Protection of endothelium in vessel segments excised for grafting.

Abstract:

:Contracture and collapse often complicate dissection and excision of blood vessels for grafting. Subsequent forceful redilatation and leak checking with cold saline almost always lead to partial or total denudation of endothelium, which increases the risk of early occlusion by thrombi or late occlusion by fibrocellular initimal thickening. To prevent endothelial damage, we used three major modifications of the excision and extracorporeal maintenance procedures: (1) adventitial application of the smooth-muscle relaxant papaverine in situ to avoid contracture and to allow subsequent gentle, gradual redilatation at low pressure; (2) balanced perfusion and maintenance fluid containing 10% protein (serum of albumin); and (3) extracorporeal maintenance of the vessel at body temperature. In an experimental extracorporeal vascular perfusion system, we could preserve morphologically intact endothelium of rabbit carotid arteries for over 3 hours, as evaluated by scanning electron microscopy. Applying the same principles to canine cephalic and saphenous veins, we gradually dilated the vessels at pressures as low as 100 mm Hg and obtained a morphologically intact endothelium after 1 hour of extracorporeal maintenance.

journal_name

Circulation

journal_title

Circulation

authors

Haudenschild C,Gould KE,Quist WC,LoGerfo FW

subject

Has Abstract

pub_date

1981-08-01 00:00:00

pages

II101-7

issue

2 Pt 2

eissn

0009-7322

issn

1524-4539

journal_volume

64

pub_type

杂志文章
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    authors: Starr JW,Wagner GS,Draffin RM,Reed JB,Walston A 2nd,Behar VS

    更新日期:1976-02-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章,评审

    doi:

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    pub_type: 杂志文章

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    authors: Karsch KR,Haase KK,Voelker W,Baumbach A,Mauser M,Seipel L

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    更新日期:2003-07-08 00:00:00

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    journal_title:Circulation

    pub_type: 杂志文章

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    更新日期:2007-03-20 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1161/01.cir.56.5.845

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    更新日期:1977-11-01 00:00:00

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    更新日期:2009-03-31 00:00:00

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    pub_type: 杂志文章

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    更新日期:2017-09-05 00:00:00

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    pub_type: 杂志文章

    doi:10.1161/01.cir.56.4.545

    authors: Slutsky AS

    更新日期:1977-10-01 00:00:00

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.64.6.1135

    authors: Shiu MF,Ireland MA,Littler WA

    更新日期:1981-12-01 00:00:00

  • Association of levels of lipoprotein Lp(a), plasma lipids, and other lipoproteins with coronary artery disease documented by angiography.

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.74.4.758

    authors: Dahlen GH,Guyton JR,Attar M,Farmer JA,Kautz JA,Gotto AM Jr

    更新日期:1986-10-01 00:00:00

  • Standardized End Point Definitions for Coronary Intervention Trials: The Academic Research Consortium-2 Consensus Document.

    abstract::The Academic Research Consortium (ARC)-2 initiative revisited the clinical and angiographic end point definitions in coronary device trials, proposed in 2007, to make them more suitable for use in clinical trials that include increasingly complex lesion and patient populations and incorporate novel devices such as bio...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.117.029289

    authors: Garcia-Garcia HM,McFadden EP,Farb A,Mehran R,Stone GW,Spertus J,Onuma Y,Morel MA,van Es GA,Zuckerman B,Fearon WF,Taggart D,Kappetein AP,Krucoff MW,Vranckx P,Windecker S,Cutlip D,Serruys PW,Academic Research Consortium

    更新日期:2018-06-12 00:00:00

  • Five-year clinical and angiographic outcomes of a randomized comparison of sirolimus-eluting and paclitaxel-eluting stents: results of the Sirolimus-Eluting Versus Paclitaxel-Eluting Stents for Coronary Revascularization LATE trial.

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    doi:10.1161/CIRCULATIONAHA.110.004762

    authors: Räber L,Wohlwend L,Wigger M,Togni M,Wandel S,Wenaweser P,Cook S,Moschovitis A,Vogel R,Kalesan B,Seiler C,Eberli F,Lüscher TF,Meier B,Jüni P,Windecker S

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    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:1998-03-17 00:00:00

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    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.cir.85.3.942

    authors: Kubo SH,Gollub S,Bourge R,Rahko P,Cobb F,Jessup M,Brozena S,Brodsky M,Kirlin P,Shanes J

    更新日期:1992-03-01 00:00:00

  • SIRT2 Acts as a Cardioprotective Deacetylase in Pathological Cardiac Hypertrophy.

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.117.028728

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    更新日期:2017-11-21 00:00:00

  • Pacing as a Treatment for Reflex-Mediated (Vasovagal, Situational, or Carotid Sinus Hypersensitivity) Syncope: A Systematic Review for the 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American Coll

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    journal_title:Circulation

    pub_type: 杂志文章,meta分析,评审

    doi:10.1161/CIR.0000000000000500

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.60.2.82

    authors: Borer JS,Bacharach SL,Green MV,Kent KM,Rosing DR,Seides SF,Morrow AG,Epstein SE

    更新日期:1979-08-01 00:00:00

  • Randomized comparison of ticlopidine and clopidogrel after intracoronary stent implantation in a broad patient population.

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    更新日期:2001-07-31 00:00:00

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    authors: Heidbüchel H,Tack J,Vanneste L,Ballet A,Ector H,Van de Werf F

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    doi:10.1161/01.cir.103.1.84

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    更新日期:2001-01-02 00:00:00

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    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.118.034075

    authors: Basso C,Iliceto S,Thiene G,Perazzolo Marra M

    更新日期:2019-09-10 00:00:00

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.56.1.102

    authors: Hurwitz RA,Franken EA Jr,Girod DA,Smith JA,Smith WL

    更新日期:1977-07-01 00:00:00

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.3.656

    authors: Ito H,Iwakura K,Oh H,Masuyama T,Hori M,Higashino Y,Fujii K,Minamino T

    更新日期:1995-02-01 00:00:00

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    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.118.038840

    authors: Steg PG,Szarek M,Bhatt DL,Bittner VA,Brégeault MF,Dalby AJ,Diaz R,Edelberg JM,Goodman SG,Hanotin C,Harrington RA,Jukema JW,Lecorps G,Mahaffey KW,Moryusef A,Ostadal P,Parkhomenko A,Pordy R,Roe MT,Tricoci P,Vogel R

    更新日期:2019-07-09 00:00:00

  • Effects of cycle length on atrial vulnerability.

    abstract::The effect of cycle length on atrial vulnerability was studied in 14 patients manifesting reproducible repetitive atrial firing during atrial extra-stimulus (A2) testing. Repetitive atrial firing was defined as the occurrence of two or more premature atrial responses with return cycle (A2-A3) of 250 msec or less and s...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.55.2.260

    authors: Wyndham CR,Amat-y-Leon F,Wu D,Denes P,Dhingra R,Simpson R,Rosen KM

    更新日期:1977-02-01 00:00:00