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改良左旋支结扎法微创小型猪急性心肌梗死模型建立与评估

兰琴 王竹林 曹浩 韩析言 董云 朱鸿明 范慧敏

中国实验动物学报2017,Vol.25Issue(4):414-419,6.
中国实验动物学报2017,Vol.25Issue(4):414-419,6.DOI:10.3969/j.issn.1005-4847.2017.04.012

改良左旋支结扎法微创小型猪急性心肌梗死模型建立与评估

An improved method for preparation and evaluation of a porcine model of acute myocardial infarction by minimally invasive surgery and left circumflex artery ligation

兰琴 1王竹林 1曹浩 2韩析言 1董云 3朱鸿明 1范慧敏1

作者信息

  • 1. 同济大学附属东方医院转化医学中心,上海 200120
  • 2. 同济大学附属东方医院心衰专科,上海 200120
  • 3. 同济大学附属东方医院心脏超声科,上海 200120
  • 折叠

摘要

Abstract

Objective To develop a better method for preparation of porcine model of acute myocardial infarction by permanent occlusion of the left circumflex coronary artery and minimally invasive surgery, evaluate its validity and stability, and explore its application in experimental studies of ischemic heart diseases.Methods 25 healthy female 3-month-old Bama minipigs, body weight 25±3 kg, were used in this study.The porcine model of myocardial infarction was established by minimally invasive surgery and the left circumflex artery ligation at the site of OM1 posterior position under general anesthesia.Heart function was assessed by echocardiography at 15 min before surgery, 1 hour and 4 weeks after surgery.Pathological examination was performed at 4 weeks after the left circumflex artery occlusion.The mortality and cause of death were statistically analyzed.Results The 1-hour and 4-week postoperative cardiac function was considerably decreased, showing a decreased ejection fraction from 64.2±4.6% to 48.2±5.3% (1hour after MI) and 49.7±6.1% (4 weeks after MI) (P<0.01).Pathological examination revealed that the ventricular wall was thinner and the amount of collagens was increased in the infracted area.The ventricular fibrillation rate at 1-hour after myocardial infarction was 17.3% and the infarction area was 19.2%.Conclusions A pig model of acute myocardial infarction can be prepared by our modified left circumflex coronary artery ligation at the obtuse marginal artery (OM1) and minimally invasive surgery.This model exhibits advantages such as minimal surgical trauma, high stability of the model, and low mortality, therefore, provides an ideal and economic animal model for experimental studies on acute ischemic heart diseases.

关键词

急性心肌梗死/小型猪/回旋支冠状动脉

Key words

Acute myocardial infarction/Minipig/Left circumflex coronary artery

分类

生物科学

引用本文复制引用

兰琴,王竹林,曹浩,韩析言,董云,朱鸿明,范慧敏..改良左旋支结扎法微创小型猪急性心肌梗死模型建立与评估[J].中国实验动物学报,2017,25(4):414-419,6.

基金项目

国家自然科学基金(编号:81470393) (编号:81470393)

上海市领军人才(编号:2012053) (编号:2012053)

上海市浦东新区卫生系统优秀青年医学人才培养计划(编号:PWRq2014-01). (编号:PWRq2014-01)

中国实验动物学报

OA北大核心CSCDCSTPCD

1005-4847

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