Document Detail


Reduction of arterial graft smooth muscle mass by moderate heat therapy.
MedLine Citation:
PMID:  21316029     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Radial artery (RA) graft spasm is a major cause of early graft failure in coronary artery bypass grafting surgeries. We explored the feasibility of thermal reduction of smooth muscle mass to attenuate vasoconstriction. Rat and rabbit femoral arteries were treated thermally in situ (45°C to 65°C; 0 s to 120 s) and then excised at various time points for histological and physiological study (pressure-diameter relationships). Human radial arteries were treated in vitro and studied in similar fashion. Weeks after thermal treatment, no overt indication was noted of vasospasm, thrombosis, or scarring in the arterial wall; however, this intervention led to a thermal dose-dependent reduction of vasoconstriction (to phenylephrine or potassium chloride) and to a conspicuous loss of smooth muscle. Pressure-diameter relationships showed no aneurismal dilation of these demuscularized arteries up to 200 mmHg. Qualitatively identical results were obtained in human radial arteries. Thermal ablation of RAs may provide a simple, safe, and effective solution to postsurgical vasospasm.
Authors:
Irem Mueed; Tracy Tazzeo; Lindsay Doharris; Tariq Aziz; Victor Chu; Luke J Janssen
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Publication Detail:
Type:  Journal Article     Date:  2011-01-11
Journal Detail:
Title:  Translational research : the journal of laboratory and clinical medicine     Volume:  157     ISSN:  1878-1810     ISO Abbreviation:  Transl Res     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101280339     Medline TA:  Transl Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  128-38     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2011 Mosby, Inc. All rights reserved.
Affiliation:
Firestone Institute for Respiratory Health, McMaster University, Hamilton, Ontario, Canada; Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
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