west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "陈如坤" 2 results
  • Primary Studies on Autologous Marrow Stromal Cells Transplantation Improves Rabbit Cardiac Performance after Myocardiac Infarction

    Objective To test the hypothesis that marrow stromal cells (MSCs), when implanted into selfmyocardium in rabbits, can undergo milieu-dependent differentiation and express cardiomyogenic phenotypes and enhance cardiac function of ischemic hearts, through establish a clinically relevant model for autologous MSCs transplantation, Methods Thirteen New Zealand White rabbits were randomly divided into experimental group (n= 7) and control group (n= 6). In experimental group, autotogous MSCs(3× 106 cells/30μl) labeled with Bromodeoxyuridine (BrdU) were respectively injected into superior, central and inferior sites in the periphery of the myocardial infarct region. Phosphate buffer saline (PBS) was injected into the scar of the control group hearts according to the same procedure used in the experimental group. Four weeks later, the transplanted labeled MSCs were detected by laser scanning confocal microscopy and the cardiac function were examined by echocardiogram and muhichannel physiologic recorder. Results After 4 weeks, transplanted MSCs were demonstrated myogenic differentiation with the expression of α-sarcomeric actin and connexin 43 located in intercalated disk. MSCs increased the number of vessels compared with controls in myocardial ischemia area. MSCs implantation resulted in markedly improved left ventricular contractility[left ventricular ejection fraction (LVEF): 0. 51 ± 0.07 vs. 0. 43 ± 0.06 ,left ventricular lateral wall motion distance (LVLWMD) :1. 75±0. 42mm vs. 1.09±0. 28mm, left ventricular systolic wall thickening ratio(LVAT) :0. 19%±0.05% vs. 0. 11%±0.04%, left ventricular systolic pressure (LVSP): 113. 1± 6.3mmHg vs. 99, 5 ± 5, lmmHg, left ventricular end diastolic pressure (LVEDP): 11. 5±2. lmmHg vs, 14, 3 ±3. lmmHg, maximum rate of left ventricular pressure rise (+dp/dtmax):4 618. 3±365. 2 mmHg/s vs. 3 268. 1± 436.9 mmHg/s, maximum rate of left ventricular pressure fall (-dp/dtmax) :3 008.8±346.7 mmHg/s vs. 2 536.9± 380.4 mmHg/s, P〈0.05]. Conclusion Transplanted autologous MSCs are able to undergo differentiation to form myocardial cells and improve the cardiac function of ischemia myocardium effectively. Autologous MSCs transplantation may have significant clinical potential in treatment myocardial ischemia.

    Release date:2016-08-30 06:26 Export PDF Favorites Scan
  • 胸廓内动脉、桡动脉及大隐静脉在冠状动脉旁路移植术中的应用

    目的 报告胸廓内动脉和桡动脉在冠状动脉旁路移植术中的应用。 方法  2 9例冠状动脉粥样硬化性心脏病患者接受冠状动脉旁路移植术 ,共用移植血管 84根 ,平均每例移植血管 2 .9根。左侧胸廓内动脉 19根 (游离胸廓内动脉 2根 ) ,桡动脉 10根 ,大隐静脉 5 5根 (序贯吻合 3根 )。左侧胸廓内动脉与左前降支吻合 19例 ;桡动脉与左前降支吻合 8例 ,与右冠状动脉吻合 1例 ,与对角支吻合 1例 ;左前侧壁室壁瘤切除术 1例。平均主动脉阻断时间 97.3±16 .5分钟 ,平均体外循环时间 16 5 .2± 2 8.2分钟。 结果 术后 1例并发低心排血量 ,1例并发十二指肠溃疡穿孔 ,1例再次开胸止血。全部患者均痊愈出院 ,术后平均住院时间 12 .5± 2 .5天。术后随访 ,无心绞痛发作 ,心电图正常。 结论 胸廓内动脉是冠状动脉旁路移植术的首选材料 ;桡动脉内径大于胸廓内动脉 ,有足够长度 ,取材容易 ,是理想的移植血管材料之一。

    Release date:2016-08-30 06:35 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content