Summary
A variable mechanical occluder has been designed which, by means of a micrometer, permits graded stenosis of an artery in precise, reproducible increments. The design also allows transient, complete occlusion of the artery to establish zero flow without alteration of the level of stenosis established prior to the zeroing procedure. The device has been used to partially block the reactive hyperemic response following coronary and femoral artery occlusion, but is readily adaptable to vessels of other size by means of an interchangeable occluder subassembly.
Zusammenfassung
Es wurde eine mechanische Vorrichtung entworfen, die es erlaubt, mittels eines Mikrometers eine abgestufte, exakt reproduzierbare Einengung einer Arterie vorzunehmen. Die Apparatur wurde bisher an Koronararterien und Femoralarterien erprobt. Mittels eines austauschbaren Okkluderzusatzes ist sie jedoch leicht auch an Gefäße anderer Größe anzupassen.
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References
Berguer, R., N. H. G. Hwang: Critical arterial stenosis: a theoretical and experimental solution. Ann. Surg.180, 39 (1974).
Mathes, P., J. Rival: Effects of nitroglycerin on total and regional coronary blood flow in the normal and ischemic canine myocardium. Cardiovasc. Res.5, 54 (1971).
Meer, van der, J. J., R. S. Reneman: An improved technique to induce a standardized functional stenosis of a coronary artery. Eur. Surg. Res.4, 407 (1972).
Elzinga, W. E., D. B. Skinner: Hemodynamic characteristics of critical stenosis in canine coronary arteries. J. Thor. Cardiovasc. Surg.69, 217 (1975).
Debley, V. G.: Miniature hydraulic occluder for zero blood flow determination. J. Appl. Physiol.31, 138 (1971).
Jacobson, E. D., K. G. Swan: Hydraulic occluder for chronic electromagnetic blood flow determinations. J. Appl. Physiol.21, 1400 (1966).
Khouri, E. M., D. E. Gregg: An inflatable cuff for zero determination in blood flow studies. J. Appl. Physiol.23, 395 (1967).
Neill, W. A., J. Oxendine, N. Phelps, R. P. Anderson: Subendocardial ischemia provoked by tachycardia in conscious dogs with coronary stenosis. Amer. J. Cardiol.35, 30 (1976).
Berman, J. K., D. C. Fields, H. Judy, V. Mori, R. J. Parker: Gradual vascular occlusion. Surgery39, 399 (1956).
Bredee, J. J., J. R. Blickman, J. N. Homan van der Heide, G. J. Kootstra, H. J. Zeelenberg, W. G. Zijlstra: Standardized induction of myocardial ischemia in the dog. Eur. Surg. Res.7, 269 (1975).
Young, D. F., N. R. Cholvin, A. C. Roth: Pressure drop across artifically induced stenoses in the femoral arteries of dogs. Circulat. Res.36, 735 (1975).
Gould, K. L., K. Lipscomb, C. Calvert: Compensatory changes of the distal coronary vascular bed during progressive coronary constriction. Circulation51, 1085 (1975).
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With 6 figures and 2 tables
This study was supported by USPHS Grant HL 08311.
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Hosko, M.J., Gross, G.J. & Warltier, D.C. Technique for precise, graded arterial stenosis and occlusion. Basic Res Cardiol 72, 651–659 (1977). https://doi.org/10.1007/BF01907045
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DOI: https://doi.org/10.1007/BF01907045