vasc Endovasc Surg. 1996 Aug;12(2):189-95. doi: 10.1016/s1078-5884(96)80105-5.
To study possible differences in mechanical properties between central (abdominal aorta) and more peripheral (common carotid and common femoral) arteries validating an earlier non-invasive study in children showing that central arteries are more distensible than peripheral ones. As invasive blood pressure was needed, but ethically impossible to obtain in children in an experimental setting, an animal model was chosen.
Open experimental study.
Animal laboratory at university hospital.
The pulsatile vessel wall movements of the abdominal aorta (AA), common femoral (CFA) and common carotid (CCA) artery of nine sheep were examined using an ultrasound phase-locked echo-tracking technique. Intra-arterial blood pressure was measured and pressure-diameter relations, pressure strain elastic modulus (Ep) and stiffness (beta) calculated. Distensibility was defined as the inverse of Ep and stiffness.
The AA showed lower values for Ep and stiffness (beta) than the CFA (p = 0.002) and CCA (p = 0.006), i.e. the latter two vessels were stiffer. The pressure-diameter relations confirmed these differences and showed a non-linearity for all three vessels with increased stiffness above 70-90 mm Hg.
This study on young animals supports earlier findings of differences in mechanical properties between central and more peripheral arteries seen in healthy children. As pathologies between these vessels differ, with dilatation of the abdominal aorta and occlusive disease in the more peripheral vessels, part of the explanation might be found in the mechanical properties of the healthy vessels, characterised here with the echo-tracking technique.
研究中心动脉(腹主动脉)与外周动脉(颈总动脉和股总动脉)在力学特性上可能存在的差异,以验证早期一项针对儿童的非侵入性研究结果,该研究表明中心动脉比外周动脉更具扩张性。由于需要有创血压测量,但在儿童实验环境中从伦理角度无法获取,因此选择了动物模型。
开放性实验研究。
大学医院动物实验室。
使用超声锁相回声跟踪技术检查了9只绵羊的腹主动脉(AA)、股总动脉(CFA)和颈总动脉(CCA)的搏动性血管壁运动。测量动脉内血压,并计算压力 - 直径关系、压力应变弹性模量(Ep)和硬度(β)。扩张性定义为Ep和硬度的倒数。
AA的Ep和硬度(β)值低于CFA(p = 0.002)和CCA(p = 0.006),即后两者血管更硬。压力 - 直径关系证实了这些差异,并显示所有三根血管均呈非线性,在血压高于70 - 90 mmHg时硬度增加。
这项针对幼小动物的研究支持了早期在健康儿童中观察到的中心动脉与外周动脉力学特性差异的研究结果。由于这些血管的病变不同,腹主动脉扩张而外周血管出现闭塞性疾病,部分原因可能在于健康血管的力学特性,本研究通过回声跟踪技术对其进行了表征。