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Medicine
Modello di donazione su animali di grandi dimensioni dopo morte circolatoria e perfusione regiona...
Modello di donazione su animali di grandi dimensioni dopo morte circolatoria e perfusione regiona...
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JoVE Journal Medicine
Large-Animal Model of Donation after Circulatory Death and Normothermic Regional Perfusion for Cardiac Assessment

Modello di donazione su animali di grandi dimensioni dopo morte circolatoria e perfusione regionale normothermica per la valutazione cardiaca

Full Text
2,113 Views
07:49 min
May 10, 2022

DOI: 10.3791/64009-v

Khalil Khalil*1,2, Roberto V. P. Ribeiro*3, Julgans S. Alvarez4,5, Mitesh V. Badiwala4,5, Shant Der Sarkissian1,2, Nicolas Noiseux1,2

1Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), 2Department of Surgery, Faculty of Medicine,Université de Montréal, 3Division of Cardiac Surgery,Dalhousie University, 4Division of Cardiovascular Surgery, Peter Munk Cardiac Centre,Toronto General Hospital, 5Department of Surgery,University of Toronto

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Please note that some of the translations on this page are AI generated. Click here for the English version.

Overview

This protocol describes a large animal model of donation after circulatory death followed by thoracoabdominal normothermic regional perfusion that closely mimics clinical heart transplantation. This model has the potential to facilitate therapeutic studies and strategies in translational research.

Key Study Components

Area of Science

  • Cardiac transplantation
  • Translational research
  • Large animal models

Background

  • The model uses porcine subjects, which share anatomical and surgical similarities with human hearts.
  • It aims to improve preclinical evaluation of cardiac transplantation techniques.
  • Normothermic regional perfusion is a critical component of the protocol.
  • This approach may enhance the understanding of heart transplantation outcomes.

Purpose of Study

  • To develop a suitable preclinical model for cardiac transplantation.
  • To evaluate potential strategies in translational research.
  • To simulate clinical scenarios in heart transplantation.

Methods Used

  • Midline incision on an anesthetized porcine model.
  • Layer-by-layer division of subcutaneous fat using electrocautery.
  • Retraction and sweeping of soft tissues from under the sternum.
  • Implementation of thoracoabdominal normothermic regional perfusion.

Main Results

  • The protocol successfully mimics clinical heart transplantation.
  • It provides a robust framework for evaluating cardiac transplantation techniques.
  • Demonstrates the feasibility of using large animal models in research.
  • Facilitates the study of therapeutic strategies in cardiac care.

Conclusions

  • This model is advantageous for preclinical cardiac transplantation studies.
  • It bridges the gap between experimental research and clinical application.
  • Further studies could enhance understanding of heart transplantation outcomes.

Frequently Asked Questions

What is the main advantage of this protocol?
The main advantage is that it provides a suitable preclinical model for cardiac transplantation, closely mimicking human anatomy and surgical techniques.
How does this model facilitate research?
It allows for the evaluation of potential strategies in translational research related to heart transplantation.
What animal is used in this protocol?
The protocol uses a porcine model, specifically boar swine, due to their anatomical similarities to humans.
What surgical technique is employed?
A midline incision is performed, followed by electrocautery to divide subcutaneous fat and access the thoracic cavity.
What is normothermic regional perfusion?
It is a technique used to maintain organ viability during transplantation by providing warm blood flow to the heart.
Can this model be used for other types of research?
While primarily focused on cardiac transplantation, the model may have applications in other areas of translational research.

Il protocollo descrive un modello di donazione di animali di grandi dimensioni (suini) dopo morte circolatoria, seguito da perfusione regionale normotermica toracoaddominale che simula da vicino lo scenario clinico nel trapianto di cuore e ha il potenziale per facilitare studi e strategie terapeutiche.

Questo protocollo descrive un ampio modello animale di donazione dopo morte circolatoria seguita da perfusione regionale normotermica toracoaddominale che imita precisamente il trapianto di cuore clinico. Questo potrebbe essere usato per valutare potenziali strategie nella ricerca traslazionale. Il vantaggio principale di questo protocollo è che fornisce un modello preclinico adatto per il trapianto cardiaco date le somiglianze anatomiche e chirurgiche tecniche tra il suino di cinghiale e il cuore umano.

Inizia usando una penna cauteria per eseguire un'incisione della linea mediana su un animale anestetizzato dalla regione cervicale centrale allo xifoide. Quindi, dividere il grasso sottocutaneo, strato per strato, lungo la linea mediana usando l'elettrocauterizzazione per raggiungere il peristerno. Dopo aver tagliato intorno alla tacca sternale, utilizzare un dito per ritrarre e spazzare i tessuti molli da sotto lo sterno.

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