2005, Number S3
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Arch Cardiol Mex 2005; 75 (S3)
Modification of a hydraulic device for controlled banding of the trunk of the pulmonary artery in dogs
Santos MLE, Gotés J, Flores P, Tena C, Graullera V, Pulido T, Bautista E, Infante O, Martínez GML, Castañón A, Ramírez S, Soule M, Sandoval ZJ
Language: Spanish
References: 33
Page: 10-20
PDF size: 173.89 Kb.
ABSTRACT
Different congenital or acquired diseases increase the right ventricular systolic pressure. The elevation is achieved by pulmonary artery banding with linen tape or hydraulic devices. We introduce a new hydraulic device to be used in experimental subjects of less than 15 kilograms.
Methods: An experimental laboratory phase was conducted. In this phase, the hydraulic devices were tested against pressures as high as 80 mm Hg; later on the hydraulic devices were placed on the dogs´ main pulmonary artery; the right ventricular systolic pressure, pulmonary artery pressure, and their differences were obtained. The values are expressed in average ± standard deviation.
Results: The average weight of the dogs was 12.6 ± 2.2 kg. The average diameter found in the main pulmonary artery was 12.4 ± 1.4 mm and 27.5 ± 1.6 mm length. Right ventricular systolic pressure of basal condition to maximum pressure obtained was 25.5 ± 1.9 mm Hg vs 50.3 ± 6.9 mm Hg, p ‹ 0.0001; pulmonary artery pressures under the same conditions were 24.7 ± 2 mm Hg vs 21.5 ± 6.9 mm Hg, p ‹ 0.043; and the differences between them were 0.8 ± 1.4 mm Hg vs 28.8 ± 4.2 mm Hg, p ‹ 0.0001, developed by the hydraulic device respectively.
Conclusions: The hydraulic device allows attaining a controlled acute increase in right ventricular systolic pressure.
REFERENCES
Barnard D, Alpert JS: Right ventricular function in health and disease. Curr Probl Cardiol 1987; 12: 422-449.
Rich S, Dantzker DR, Ayres SM, Bergofsky EH, Brundage BH, Detre KM, et al: Primary pulmonary hypertension: A national prospective study. Ann Intern Med 1987; 107: 216-223.
Wood K: Major pulmonary embolism: Review of a pathophysiologic approach to the golden hour of hemodynamically significant pulmonary embolism. Chest 2002; 121: 877-905.
Fedullo PF, Auger WR, Channick RN, Moser KM, Jamieson SW: Chronic thromboembolic pulmonary hypertension. Clin Chest Med 1995; 16: 353-374.
Runo JJ, Loyd JE: Primary pulmonary hypertension. Lancet 2003; 361: 1533-1544.
Hirsch LJ, Rooney MW, Wat SS, Kleinmann B, Mathru M: Norepinephrine and phenylephrine effects on right ventricular function in experimental canine pulmonary embolism. Chest 1991; 100: 796-801.
Lupi HE, Furuya MEY, Ramírez JC, Maxwell R, Sandoval J: Efecto de la dopamina en la mecánica vascular pulmonar. Su estudio en un modelo canino de lóbulo aislado embolizado con gelfoam. Arch Inst Cardiol Méx 1990; 61: 341-345.
Dell´Italia LJ, Pearce DJ, Blackwell GG, Ross SH, Bishop SP, Pohost GM: Right and left ventricular volumes and function after acute pulmonary hypertension in intact dogs. J Appl Physiol 1995; 78: 2320-2327.
Ghignone M, Girling BL, Prewitt RM: Volume expansion versus norepinephine in treatment of a low cardiac output complicating an acute increase in right ventricular afterload in dogs. Anesthesiology 1984; 60: 1135-1323.
Gómez A, Unruh H, Mink S: Altered left ventricular chamber stiffness and isovolumic relaxation in dogs with chronic pulmonary hypertension caused by emphysema. Circulation 1993; 87: 247-260.
Rabinovitch M, Fisher K, Gambie W, Reid I, Treves S: Thallium-201 quantitation of right ventricular hypertrophy in chronically hypoxic rats. Radiology 1979; 130: 223-225.
Wercham PM, Summer WR, Gerdes AM, McDonough KH: Right Ventricular performance after monocrotaline-induced pulmonary hypertension. Am J Physiol 1989; 256: H11328-11336.
Vlahakes GJ, Turley K, Hoffman JIE: The pathophysiology of failure in acute right ventricular hypertension: hemodynamic and biochemical correlations. Circulation 1981; 63: 87-95.
Austen GW, Morrow AG, Berry WB: Experimental Studies of the surgical treatment of primary pulmonary hypertension. J Thorac Cardiovasc Surg 1964; 48: 448-455.
Bache RJ: Effects of hypertrophy on the coronary circulations. Prog Cardiovasc Dis 1988; 21: 403-440.
Corno AF, Sekarski N, Bernath MA, Payot M, Tozzi von Segesser LK: Pulmonary artery banding: Long-term telemetric adjustment. Eur J Cardiothorac Surg 2003; 23: 317-322.
Higgins ChB, Pavelec R, Vatner SF: Modified technique for production of experimental right-sided congestive heart failure. Cardiovasc Res 1973; 7: 870-874.
Murray PA, Vatner SF: Abnormal coronary vascular response to exercise in dogs with severe right ventricular hypertrophy. J Clin Invest 1981; 67: 1314-1323.
Santos-Martínez LE, Gómez-González A, Infante-Vázquez O, Flores-Chávez P, Tena-Betancourt C, Pulido-Zamudio T, et al: Desarrollo de un modelo canino de hipertensión ventricular derecha crónica progresiva. Arch Cardiol Méx 2001; 71: 266-277.
Solis E, Heck CF, Seward JB, Kaye MP: Percutaneously adjustable pulmonary artery band. Ann Thorac Surg 1986; 41: 65-69.
Higashidate M, Beppu T, Imai Y, Kurosawa H: Percutaneously adjustable pulmonary artery band. An experimental study. J Thorac Cardiovasc Surg 1989; 97: 864-869.
Dias CA, Assad RS, Caneo LF, Abduch MC, Aiello VD, Dias AR, et al: Reversible pulmonary trunk banding. II. An experimental model for rapid pulmonary ventricular hypertrophy. J Thorac Cardiovasc Surg 2002; 124: 999-1006.
Sang CP, Bartley PG, Siewers RD, Hardesty RL, Ladowsky R, Zoltun RA, et al: A Percutaneously adjustable device for banding of the pulmonary trunk. Intern J Cardiol 1985; 9: 477-484.
Leeuwemburgh BPJ, Schoof PH, Steendijk P, Baan J, Mooi W, Helbing WA: Chronic and adjustable pulmonary artery banding. J Thorac Cardiovasc Surg 2003; 125: 231-237.
Le Bret E, Bonhoeffer P, Folliguet TA, Sidi D, Laborde F, R de Leval M, et al: A new percutaneosly adjustable thoracoscopically implantable pulmonary artery banding: An experimental study. Ann Thorac Surgery 2001; 72: 1358-1361.
Horowitz MD, Culpeper III WS, Williams III LS, Sundgaard-Riise MS, Ochsner JL: Pulmonary artery banding analysis of a 25-year experience. Ann Thorac Surg 1989; 48: 444-50.
Unruh HW, Wang R, Bose D, Mink SN: Does pentobarbital anesthesia depress left ventricular contractility in dogs? Am J Physiol 1991; 261(Heart Circ Physiol 30): H700-H706.
Wolfle TL, Rozmariek CM, Grossblatt N: Guía para el cuidado y uso de los animales de laboratorio. National Research Council: National Academy of Sciences. 1996: 1-146.
Monahar M, Thurmon JC, Tranquilli WJ: Regional myocardial blood flow and coronary vascular reserve in unanesthetized young calves with severe concentric right ventricular hypertrophy. Circ Res 1981; 48: 785-796.
Archie JP, Fixler DE, Ullyot DG: Regional myocardial blood flow in lambs with concentric right ventricular hypertrophy. Circ Res 1974; 34: 143-154.
Monahar M: Transmural coronary vasodilatador reserve and flow distribution during tachycardia in conscious young swine with right ventricular hypertrophy. Cardiovasc Res 1985; 19: 104-112.
Dabritz S, Sachweh J, Tiete A, Engelhardt W, von Bernuth G, Messmer BJ: Experience with an adjustable pulmonary artery banding device in two cases: initial success-midterm failure. (Abstract). Thorac Cardiovasc Surgery 1999; 47: 51-52.
Maeta H, Atsumi N, Jikuya T, Hori M: A percutaneosly controllable pulmonary artery banding device: clinical application. (Abstract). Kyobu Geka 1995; 48: 536-541.