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Biologic glue increases capillary ingrowth after cardiomyoplasty in an ischemic cardiomyopathy model.
Chekanov, V S; Tchekanov, G V; Rieder, M A; Eisenstein, R; Wankowski, D M; Schmidt, D H; Nikolaychik, V V; Lelkes, P I.
Afiliación
  • Chekanov VS; Milwaukee Heart Project, Sinai Samaritan Medical Center, Wisconsin, USA.
ASAIO J ; 42(5): M480-7, 1996.
Article en En | MEDLINE | ID: mdl-8944927
The authors investigated the multi-step mechanism of healing after cardiomyoplasty, focusing on the process of angiogenesis. The authors contend that enhancement of angiogenesis and prevention of ischemia-reperfusion injuries immediately after muscle mobilization will be effective in improving cardiomyoplasty results. After cardiomyoplasty, autologous biologic glue (ABG) was administered between the latissimus dorsi muscle (LDM) and myocardium. By 2 months, a new pseudo interlayer was present that bridged the gap between the LDM and myocardium. Neovascularization was visible in the form of numerous small capillaries. Marked degeneration of the LDM was noted, possibly caused by muscle ischemia-reperfusion damage after mobilization. Pockets were created of ischemic and nonischemic LDM to test for angiogenesis. One was left free of ABG (control); one received ABG only; one received ABG and pyrrolostatin. Some of the capillaries were large and had erythrocytes inside. biopsy samples showed 9.4 +/- 1.9% of the sample was occupied by blood vessels (compared with 3.6 +/- 0.7% in control muscle). These preliminary studies prove the feasibility of the authors' concept and provide evidence that angiogenesis can accelerate the healing process and provide an organic bridge between the LDM and myocardium after cardiomyoplasty.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Adhesivos / Isquemia Miocárdica / Cardiomioplastia / Neovascularización Fisiológica Tipo de estudio: Diagnostic_studies / Evaluation_studies Límite: Animals Idioma: En Revista: ASAIO J Asunto de la revista: TRANSPLANTE Año: 1996 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Adhesivos / Isquemia Miocárdica / Cardiomioplastia / Neovascularización Fisiológica Tipo de estudio: Diagnostic_studies / Evaluation_studies Límite: Animals Idioma: En Revista: ASAIO J Asunto de la revista: TRANSPLANTE Año: 1996 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos