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JoVE Journal
Bioengineering
Cell-based Therapy for Heart Failure in Rat: Double Thoracotomy for Myocardial Infarction and Epi...
Cell-based Therapy for Heart Failure in Rat: Double Thoracotomy for Myocardial Infarction and Epi...
JoVE Journal
Bioengineering
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JoVE Journal Bioengineering
Cell-based Therapy for Heart Failure in Rat: Double Thoracotomy for Myocardial Infarction and Epicardial Implantation of Cells and Biomatrix

Cell-based Therapy for Heart Failure in Rat: Double Thoracotomy for Myocardial Infarction and Epicardial Implantation of Cells and Biomatrix

Full Text
12,498 Views
09:11 min
September 22, 2014

DOI: 10.3791/51390-v

Aurélien Frobert1, Jérémy Valentin1, Stéphane Cook1, Justine Lopes-Vicente1, Marie-Noëlle Giraud1

1Cardiology, Department of Medicine,University of Fribourg

Overview

This study presents a minimally invasive procedure for treating myocardial infarction in a rodent model, which traditionally required two open-heart surgeries. The approach aims to enhance fixation conditions for biomatrices while reducing mortality rates.

Key Study Components

Area of Science

  • Cardiovascular research
  • Regenerative medicine
  • Minimally invasive surgical techniques

Background

  • Myocardial infarction is a critical condition that often requires surgical intervention.
  • Conventional treatments involve significant surgical risks and complications.
  • Minimally invasive techniques have been developed to improve patient outcomes.
  • Biografts can enhance healing and recovery post-infarction.

Purpose of Study

  • To reduce the need for open-heart surgeries in rodent models of myocardial infarction.
  • To optimize the application of biomaterials for cardiac repair.
  • To assess the effectiveness of a two-step surgical approach.

Methods Used

  • Double thoracotomy performed on rats.
  • Ligation of the left anterior descending coronary artery (LAD).
  • Application of cells and matrix to the heart surface two weeks post-ligation.
  • Echocardiography and histological analysis to evaluate heart function and infarct size.

Main Results

  • Successful execution of the minimally invasive procedure.
  • Improved fixation of biomaterials on the heart.
  • Assessment of heart function showed promising results.
  • Histological analysis indicated reduced infarct size.

Conclusions

  • The minimally invasive approach is effective in treating myocardial infarction.
  • This method may reduce surgical risks associated with traditional techniques.
  • Further studies are needed to validate long-term outcomes.

Frequently Asked Questions

What is the significance of using a minimally invasive approach?
Minimally invasive techniques reduce surgical risks and improve recovery times compared to traditional open-heart surgeries.
How does the biograft aid in myocardial recovery?
Biografts provide a scaffold for cell attachment and promote healing in the infarcted area of the heart.
What methods were used to assess heart function?
Echocardiography was performed to evaluate heart function post-surgery.
Why is the left anterior descending artery important?
The LAD supplies a significant portion of the heart muscle, and its blockage can lead to severe myocardial infarction.
What are the potential implications of this study?
This study could lead to improved treatment protocols for myocardial infarction, enhancing patient outcomes.
Are there any risks associated with the procedure?
As with any surgical procedure, there are risks, but minimally invasive techniques generally have lower complication rates.

Implantation of a biograft to treat myocardial infarction induced by LAD ligation in a rodent model has conventionally required two open-heart surgeries. In order to reduce mortality and provide optimal conditions for fixation of solid and gelatinous biomatrices associated with cells, minimally invasive procedures have been developed.

The aim of this procedure is to execute a double thoracotomy on rats in order to perform coronary ligation and epicardial application. This is accomplished by first performing a thoracotomy at the fourth intercostal space. Next, the left anterior descending coronary artery or LAD is ligated.

Then a second thoracotomy is performed two weeks later at the fifth intercostal space. Finally, the cells and matrix are applied to the surface of the infarcted beating heart. Ultimately, echocardiography is performed to assess heart function and histology is carried out by infarct size measurements.

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