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Relief of vasospasm by drugs: an experimental study

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Summary

The authors' modified rat open cremaster muscle preparation as a model to study vasospasm by in vivo microscopy is presented. Vasospasm of cremaster microvessels was induced using adrenaline. Spasmolytic action after topical application of various pharmacologic solutions was evaluated. Phentolamine has the strongest spasmolytic action to arterial spasm, thus, it appears that phentolamine may be the spasmolytic agent of choice. NAA, papaverine and reserpine show a degree of vasospasm reversal while magnesium sulfate and danshen compound are ineffective. Tolazoline has a biphasic action to spasmodic vessels. Lidocaine has a strong spasmodic effect on cremaster arterioles. The authors therefore propose that the local application of tolazoline or lidocaine as a spasmolytic agent in microsurgery should be revised.

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References

  1. Acland R (1972) Prevention of thrombus in microvascular surgery by the use of magnesium sulfate. Br J Plast Surg 25:292–299

    Google Scholar 

  2. Anderson GL, Acland RD, Sieminow M et al (1988) Vascular isolation of the rat cremaster muscle. Microvasc Res 36:56–63

    Google Scholar 

  3. Baez S (1973) An open cremaster muscle preparation for the study of blood vessels by in vivo microscopy. Microvasc Res 5:384–394

    Google Scholar 

  4. Biemer E, Duspiva W (1982) Reconstructive microvascular surgery. Springer, Berlin

    Google Scholar 

  5. Cantelmo NL, Culter BS, Wheeler HB et al (1981) Noninvasive detection of carotid stenosis following endarterectomy. Arch Surg 116:1005–1008

    Google Scholar 

  6. Chen ZW, Yang DY, Chang TS (1982) Microsurgery. Springer, Berlin

    Google Scholar 

  7. Fujimaki A, O'Brien BMcC, Kurata T et al (1977) Experimental microanastomosis of 0.4–0.5 mm vessels. Br J Plast Surg 30:269–272

    Google Scholar 

  8. Grant RT (1964) Direct observation of skeletal muscle blood vessels (rat cremaster). J Physiol 172:123–137

    Google Scholar 

  9. Grant RT (1966) The effects of denervation on skeletal muscle blood vessels (rat cremaster). J Anat 100:305–316

    Google Scholar 

  10. Lindbom A (1957) Arterial spasm caused by puncture and catheterization. Acta Radiol 47:449–460

    Google Scholar 

  11. Meininger GA, Fehr KL, Yates MB (1987) Anatomic and hemodynamic characteristics of the blood vessels feeding the cremaster skeletal muscle in the rat. Microvasc Res 33:81–97

    Google Scholar 

  12. Morff RJ, Granger HJ (1980) Measurement of blood flow with radioactive microspheres in the intact and surgically exposed rat cremaster muscle. Microvasc Res 19:366–373

    Google Scholar 

  13. O'Brien BMcC (1977) Microvascular reconstructive surgery. Churchill Livingstone, Edinburgh

    Google Scholar 

  14. Seaber AV (1987) Experimental vasospasm. Microsurgery 8:234–241

    Google Scholar 

  15. Wiedeman MP (1968) Blood flow through terminal arterial vessels after denervation of the bat wing. Circ Res 22:83–89

    Google Scholar 

  16. Yang DY, Gu YD (1979) Thumb reconstruction utilizing second toe transplantation by microvascular anastomosis. Report of 78 cases. Chin Med J 92:295–309

    Google Scholar 

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Huang, G.K., Li, H.Q. Relief of vasospasm by drugs: an experimental study. Eur J Plast Surg 14, 10–14 (1991). https://doi.org/10.1007/BF00585581

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