author_facet Thomaz, Petronio G.
Assad, Renato S.
Abduch, Maria C.D.
Marques, Euclides
Aiello, Vera D.
Stolf, Noedir A.G.
Thomaz, Petronio G.
Assad, Renato S.
Abduch, Maria C.D.
Marques, Euclides
Aiello, Vera D.
Stolf, Noedir A.G.
author Thomaz, Petronio G.
Assad, Renato S.
Abduch, Maria C.D.
Marques, Euclides
Aiello, Vera D.
Stolf, Noedir A.G.
spellingShingle Thomaz, Petronio G.
Assad, Renato S.
Abduch, Maria C.D.
Marques, Euclides
Aiello, Vera D.
Stolf, Noedir A.G.
Artificial Organs
Assessment of a New Experimental Model of Isolated Right Ventricular Failure
Biomedical Engineering
General Medicine
Biomaterials
Medicine (miscellaneous)
Bioengineering
author_sort thomaz, petronio g.
spelling Thomaz, Petronio G. Assad, Renato S. Abduch, Maria C.D. Marques, Euclides Aiello, Vera D. Stolf, Noedir A.G. 0160-564X 1525-1594 Wiley Biomedical Engineering General Medicine Biomaterials Medicine (miscellaneous) Bioengineering http://dx.doi.org/10.1111/j.1525-1594.2009.00716.x <jats:title>Abstract</jats:title><jats:p>We assessed a new experimental model of isolated right ventricular (RV) failure, achieved by means of intramyocardial injection of ethanol. RV dysfunction was induced in 13 mongrel dogs via multiple injections of 96% ethanol (total dose 1 mL/kg), all over the inlet and trabecular RV free walls. Hemodynamic and metabolic parameters were evaluated at baseline, after ethanol injection, and on the 14th postoperative day (POD). Echocardiographic parameters were evaluated at baseline, on the sixth POD, and on the 13th POD. The animals were then euthanized for histopathological analysis of the hearts. There was a 15.4% mortality rate. We noticed a decrease in pulmonary blood flow right after RV failure (<jats:italic>P</jats:italic> = 0.0018), as well as during reoperation on the 14th POD (<jats:italic>P</jats:italic> = 0.002). The induced RV dysfunction caused an increase in venous lactate levels immediately after ethanol injection and on the 14th POD (<jats:italic>P</jats:italic> &lt; 0.0003). The echocardiogram revealed a decrease in the RV ejection fraction on the sixth and 13th PODs (<jats:italic>P</jats:italic> = 0.0001). There was an increased RV end‐diastolic volume on the sixth (<jats:italic>P</jats:italic> = 0.0001) and 13th PODs (<jats:italic>P</jats:italic> = 0.0084). The right ventricle showed a 74% ± 0.06% transmural infarction area, with necrotic lesions aged 14 days. Intramyocardial ethanol injection has allowed the creation of a reproducible and inexpensive model of RV failure. The hemodynamic, metabolic, and echocardiographic parameters assessed at different protocol times are compatible with severe RV failure. This model may be useful in understanding the pathophysiology of isolated right‐sided heart failure, as well as in the assessment of ventricular assist devices.</jats:p> Assessment of a New Experimental Model of Isolated Right Ventricular Failure Artificial Organs
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series Artificial Organs
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title Assessment of a New Experimental Model of Isolated Right Ventricular Failure
title_unstemmed Assessment of a New Experimental Model of Isolated Right Ventricular Failure
title_full Assessment of a New Experimental Model of Isolated Right Ventricular Failure
title_fullStr Assessment of a New Experimental Model of Isolated Right Ventricular Failure
title_full_unstemmed Assessment of a New Experimental Model of Isolated Right Ventricular Failure
title_short Assessment of a New Experimental Model of Isolated Right Ventricular Failure
title_sort assessment of a new experimental model of isolated right ventricular failure
topic Biomedical Engineering
General Medicine
Biomaterials
Medicine (miscellaneous)
Bioengineering
url http://dx.doi.org/10.1111/j.1525-1594.2009.00716.x
publishDate 2009
physical 258-265
description <jats:title>Abstract</jats:title><jats:p>We assessed a new experimental model of isolated right ventricular (RV) failure, achieved by means of intramyocardial injection of ethanol. RV dysfunction was induced in 13 mongrel dogs via multiple injections of 96% ethanol (total dose 1 mL/kg), all over the inlet and trabecular RV free walls. Hemodynamic and metabolic parameters were evaluated at baseline, after ethanol injection, and on the 14th postoperative day (POD). Echocardiographic parameters were evaluated at baseline, on the sixth POD, and on the 13th POD. The animals were then euthanized for histopathological analysis of the hearts. There was a 15.4% mortality rate. We noticed a decrease in pulmonary blood flow right after RV failure (<jats:italic>P</jats:italic> = 0.0018), as well as during reoperation on the 14th POD (<jats:italic>P</jats:italic> = 0.002). The induced RV dysfunction caused an increase in venous lactate levels immediately after ethanol injection and on the 14th POD (<jats:italic>P</jats:italic> &lt; 0.0003). The echocardiogram revealed a decrease in the RV ejection fraction on the sixth and 13th PODs (<jats:italic>P</jats:italic> = 0.0001). There was an increased RV end‐diastolic volume on the sixth (<jats:italic>P</jats:italic> = 0.0001) and 13th PODs (<jats:italic>P</jats:italic> = 0.0084). The right ventricle showed a 74% ± 0.06% transmural infarction area, with necrotic lesions aged 14 days. Intramyocardial ethanol injection has allowed the creation of a reproducible and inexpensive model of RV failure. The hemodynamic, metabolic, and echocardiographic parameters assessed at different protocol times are compatible with severe RV failure. This model may be useful in understanding the pathophysiology of isolated right‐sided heart failure, as well as in the assessment of ventricular assist devices.</jats:p>
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author Thomaz, Petronio G., Assad, Renato S., Abduch, Maria C.D., Marques, Euclides, Aiello, Vera D., Stolf, Noedir A.G.
author_facet Thomaz, Petronio G., Assad, Renato S., Abduch, Maria C.D., Marques, Euclides, Aiello, Vera D., Stolf, Noedir A.G., Thomaz, Petronio G., Assad, Renato S., Abduch, Maria C.D., Marques, Euclides, Aiello, Vera D., Stolf, Noedir A.G.
author_sort thomaz, petronio g.
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description <jats:title>Abstract</jats:title><jats:p>We assessed a new experimental model of isolated right ventricular (RV) failure, achieved by means of intramyocardial injection of ethanol. RV dysfunction was induced in 13 mongrel dogs via multiple injections of 96% ethanol (total dose 1 mL/kg), all over the inlet and trabecular RV free walls. Hemodynamic and metabolic parameters were evaluated at baseline, after ethanol injection, and on the 14th postoperative day (POD). Echocardiographic parameters were evaluated at baseline, on the sixth POD, and on the 13th POD. The animals were then euthanized for histopathological analysis of the hearts. There was a 15.4% mortality rate. We noticed a decrease in pulmonary blood flow right after RV failure (<jats:italic>P</jats:italic> = 0.0018), as well as during reoperation on the 14th POD (<jats:italic>P</jats:italic> = 0.002). The induced RV dysfunction caused an increase in venous lactate levels immediately after ethanol injection and on the 14th POD (<jats:italic>P</jats:italic> &lt; 0.0003). The echocardiogram revealed a decrease in the RV ejection fraction on the sixth and 13th PODs (<jats:italic>P</jats:italic> = 0.0001). There was an increased RV end‐diastolic volume on the sixth (<jats:italic>P</jats:italic> = 0.0001) and 13th PODs (<jats:italic>P</jats:italic> = 0.0084). The right ventricle showed a 74% ± 0.06% transmural infarction area, with necrotic lesions aged 14 days. Intramyocardial ethanol injection has allowed the creation of a reproducible and inexpensive model of RV failure. The hemodynamic, metabolic, and echocardiographic parameters assessed at different protocol times are compatible with severe RV failure. This model may be useful in understanding the pathophysiology of isolated right‐sided heart failure, as well as in the assessment of ventricular assist devices.</jats:p>
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spelling Thomaz, Petronio G. Assad, Renato S. Abduch, Maria C.D. Marques, Euclides Aiello, Vera D. Stolf, Noedir A.G. 0160-564X 1525-1594 Wiley Biomedical Engineering General Medicine Biomaterials Medicine (miscellaneous) Bioengineering http://dx.doi.org/10.1111/j.1525-1594.2009.00716.x <jats:title>Abstract</jats:title><jats:p>We assessed a new experimental model of isolated right ventricular (RV) failure, achieved by means of intramyocardial injection of ethanol. RV dysfunction was induced in 13 mongrel dogs via multiple injections of 96% ethanol (total dose 1 mL/kg), all over the inlet and trabecular RV free walls. Hemodynamic and metabolic parameters were evaluated at baseline, after ethanol injection, and on the 14th postoperative day (POD). Echocardiographic parameters were evaluated at baseline, on the sixth POD, and on the 13th POD. The animals were then euthanized for histopathological analysis of the hearts. There was a 15.4% mortality rate. We noticed a decrease in pulmonary blood flow right after RV failure (<jats:italic>P</jats:italic> = 0.0018), as well as during reoperation on the 14th POD (<jats:italic>P</jats:italic> = 0.002). The induced RV dysfunction caused an increase in venous lactate levels immediately after ethanol injection and on the 14th POD (<jats:italic>P</jats:italic> &lt; 0.0003). The echocardiogram revealed a decrease in the RV ejection fraction on the sixth and 13th PODs (<jats:italic>P</jats:italic> = 0.0001). There was an increased RV end‐diastolic volume on the sixth (<jats:italic>P</jats:italic> = 0.0001) and 13th PODs (<jats:italic>P</jats:italic> = 0.0084). The right ventricle showed a 74% ± 0.06% transmural infarction area, with necrotic lesions aged 14 days. Intramyocardial ethanol injection has allowed the creation of a reproducible and inexpensive model of RV failure. The hemodynamic, metabolic, and echocardiographic parameters assessed at different protocol times are compatible with severe RV failure. This model may be useful in understanding the pathophysiology of isolated right‐sided heart failure, as well as in the assessment of ventricular assist devices.</jats:p> Assessment of a New Experimental Model of Isolated Right Ventricular Failure Artificial Organs
spellingShingle Thomaz, Petronio G., Assad, Renato S., Abduch, Maria C.D., Marques, Euclides, Aiello, Vera D., Stolf, Noedir A.G., Artificial Organs, Assessment of a New Experimental Model of Isolated Right Ventricular Failure, Biomedical Engineering, General Medicine, Biomaterials, Medicine (miscellaneous), Bioengineering
title Assessment of a New Experimental Model of Isolated Right Ventricular Failure
title_full Assessment of a New Experimental Model of Isolated Right Ventricular Failure
title_fullStr Assessment of a New Experimental Model of Isolated Right Ventricular Failure
title_full_unstemmed Assessment of a New Experimental Model of Isolated Right Ventricular Failure
title_short Assessment of a New Experimental Model of Isolated Right Ventricular Failure
title_sort assessment of a new experimental model of isolated right ventricular failure
title_unstemmed Assessment of a New Experimental Model of Isolated Right Ventricular Failure
topic Biomedical Engineering, General Medicine, Biomaterials, Medicine (miscellaneous), Bioengineering
url http://dx.doi.org/10.1111/j.1525-1594.2009.00716.x