Rosset E, Friggi A, Rieu R, Rolland P, Novakovitch G, Choux R, Pellissier J F, Pélissier R, Branchereau A
Service de Chirurgie vasculaire, hôpital Sainte-Marguerite, Marseille.
Chirurgie. 1996;121(4):285-97.
The viscoelastic properties of the arterial wall are responsible for the blood pressure wave propagation throughout the arterial system. Arterial diseases may cause disorders in this propagation. We have developed a mock circulation system that allows assessment of viscoelastic properties in fresh or cryopreserved human arteries. It includes the following components:--a hydrodynamic generator that can simulate physiological pressure variations in fresh segments of human arteries;--a lightweight miniature flexible probe that can be placed around the artery to measure changes in the external diameter during systolo-diastolic cycles;--a computer program to analyse pressure and diameter data measured during a cardiac cycle. Using this system, it is possible to evaluate the main viscoelastic properties of the arterial wall (arterial compliance, arterial stiffness, midwall aortic stress, Young elastic modulus, incremental modulus). Human arterial samples were collected during organ harvesting in subjects from 18 to 35 years of age. Correlation between viscoelastic properties, arterial wall status, and histological aspect in nitrogen vapor (-140 degree C) were established. No statistically significant difference was observed in femoral arteries characteristics. Compliance decreased, while stiffness increased with statistically significant difference after cryopreservation in carotid arteries. No histological difference was observed in both arteries before and after cryopreservation.
动脉壁的粘弹性特性负责血压波在整个动脉系统中的传播。动脉疾病可能会导致这种传播出现紊乱。我们开发了一种模拟循环系统,可用于评估新鲜或冷冻保存的人体动脉的粘弹性特性。它包括以下组件:——一个流体动力发生器,可模拟人体动脉新鲜段中的生理压力变化;——一个轻质微型柔性探头,可放置在动脉周围以测量心动周期中外径的变化;——一个计算机程序,用于分析心动周期中测量的压力和直径数据。使用该系统,可以评估动脉壁的主要粘弹性特性(动脉顺应性、动脉僵硬度、主动脉中膜应力、杨氏弹性模量、增量模量)。在18至35岁受试者的器官摘取过程中采集人体动脉样本。建立了在氮蒸气(-140摄氏度)中粘弹性特性、动脉壁状态和组织学方面之间的相关性。股动脉特征未观察到统计学上的显著差异。冷冻保存后,颈动脉的顺应性降低,僵硬度增加,差异具有统计学意义。冷冻保存前后两条动脉均未观察到组织学差异。