慢性牛模型中包括主动脉和肺血流的基线血流动力学

Surgeries Pub Date : 2022-07-18 DOI:10.3390/surgeries3030021
Angel Moctezuma-Ramirez, A. Elgalad, K. Handy, Gil Costas, O. Frazier
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引用次数: 0

摘要

大型动物模型在临床前环境中的使用已经扩大,对评估新疗法和设备的安全性和有效性越来越有价值。在这里,我们报告了牛模型在休息和运动过程中的正常血液动力学值,包括主动脉和肺血流量。我们进行了左侧开胸手术,植入了充满液体的压力线(主动脉压、右心房压、左心房压、肺动脉压)以及左(全身)和右(肺)流量探测线。在整个术后期间,在休息和平板运动评估期间,每小时记录小牛的生理压力、生命体征、主动脉和肺血流量以及肺和全身血管阻力。当比较基线试验和跑步机试验期间的压力和流速时,我们观察到对运动的生理反应与人类相似,交感神经放电增加了收缩压。然而,平均动脉压的升高要低得多,这是由于血管阻力的总体降低,从而增加了血流量。这项研究为研究人员、设备工程师和制造商提供了正常的牛心血管生理学数据,这些数据可用于临床前试验设备开发过程中的技术考虑。
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Baseline Hemodynamics Including Aortic and Pulmonary Blood Flow in a Chronic Bovine Model
The use of large animal models in the preclinical setting has expanded and become increasingly valuable for evaluating the safety and efficacy of new therapies and devices. Here, we report normal hemodynamic values, including aortic and pulmonary blood flow, in a bovine model at rest and during exercise after a control procedure. We performed a left lateral thoracotomy and implanted fluid-filled pressure lines (aortic pressure, right atrial pressure, left atrial pressure, pulmonary artery pressure) and left (systemic) and right (pulmonary) flow probe lines. Throughout the postoperative period, the calf’s physiologic pressures, vital signs, aortic and pulmonary blood flow, and pulmonary and systemic vascular resistance were recorded hourly at rest and during treadmill exercise evaluations. When pressures and flow rates at baseline and during treadmill trials were compared, we observed a physiologic response to exercise similar to that seen in humans, with a sympathetic discharge that increased systolic blood pressure. However, the rise in mean arterial pressure was much lower due to an overall decrease in vascular resistance, which increased blood flow. This study provides investigators, device engineers, and manufacturers with normal bovine cardiovascular physiology data that can be used for technical consideration during device development for preclinical trials.
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CiteScore
0.80
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审稿时长
11 weeks
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