Regional distribution of blood flow during proximal aortic cross-clamping: An experimental study using coloured microspheres

Scandinavian Journal of Clinical and Laboratory Investigation

Volumn 67, Issue 5, 2007, Pages 526-535

  Brattli, O S ^a   Nystuen, K ^a   Saether O D ^a   Aadahl, P ^a,b   Gronbech J E ^a   Myhre, H O ^a  

^a TRONDHEIM UNIVERSITY HOSPITAL   (Norway)

^b NORWEGIAN UNIVERSITY OF SCIENCE AND TECHNOLOGY   (Norway)

Author keywords

Blood perfusion; Coloured microspheres; Thoracic aortic cross clamping

Indexed keywords

MICROSPHERE;

ANIMAL TISSUE; AORTA CLAMPING; ARTICLE; AUTOREGULATION; BLOOD FLOW; BRAIN PERFUSION; CIRCULATION; DELTOID MUSCLE; DESCENDING AORTA; DIAPHRAGM; FEMALE; GLUTEUS MAXIMUS MUSCLE; HEART LEFT VENTRICLE; HEART MUSCLE; HEART PERFUSION; INTESTINE; KIDNEY BLOOD FLOW; LIVER; MALE; MUSCLE TISSUE; NONHUMAN; PANCREAS; PRIORITY JOURNAL; SPECTROPHOTOMETRY; SPINAL CORD; SPLEEN; SWINE; THORACIC AORTA; VISCERA;

ANIMALS; AORTA, THORACIC; CENTRAL NERVOUS SYSTEM; CONSTRICTION; CORONARY VESSELS; DISEASE MODELS, ANIMAL; FEMALE; INTRAOPERATIVE COMPLICATIONS; MALE; MICROSPHERES; MUSCLE, SKELETAL; REGIONAL BLOOD FLOW; SPLANCHNIC CIRCULATION; SWINE; VASCULAR SURGICAL PROCEDURES;

SUIDAE;

EID: 34548314356     PISSN: 00365513     EISSN: 15027686     Source Type: Journal    
DOI: 10.1080/00365510701196906     Document Type: Article

References (30)

1. Crawford ES, Snyder DM, Cho GC, Roehm JOF. Progress in treatment of thoracoabdominal and abdominal aortic aneurysms involving celiac, superior mesenteric and renal arteries. Ann Surg 1978;188:404-22.
2. Crawford ES, Crawford JL, Safi HJ, Coselli JS, Hess KR, Brooks B, et al. Thoracoabdominal aortic aneurysms. Preoperative and intraoperative factors determining immediate and long-term results of operations in 605 patients. J Vasc Surg 1986;3:389-404.
3. Svensson LG, Rickards E, Coull A, Rogers G, Fimmel CJ, Hinder RA. Relationship of spinal cord blood flow to vascular anatomy during thoracic aortic cross clamping and shunting. J Thorac Cardiovasc Surg 1986;91:71-8.
4. Svensson LG, von Ritter CM, Groenveld HT, Rickards E, Hunter SJS, Robinson MF, et al. Cross clamping of the thoracic aorta. Influence of aortic shunts, laminectomy, papaverine, calcium channel blocker, allopurinol and superoxide dismutase on spinal cord blood flow and paraplegia in baboons. Ann Surg 1986;204:38-47.
5. Shenaq SA, Svensson LG. Paraplegia following aortic surgery. J Cardiothorac Vasc Surg 1993;1:81-94.
6. McCullough JL, Hollier LH, Nugent M. Paraplegia after thoracic aortic occlusion: influence of cerebral spinal fluid drainage. Experimental and early clinical results. J Vasc Surg 1988;7:153-60.
7. Safi HJ, Winnerkvist A, Miller CC, Iliopoulos DC, Reardon MJ, Espada R, et al. Effect of extended crossclamp time during thoracoabdominal aortic aneurysm repair. Ann Thorac Surg 1998;66:1204-9.
8. Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ. Experience with 1509 patients undergoing thoracoabdominal aortic operations. J Vasc Surg 1993;17:357-70.
9. Aadahl P, Sæther OD, Stenseth R, Myhre HO. Microcirculation of the spinal cord during proximal aortic crossclamping. Eur J Vasc Surg 1990;4:5-10.
10. Wisselink W, Nguyen JH, Becker MO, Money SR, Hollier LH. Ischemia-reperfusion injury of the spinal cord: the influence of normovolemic hemodilution and gradual reperfusion. Cardiovasc Surg 1995;3:399-404.
11. Eide TO, Aasland J, Romundstad P, Stenseth R, Sæther OD, Aadahl P, et al. Changes in haemodynamics and acid-based balance during cross-clamping of the descending thoracic aorta. A study in patients operated on for thoracic and thoracoabdominal aortic aneurys. Eur Surg Res 2005;37:330-4.
12. The Marstrand Workshop group. Thoracoabdominal aortic aneurysms with special reference to technical problems and complications. J Vasc Surg 1993;7:725-30.
13. Gelman S, Revers JG, Fowler K, Samuelson PN, Lell WA, Smith LR. Regional blood flow during crossclamping of the thoracic aorta and infusion of sodium nitroprusside. J Thorac Cardiovasc Surg 1983;85:287-91.
14. Aadahl P, Sæther OD, Stenseth R, Juul R, Myhre HO. Cerebral hemodynamics during proximal aortic cross clamping. Eur J Vasc Surg 1991;5:27-31.
15. Sæther OD, Juul R, Aadahl P, Strømholm T, Myhre HO. Cerebral hemodynamics during thoracic and thoracoabdominal aortic aneurysm repair. Eur J Vasc Surg 1996;12:81-5.
16. Strømholm T, Aadahl P, Sæther OD, Aakhus S, Myhre HO. Effect of nitroprusside- sodium on cerebral hemodynamics during cross-clamping of the decending thoracic aorta in pigs. Eur J Surg 1996;162:329-34.
17. Kowalik P, Schulz R, Guth BD, Schade A, Paffhausen W, Gross R, et al. Measurement of regional myocardial blood flow with multiple colored microspheres. Circulation 1991;83:974-82.
18. Walter B, Bauer R, Gaser E, Zwiener U. Validation of the multiple colored microsphere technique for regional blood flow measurements in newborn piglets. Basic Res Cardiol 1997;3:191-200.
19. Juel IS, Solligård E, Lyng O, Strømholm T, Tvedt KE, Johnsen H, et al. Intestinal injury after thoracic aortic cross-clamping in the pig. J Surg Res 2004;117:283-95.
20. Hannon JP, Bossone CA, Wade CE. Normal physiological values for conscious pigs used in biomedical research. Lab Anim Sci 1990;40:293-8.
21. Aakhus S, Aadahl P, Strømholm T, Myhre HO. Increased left ventricular contractility during cross clamping of the descending thoracic aorta. J Cardiothorac Vasc Anaesth 1995;9:497-502.
22. Strømholm T, Aadahl P, Sæther OD, Myking OD, Myhre HO. Excessive increase in circulation catecholamines during cross-clamping of the descending thoracic aorta in pigs. Int J Angiol 1999;8:91-4.
23. Kirkeby OJ, Rise IR, Nordsletten L, Skjeldal S, Hall C, Risøe C. Cerebral blood flow measured with intracerebral laser-Doppler probes and radioactive microspheres. J Appl Physiol 1995;5:1479-86.
24. Sandler AN, Tator CH. Review of the measurements of normal spinal cord blood flow. Brain Res 1976;118:181-98.
25. Sandler AN, Tator CH. Regional spinal cord blood flow in primates. J Neurol Surg 1976;45:647-59.
26. Myhre HO, Sæther OD, Stenseth R, Aadahl P. Attempts to reduce paraplegia risk in aortic surgery. In: Greenhalgh RM, Mannick JA, editors. The cause and management of aneurysms. Philadelphia, Pa: W. B. Saunders; 1990. pp 373-85.
27. Strock PE, Majno G. Vascular responses to experimental tourniquet ischaemia. Surg Gynec Obstet 1969;129:309-19.
28. Haaverstad R, Aadahl P, Sæther OD, Myhre HO. Proximal subcutaneous interstitial fluid pressure during cross-clamping of the descending thoracic aorta: a study of patients operated on for thoracic- or thoracoabdominal aortic aneurysms. Int J Angiol 1996;5:38-40.
29. Eide TO, Myhre HO, Sæther OD, Aadahl P. Shunting of the coeliac and superior mesenteric arteries during thoracoabdominal aneurysm repair. Eur J Vasc Endovasc Surg 2003;26:602-6.
30. Achouh PE, Madsen K, Miller CC, Estrera AL, Azizzadeh A, Dhareshwar J, et al. Gastrointestinal complications after descending thoracic and thoracoabdominal aortic repairs: a 14-years experience. J Vasc Surg 2006;44:442-6.