Ischemic preconditioning does not prevent placental dysfunction induced by fetal cardiac bypass.
Autor: | Assad RS; Laboratory of Cardiovascular Research, Heart Institute University of São Paulo, São Paulo, Brazil., Guedes MGA; Laboratory of Cardiovascular Research, Heart Institute University of São Paulo, São Paulo, Brazil., Aiello VD; Division of Pathology, Heart Institute University of São Paulo, São Paulo, Brazil., Thomaz PG; Laboratory of Cardiovascular Research, Heart Institute University of São Paulo, São Paulo, Brazil., Zanoni FL; Laboratory of Cardiovascular Research, Heart Institute University of São Paulo, São Paulo, Brazil., Saito M; Laboratory of Cardiovascular Research, Heart Institute University of São Paulo, São Paulo, Brazil., da Silva APN; Laboratory of Cardiovascular Research, Heart Institute University of São Paulo, São Paulo, Brazil., Coutinho E Silva RDS; Laboratory of Cardiovascular Research, Heart Institute University of São Paulo, São Paulo, Brazil., Pinto MV; Laboratory of Cardiovascular Research, Heart Institute University of São Paulo, São Paulo, Brazil., Jatene MB; Division of Pediatric Cardiac Surgery, Heart Institute University of São Paulo, São Paulo, Brazil., Moreira LFP; Laboratory of Cardiovascular Research, Heart Institute University of São Paulo, São Paulo, Brazil. |
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Jazyk: | angličtina |
Zdroj: | Journal of cardiac surgery [J Card Surg] 2022 Sep; Vol. 37 (9), pp. 2592-2599. Date of Electronic Publication: 2022 Jul 01. |
DOI: | 10.1111/jocs.16718 |
Abstrakt: | Background: Remote ischemic preconditioning (rIPC) has been applied to attenuate tissue injury. We tested the hypothesis that rIPC applied to fetal lambs undergoing cardiac bypass (CB) reduces fetal systemic inflammation and placental dysfunction. Methods: Eighteen fetal lambs were divided into three groups: sham, CB control, and CB rIPC. CB rIPC fetuses had a hindlimb tourniquet applied to occlude blood flow for four cycles of a 5-min period, followed by a 2-min reperfusion period. Both study groups underwent 30 min of normothermic CB. Fetal inflammatory markers, gas exchange, and placental and fetal lung morphological changes were assessed. Results: The CB rIPC group achieved higher bypass flow rates (p < .001). After CB start, both study groups developed significant decreases in PaO Conclusion: Although rIPC allowed increased blood flow during fetal CB and decreased IL-1 and TXA2 levels and placental VCAM-1, it did not prevent placental dysfunction in fetal lambs undergoing CB. (© 2022 Wiley Periodicals LLC.) |
Databáze: | MEDLINE |
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