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https://www.readbyqxmd.com/read/29774551/in-vitro-hemodynamic-evaluation-of-an-adult-pulsatile-extracorporeal-membrane-oxygenation-system
#1
Shigang Wang, Morgan Moroi, Christoph E Brehm, Allen R Kunselman, Akif Ündar
The objective of this study was to evaluate a pulsatile extracorporeal membrane oxygenation (ECMO) system in terms of hemodynamic energy generation and transmission under various pulsatile amplitudes, flow rates, and pseudopatient pressures in a simulated adult ECMO circuit. Surplus hemodynamic energy (SHE), a measure of the quality of pulsatility, was used to quantify pulsatile flow. The circuit consisted of an i-cor diagonal pump, an adult XLung oxygenator, a 21 Fr Medtronic Biomedicus femoral arterial cannula, a 23/25 Fr Sorin RAP femoral venous cannula, and 3/8 in ID tubing for both arterial and venous lines...
May 17, 2018: Artificial Organs
https://www.readbyqxmd.com/read/29743080/hemodynamic-effects-of-perfusion-level-of-peripheral-ecmo-on-cardiovascular-system
#2
Kaiyun Gu, Zhe Zhang, Bin Gao, Yu Chang, Feng Wan
BACKGROUND: Peripheral ECMO is an effective cardiopulmonary support in clinical. The perfusion level could directly influence the performances and complications. However, there are few studies on the effects of the perfusion level on hemodynamics of peripheral ECMO. METHODS: The geometric model of cardiovascular system with peripheral ECMO was established. The blood assist index was used to classify the perfusion level of the ECMO. The flow pattern from the aorta to the femoral artery and their branches, blood flow rate from aorta to brain and limbs, flow interface, harmonic index of blood flow, wall shear stress and oscillatory shear index were chosen to evaluate the hemodynamic effects of peripheral ECMO...
May 9, 2018: Biomedical Engineering Online
https://www.readbyqxmd.com/read/29732177/cannulation-for-veno-venous-extracorporeal-membrane-oxygenation
#3
REVIEW
Jonas Andersson Lindholm
Extracorporeal membrane oxygenation (ECMO) is described as a modified, smaller cardiopulmonary bypass circuit. The veno-venous (VV) ECMO circuit drains venous blood, oxygenate the blood, and pump the blood back into the same venous compartment. Draining and reinfusing in the same compartment means there are a risk of recirculation. The draining position within the venous system, ECMO pump flow, return flow position within the venous system and the patients cardiac output (CO) all have an impact on recirculation...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29729072/glycated-hemoglobin-correlates-with-arterial-stiffness-and-endothelial-dysfunction-in-patients-with-resistant-hypertension-and-uncontrolled-diabetes-mellitus
#4
Beatriz Moreno, Ana Paula de Faria, Alessandra Mileni Versuti Ritter, Lara Buonalumi Tacito Yugar, Silvia Elaine Ferreira-Melo, Rivadavio Amorim, Rodrigo Modolo, André Fattori, Juan Carlos Yugar-Toledo, Antonio Coca, Heitor Moreno
This study aimed to evaluate the effects of glycated hemoglobin (HbA1c ) on flow-mediated dilation, intima-media thickness, pulse wave velocity, and left ventricular mass index in patients with resistant hypertension (RHTN) comparing RHTN-controlled diabetes mellitus and RHTN-uncontrolled type 2 diabetes mellitus. Two groups were formed: HbA1c <7.0% (RHTN-controlled diabetes mellitus: n = 98) and HbA1c ≥7.0% (RHTN-uncontrolled diabetes mellitus: n = 122). Intima-media thickness and flow-mediated dilation were measured by high-resolution ultrasound, left ventricular mass index by echocardiography, and arterial stiffness by carotid-femoral pulse wave velocity...
May 5, 2018: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/29720269/acidic-preconditioning-of-endothelial-colony-forming-cells-ecfc-promote-vasculogenesis-under-proinflammatory-and-high-glucose-conditions-in-vitro-and-in-vivo
#5
Hebe Agustina Mena, Paula Romina Zubiry, Blandine Dizier, Mirta Schattner, Catherine Boisson-Vidal, Soledad Negrotto
BACKGROUND: We have previously demonstrated that acidic preconditioning of human endothelial colony-forming cells (ECFC) increased proliferation, migration, and tubulogenesis in vitro, and increased their regenerative potential in a murine model of hind limb ischemia without baseline disease. We now analyze whether this strategy is also effective under adverse conditions for vasculogenesis, such as the presence of ischemia-related toxic molecules or diabetes, one of the main target diseases for cell therapy due to their well-known healing impairments...
May 2, 2018: Stem Cell Research & Therapy
https://www.readbyqxmd.com/read/29692274/isolating-the-direct-effects-of-adverse-developmental-conditions-on-in-vivo-cardiovascular-function-at-adulthood-the-avian-model
#6
K L Skeffington, C Beck, N Itani, D A Giussani
It is now well accepted that exposure to adverse environmental conditions in utero can predispose a fetus to disease later in life. Using an avian model to study the programming of disease has a unique advantage as it allows isolation of the direct effects of adverse conditions on fetal physiology, without any confounding effects via the mother or placenta. However, experiments in avian models are limited by the lack of well-established surgical protocols for the adult bird, which we have established in this study...
April 25, 2018: Journal of Developmental Origins of Health and Disease
https://www.readbyqxmd.com/read/29686256/passive-limb-movement-intervals-results-in-repeated-hyperemic-responses-in-those-with-paraplegia
#7
Keith J Burns, Brandon S Pollock, Jon Stavres, Martin Kilbane, Amber Brochetti, John McDaniel
STUDY DESIGN: Repeated measures. OBJECTIVES: Reports suggest passive limb movement (PLM) could be used as a therapy to increase blood flow and tissue perfusion in the paralyzed lower limbs of those with spinal cord injuries. However, the hyperemic response to PLM appears to be transient, lasting only 30-45 s despite continued limb movement. The purpose of this investigation was to determine whether the hyperemic response is repeatable across multiple short bouts of passive limb movement...
April 23, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29685202/correlation-between-immunological-inflammatory-markers-and-endothelial-disfunction-in-the-early-stage-of-coronary-heart-disease
#8
Viktor Persic, Ana Lanca Bastiancic, Ivan Rosovic, Damir Raljevic, Dijana Travica Samsa, Luka Bastiancic, Rajko Miskulin, Marko Boban, Gordana Laskarin
Classical risk factors for endothelial dysfunction (ED), such as age, gender, total cholesterol, high-density lipoprotein cholesterol, systolic blood pressure, and smoking history are utilised for the Framingham score and Systemic Coronary Risk Estimation (SCORE) for evaluation of the 10-year cardiovascular risk in routine practice. Nonetheless, pro-inflammatory mediators are deeply involved in the initiation and the progression of ED and coronary artery disease (CAD), and act additionally or independently of metabolic factors before clinical manifestations of the disease appear...
June 2018: Medical Hypotheses
https://www.readbyqxmd.com/read/29682120/surgical-repair-of-an-arteriovenous-fistula-in-the-posterior-wall-of-the-right-common-iliac-vein
#9
Kohei Hachiro, Takeshi Kinoshita, Tomoaki Suzuki, Tohru Asai
We present the case of a right internal iliac artery aneurysm with arteriovenous fistula in the posterior wall of the right common iliac vein. The fistula would have been difficult to close using endovascular treatment. We strongly anticipated difficulty in controlling bleeding; therefore, we performed cardiopulmonary bypass. Closing the fistula with suture would have been difficult, so we ligated the right common iliac artery and vein around the aneurysm. Femoro-femoral bypass was also performed to preserve blood flow in the lower right leg...
March 25, 2018: Annals of Vascular Diseases
https://www.readbyqxmd.com/read/29672351/femoral-artery-blood-flow-and-microcirculatory-perfusion-during-acute-low-level-functional-electrical-stimulation-in-spinal-cord-injury
#10
Thomas J Barton, David A Low, Thomas W J Janssen, Maurits Sloots, Christof A J Smit, Dick H J Thijssen
OBJECTIVE: Functional electrical stimulation (FES) may help to reduce the risk of developing macro- and microvascular complications in people with SCI. Low-intensity FES has significant clinical potential since this can be applied continuously throughout the day. This study examines the acute effects of low intensity FES using wearable clothing garment on vascular blood flow and oxygen consumption in people with SCI. DESIGN: Cross-sectional observation study METHODS: Eight participants with a motor complete SCI received 4x3 minutes of unilateral FES to the gluteal and hamstring muscles...
April 19, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29668326/effects-of-aging-and-exercise-training-on-leg-hemodynamics-and-oxidative-metabolism-in-the-transition-from-rest-to-steady-state-exercise-role-of-cgmp-signaling
#11
Peter Piil, Tue Smith Jørgensen, Jon Egelund, Nicolai Rytter, Lasse Gliemann, Jens Bangsbo, Ylva Hellsten, Michael Nyberg
Aging is associated with slower skeletal muscle O2 uptake (VO2 ) kinetics; however, the mechanisms underlying this effect of age are unclear. Also, the effects of exercise training in elderly on the initial vascular and metabolic response to exercise remain to be elucidated. We measured leg hemodynamics and oxidative metabolism in the transition from rest to steady state exercise engaging the knee-extensor muscles in young (n=15, 25{plus minus}1 years) and older (n=15, 72{plus minus}1 years) subjects before and after a period of aerobic high-intensity exercise training...
April 18, 2018: American Journal of Physiology. Regulatory, Integrative and Comparative Physiology
https://www.readbyqxmd.com/read/29665013/planhab-hypoxia-does-not-worsen-the-impairment-of-skeletal-muscle-oxidative-function-induced-by-bed-rest-alone
#12
Desy Salvadego, Michail E Keramidas, Roger Kölegård, Lorenza Brocca, Stefano Lazzer, Irene Mavelli, Jörn Rittweger, Ola Eiken, Igor B Mekjavic, Bruno Grassi
KEY POINTS: Superposition of hypoxia on 21 day bed rest did not worsen the impairment of skeletal muscle oxidative function induced by bed rest alone. A significant impairment of maximal oxidative performance was identified downstream of cardiovascular O2 delivery, involving both the intramuscular matching between O2 supply and utilization and mitochondrial respiration. These chronic adaptations appear to be relevant in terms of exposure to spaceflights and reduced gravity habitats (Moon or Mars), as characterized by low gravity and hypoxia, in patients with chronic diseases characterized by hypomobility/immobility and hypoxia, as well as in ageing...
April 17, 2018: Journal of Physiology
https://www.readbyqxmd.com/read/29663541/eccentric-exercise-increases-circulating-fibroblast-activation-protein-but-not-bioactive-fibroblast-growth-factor-21-in-healthy-humans
#13
Biraj Parmar, Jo E Lewis, Ricardo J Samms, Francis J P Ebling, Christine C Cheng, Andrew C Adams, Joanne Mallinson, Scott Cooper, Tariq Taylor, Reza Ghasemi, Francis B Stephens, Kostas Tsintzas
NEW FINDINGS: What is the central question of this study? The role of FGF21 as an exercise-induced myokine remains controversial. The aim of this study was to determine whether eccentric exercise would augment the release of FGF21 and/or its regulatory enzyme Fibroblast Activation Protein (FAP) from skeletal muscle tissue into the systemic circulation of healthy human volunteers. What is the main finding and its importance? Eccentric exercise does not release total or bioactive FGF21 from human skeletal muscle...
April 16, 2018: Experimental Physiology
https://www.readbyqxmd.com/read/29622436/the-role-of-cd27-cd70-mediated-t-cell-co-stimulation-in-vasculogenesis-arteriogenesis-and-angiogenesis
#14
K H Simons, Z Aref, H A B Peters, S P Welten, A Y Nossent, J W Jukema, J F Hamming, R Arens, M R de Vries, P H A Quax
BACKGROUND: T cells have a distinctive role in neovascularization, which consists of arteriogenesis and angiogenesis under pathological conditions and vasculogenesis under physiological conditions. However, the role of co-stimulation in T cell activation in neovascularization has yet to be established. The aim of this study was to investigate the role T cell co-stimulation and inhibition in angiogenesis, arteriogenesis and vasculogenesis. METHODS AND RESULTS: Hind limb ischemia was induced by double ligation of the left femoral artery in mice and blood flow recovery was measured with Laser Doppler Perfusion Imaging in control, CD70-/- , CD80/86-/- , CD70/80/86-/- and CTLA4+/- mice...
June 1, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29603444/femoral-vascular-conductance-and-peroneal-muscle-sympathetic-nerve-activity-responses-to-acute-epidural-spinal-cord-stimulation-in-humans
#15
Seth W Holwerda, Marshall T Holland, Chandan G Reddy, Gary L Pierce
Clinical cases have reported increased peripheral blood flow following continuous epidural spinal cord stimulation (SCS), and that reduced muscle sympathetic nerve activity (MSNA) may be a potential mechanism. However, no studies in humans have directly examined the effects of acute SCS (< 60 min) on vascular conductance and MSNA. In study 1, we tested the hypothesis that acute SCS (< 60 min) of the thoracic spine would lead to increased common femoral vascular conductance, but not brachial vascular conductance, in 11 patients that previously underwent surgical SCS implantation for management of neuropathic pain...
March 30, 2018: Experimental Physiology
https://www.readbyqxmd.com/read/29593548/impact-of-nitric-oxide-bioavailability-on-the-progressive-cerebral-and-peripheral-circulatory-impairments-during-aging-and-alzheimer-s-disease
#16
Massimo Venturelli, Anna Pedrinolla, Ilaria Boscolo Galazzo, Cristina Fonte, Nicola Smania, Stefano Tamburin, Ettore Muti, Lucia Crispoltoni, Annamaria Stabile, Alessandra Pistilli, Mario Rende, Francesca B Pizzini, Federico Schena
Advanced aging, vascular dysfunction, and nitric oxide (NO) bioavailability are recognized risk factors for Alzheimer's disease (AD). However, the contribution of AD, per se , to this putative pathophysiological mechanism is still unclear. To better answer this point, we quantified cortical perfusion with arterial spin labeling (PVC-CBF), measured ultrasound internal carotid (ICA), and femoral (FA) artery blood flow in a group of patients with similar age (~78 years) but different cognitive impairment (i.e...
2018: Frontiers in Physiology
https://www.readbyqxmd.com/read/29570854/daily-melatonin-protects-the-endothelial-lineage-and-functional-integrity-against-the-aging-process-oxidative-stress-and-toxic-environment-and-restores-blood-flow-in-critical-limb-ischemia-area-in-mice
#17
Fan-Yen Lee, Cheuk-Kwan Sun, Pei-Hsun Sung, Kuan-Hung Chen, Sarah Chua, Jiunn-Jye Sheu, Sheng-Ying Chung, Han-Tan Chai, Yi-Ling Chen, Tien-Hung Huang, Chi-Ruei Huang, Yi-Chen Li, Chi-Wen Luo, Hon-Kan Yip
We tested the hypothesis that daily melatonin treatment protects endothelial lineage and functional integrity against the aging process, oxidative stress/endothelial denudation (ED), and toxic environment and restored blood flow in murine critical limb ischemia (CLI). In vitro study using HUVECs, in vivo models (ie, CLI through left femoral artery ligation and ED through carotid artery wire injury), and model of lipopolysaccharide-induced aortic injury in young (3 months old) and aged (8 months old) mice were used to elucidate effects of melatonin treatment on vascular endothelial integrity...
March 23, 2018: Journal of Pineal Research
https://www.readbyqxmd.com/read/29563376/combining-percutaneous-ultrasound-guided-hematoma-aspiration-and-compression-repair-to-treat-femoral-artery-pseudoaneurysm-after-cardiac-catheterization
#18
Gang Chen, Lingmin Wu, Lihui Zheng, Ligang Ding, Tom Wong, Shu Zhang, Yan Yao
This study aimed to prospectively evaluate the safety and efficacy of a new developed method that uses percutaneous ultrasound-guided hematoma aspiration followed by targeted localized manual compression for treatment of femoral artery pseudoaneurysm after cardiac catheterization, which obviates thrombin use, surgery, and long-time compression.From January 2007 to July 2014, 32 patients (17 women; mean age, 55.3 ± 11.5 years) out of 8,725 consecutive cases undergoing cardiac catheterization via femoral access developed one pseudoaneurysm each ranging in size from 21 × 11 mm to 72 × 39 mm...
March 20, 2018: International Heart Journal
https://www.readbyqxmd.com/read/29555396/novel-vertebral-artery-flow-reversal-method-for-preventing-ischemic-complication-during-endovascular-intervention
#19
Tomotaka Ohshima, Shigeru Miyachi, Naoki Matsuo, Reo Kawaguchi, Aichi Niwa, Ryuya Maejima, Taiki Isaji, Masakazu Takayasu
BACKGROUND AND PURPOSE: We report a secure endovascular approach for the treatment of vascular lesions of the posterior circulation. Even if a large profile guide catheter is wedged in the unilateral vertebral artery (VA), our VA flow reversal method can prevent ischemic complications, including the spinal cord infarction. CASE PRESENTATION: The patient was a 64-year-old woman who had been followed up for arteriovenous malformation (AVM) and an unruptured aneurysm of the basilar artery-superior cerebellar artery bifurcation...
March 16, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29516292/peripheral-post-ischemic-vascular-repair-is-impaired-in-a-murine-model-of-alzheimer-s-disease
#20
Tatyana Merkulova-Rainon, Chris S Mantsounga, Dong Broquères-You, Cristina Pinto, José Vilar, Diana Cifuentes, Philippe Bonnin, Nathalie Kubis, Daniel Henrion, Jean-Sébastien Silvestre, Bernard I Lévy
The pathophysiology of sporadic Alzheimer's disease (AD) remains uncertain. Along with brain amyloid-β (Aβ) deposits and neurofibrillary tangles, cerebrovascular dysfunction is increasingly recognized as fundamental to the pathogenesis of AD. Using an experimental model of limb ischemia in transgenic APPPS1 mice, a model of AD (AD mice), we showed that microvascular impairment also extends to the peripheral vasculature in AD. At D70 following femoral ligation, we evidenced a significant decrease in cutaneous blood flow (- 29%, P < 0...
March 7, 2018: Angiogenesis
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