Posztkondicionálás kísérletes alkalmazása aortakirekesztés kapcsán.

Translated title of the contribution: Effect of postconditioning in major vascular operations on rats

Attila Szijártó, Endre Gyurkovics, Péter Arányi, Péter Onody, Rita Stangl, Miklós Tátrai, G. Lotz, Zoltán Mihály, Viktor Hegedüs, A. Blázovics, P. Kupcsulik

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

BACKGROUND: Postconditioning - using alternating brief cycles of reperfusion/reocclusion applied just at the very beginning of reperfusion - has recently been described as a potent therapeutic technique, attenuating ischaemia-reperfusion injury. In vascular surgery, certain elective interventions involve cross-clamping of major arteries, resulting in temporary ischaemia in large peripheral organs, which thus suffer ischaemia-reperfusion injury. Patients undergoing these operations may develop also serious systemic complications such as multiple distant organ dysfunctions, SIRS, detrimental redistribution of the circulation or even shock, a phenomenon called reperfusion-syndrome. We studied the effects of postconditioning on reperfusion-syndrome in a rodent experimental model. MATERIAL AND METHODS: Anaesthetized male Wistar rats underwent 180 minutes of bilateral lower limb ischaemia and 4 hours of reperfusion using an infrarenal cross-clamping of the abdominal aorta. Control animals underwent no additional intervention. Postconditioning consisted of 6 cycles of 10-second aortic occlusion/10-second declamping starting at the beginning of reperfusion. Haemodynamic parameters were observed with invasive arterial manometer, microcirculation of the lower limb was detected with laser-Doppler-flowmeter. After 4 hours of reperfusion serum, urine, and histological samples were collected. RESULTS: 180-minute ischaemia resulted in significant haemodynamic changes after reperfusion. Postconditioning affected the character of the microcirculatory flow curves, the limb circulation stabilized with hyperaemia after reperfusion. Postconditioning caused a significant reduction in systemic inflammatory response (TNF-alpha, oxygen-derived free radicals). The laboratory and histological samples implied a significant decrease in remote organ (lung and renal) dysfunctions after postconditioning. CONCLUSION: Postconditioning proves to be capable in conferring protection against different organ injuries caused by longer circulatory occlusions during elective major vascular surgeries.

Original languageHungarian
Pages (from-to)180-187
Number of pages8
JournalMagyar sebészet
Volume62
Issue number4
DOIs
Publication statusPublished - Aug 2009

Fingerprint

Reperfusion
Blood Vessels
Ischemia
Reperfusion Injury
Constriction
Lower Extremity
Hemodynamics
Flowmeters
Abdominal Aorta
Hyperemia
Microcirculation
Free Radicals
Wistar Rats
Rodentia
Shock
Lasers
Theoretical Models
Extremities
Arteries
Tumor Necrosis Factor-alpha

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Szijártó, A., Gyurkovics, E., Arányi, P., Onody, P., Stangl, R., Tátrai, M., ... Kupcsulik, P. (2009). Posztkondicionálás kísérletes alkalmazása aortakirekesztés kapcsán. Magyar sebészet, 62(4), 180-187. https://doi.org/10.1556/MaSeb.62.2009.4.2

Posztkondicionálás kísérletes alkalmazása aortakirekesztés kapcsán. / Szijártó, Attila; Gyurkovics, Endre; Arányi, Péter; Onody, Péter; Stangl, Rita; Tátrai, Miklós; Lotz, G.; Mihály, Zoltán; Hegedüs, Viktor; Blázovics, A.; Kupcsulik, P.

In: Magyar sebészet, Vol. 62, No. 4, 08.2009, p. 180-187.

Research output: Contribution to journalArticle

Szijártó, A, Gyurkovics, E, Arányi, P, Onody, P, Stangl, R, Tátrai, M, Lotz, G, Mihály, Z, Hegedüs, V, Blázovics, A & Kupcsulik, P 2009, 'Posztkondicionálás kísérletes alkalmazása aortakirekesztés kapcsán.', Magyar sebészet, vol. 62, no. 4, pp. 180-187. https://doi.org/10.1556/MaSeb.62.2009.4.2
Szijártó A, Gyurkovics E, Arányi P, Onody P, Stangl R, Tátrai M et al. Posztkondicionálás kísérletes alkalmazása aortakirekesztés kapcsán. Magyar sebészet. 2009 Aug;62(4):180-187. https://doi.org/10.1556/MaSeb.62.2009.4.2
Szijártó, Attila ; Gyurkovics, Endre ; Arányi, Péter ; Onody, Péter ; Stangl, Rita ; Tátrai, Miklós ; Lotz, G. ; Mihály, Zoltán ; Hegedüs, Viktor ; Blázovics, A. ; Kupcsulik, P. / Posztkondicionálás kísérletes alkalmazása aortakirekesztés kapcsán. In: Magyar sebészet. 2009 ; Vol. 62, No. 4. pp. 180-187.
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