Reversal of reperfusion injury after ischemic arrest with pressure-controlled intermittent coronary sinus occlusion
نویسندگان
چکیده
منابع مشابه
Automatic Computation for Pressure Controlled Intermittent Coronary Sinus Occlusion
Pressure controlled intermittent coronary sinus occlusion (PICSO) has been found to substantially salvage ischemic myocardium. By elevating venous pressure two mechanisms are involved namely the distention of venous vessels inducing mechanotransduction as well as a redistribution of venous flow towards ischemic areas. Mechanotransduction in endothelial cells inducing changes in the ischemic hea...
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Coronary sinus occlusion retards necrosis of ischemic myocardium. To test the hypothesis that coronary sinus occlusion induces retrograde venoarterial flow, the coronary arteriovenous pressure gradient and the coronary arterial oxygen saturation were measured distal to a left anterior descending coronary artery ligature in dogs. In parallel, we constructed a mathematical model of known coronary...
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Endothelial injury may contribute to the augmented coronary vascular tone seen in myocardial ischemia by impairing endothelial production or release of vasodilators. In vitro reactivity of arterial rings was studied after 60 min of coronary occlusion and 60 min of reperfusion in anesthetized dogs. Ischemia without reperfusion blunted contractile reactivity to potassium chloride (KCI), whereas i...
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The purpose of this study was to evaluate the efficacy of time-controlled intermittent coronary sinus occlusion (ICSO) in preserving regional and global mechanical function during acute ischemia in an animal preparation without significant arterial collateral vessels. Seventeen (eight control, nine ICSO) swine heart preparations undergoing extracorporeal coronary perfusion in situ were subjecte...
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It has been reported that infarct size can be reduced by several interventions, by which arterial blood is delivered retrogradely to the ischemic myocardium through the cardiac veins or alternatively the cardiac venous system is intermittently occluded. Accordingly, we studied several modalities of myocardial protection that used the cardiac venous system and compared them by means of a quantit...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 1988
ISSN: 0022-5223
DOI: 10.1016/s0022-5223(19)35731-9