Electrical impedancemetry a new method for evaluating myocardial protection in operations with heart extracorporeal circulation
Gevorg A. Bledzhyants , Vadim A. Bubnov , Dmitry V. Puzenko , Vladimir A. Cherepenin
Journal of Clinical Practice ›› 2012, Vol. 3 ›› Issue (1) : 23 -33.
Electrical impedancemetry a new method for evaluating myocardial protection in operations with heart extracorporeal circulation
Objective: to determine the information content of electrical impedancemetry as a method of assessing myocardial protection during cardioplegic different versions.
The study included 54 patients operated on in the emergency department of valvular defects surgery at Bakulev's Medical Center. Depending on the method of myocardial protection patients were divided into 3 groups: Group 1 - patients whom Buckberg cardioplegia was used (n = 31), group 2 - patients underwent cardioplegia solution with Custodiol (n = 9), group 3 - patients who have a perioperative myocardial protection used hyperkalium solution (n = 14). All patients were studied bioelectrical impedance of the myocardium.
The results showed that the electrical impedancemetry can well assess the state of the myocardium during surgery.
impedancemetry / cardioplegia / myocardial protection
| [1] |
Тарусов Б.Н., Антонов В.Ф. и др. Биофизика: Учебное пособие для биологов специальных университетов. М.,1986. |
| [2] |
Nowakowski A., Kaczmarek М„ Wtorek J„ Siebert J. et al, Thermographic and electrical measurements for cardiac surgery inspection, Proc. of 23rd Ann Intern Conf IEEE. Eng Med Biol Soc. Turkey, October, 2001. |
| [3] |
Howie M.B., Dzwonczyk R., McSweene T.D. An Evaluation of a New Two-Electrode Myocardial Electrical Impedance Monitor for Detecting Myocardial Ischemia. Anesth Analg. 2001;92:12-18. |
| [4] |
Ardehali A., Gates R.N., Laks H. et al. The regional capillary distribution of retrograde blood cardioplegia in explanted human hearts. J Thorac Cardiovasc Surg. 1995; 109: 935-940. |
| [5] |
Seoane F., Lindecrantz K., Olsson T., Kjellmer I. Bioelectrical impedance during hypoxic cell swelling: modelling of tissue as a suspension of cells: in vitro study. Proc. of Eur. Med. & Biol. Eng. Conf, in Med. & Biol. Eng. & Comput. incorp. Cell. Eng. 2005. vol.98, suppl. 3, p. 73-78. |
| [6] |
Garrido H., Sueiro J., Rivas J., Vilches J., Romero J.M., Garrido E. Bioelectrical tissue resistance during various methods of myocardial preservation. Ann Thorac Surg. 1983;Aug;36(2):143-51. |
| [7] |
Kink A., Min M., Parve T., Riitsep I. Bioimpedance based analysis of tissue oedema: in vitro study. Proc. of Eur. Med. & Biol. Eng. Conf, in Med. & Biol. Eng. & Comput. incorp. Cell. Eng. 2005. vol.98, suppl. 3, p. 29-32. |
| [8] |
Wtorekla J., Siebertb J., Nowakowski A. Change of myocardial impedance during experimental ischemia. Family Medicine Department and University Centre for Cardiology, Medical University of Gdansk. XII International Conference on Electrical Bio-Impedance - ICEBI Gdansk 2004. |
| [9] |
Wtorek J., Siebert J., Rogowski J. Electrical impedance spectroscopy as an estimator of heart muscle ischemia: in vitro study. Proc. of Eur. Med. & Biol. Eng. Conf, in Med. & Biol. Eng. & Comput. incorp. Cell. Eng. 1999. vol.37, suppl. 2, p. 90-91. |
| [10] |
Farge A., Mousseaux E., Acar C. et al. Angiographic and electron-beam computed tomography studies of retrograde cardioplegia via the coronary sinus. J Thorac Cardiovasc Surg. 1996; 112: 1046-1053. |
| [11] |
Pfitzmann R., Muller J., Grauhan O., Hetzer R. Intramyocardial impedance measurements for diagnosis of acute cardiac allograft rejection. Ann Thorac Surg. 2000; 70: 527-532. |
| [12] |
Cinca J., Warren M., Carreno A. Tresanchez M., Armadans L., Gomez P., Soler-Soler J. Changes in myocardial electrical impedance induced by coronary artery occlusion in pigs with and without preconditioning: correlation with local ST-segment potential and ventricular arrhythmias. Circulation. 1997 Nov 4;96(9):3079-86. |
| [13] |
Wtorek J., Siebert J., Rogowski J. Electrical impedance spectroscopy as an estimator of heart muscle ischemia: in vitro study. Proc. of Eur. Med. & Biol. Eng. Conf, in Med. & Biol. Eng. & Comput. incorp. Cell. Eng. 1999. vol. 37, suppl. 2, p. 90-91. |
| [14] |
Schaefer1 M., Knapp J., Gross W., Preuss M., Gebhard M. Measurement of electrical cell uncoupling in ischemic mouse heart. University of Heidelberg, Dept. of Experimental Surgery, INF 365, D-69120 Heidelberg, Germany. XII International Conference on Electrical Bio-Impedance - ICEBI Gdansk 2004. |
| [15] |
Nyboer I. Electrical impedance plethysmography. Illinois: Thomas Springfield, 1959. |
| [16] |
Ellenby M.I., Small K.W., Wells R.M., Hoyt D.J. and Lowe J.E. On-line detection of reversible myocardial ischemic injury by measurement of myocardial electrical impedance. Ann Thorac Surg. 1987. Vol. 44. P 587-597. |
Bledzhyants G.A., Bubnov V.A., Puzenko D.V., Cherepenin V.A.
/
| 〈 |
|
〉 |