Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/21752
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dc.contributor.authorPapakostas, J. C.en
dc.contributor.authorMatsagas, M. I.en
dc.contributor.authorToumpoulis, I. K.en
dc.contributor.authorMalamou-Mitsi, V. D.en
dc.contributor.authorPappa, L. S.en
dc.contributor.authorGkrepi, C.en
dc.contributor.authorAnagnostopoulos, C. E.en
dc.contributor.authorKappas, A. M.en
dc.date.accessioned2015-11-24T19:17:14Z-
dc.date.available2015-11-24T19:17:14Z-
dc.identifier.issn0022-4804-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/21752-
dc.rightsDefault Licence-
dc.subjectAbdomen/*surgeryen
dc.subjectAnimalsen
dc.subjectAorta, Abdominal/surgeryen
dc.subjectAorta, Thoracic/surgeryen
dc.subjectArterial Occlusive Diseases/*etiology/immunology/pathologyen
dc.subjectBlood Pressureen
dc.subjectCell Survivalen
dc.subjectDisease Models, Animalen
dc.subjectFemaleen
dc.subjectIn Situ Nick-End Labelingen
dc.subjectIntraoperative Complications/immunology/*pathologyen
dc.subjectIschemia/etiology/pathologyen
dc.subjectLymphocytes/pathologyen
dc.subjectMacrophages/pathologyen
dc.subjectMaleen
dc.subjectMotor Neurons/pathologyen
dc.subjectMyelitis/etiology/immunology/pathologyen
dc.subjectSeverity of Illness Indexen
dc.subjectSpinal Cord/*blood supply/immunology/pathologyen
dc.subjectSpinal Cord Diseases/*etiology/immunology/pathologyen
dc.subjectSurgical Instrumentsen
dc.subjectSwineen
dc.subjectTime Factorsen
dc.titleEvolution of spinal cord injury in a porcine model of prolonged aortic occlusionen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primary10.1016/j.jss.2005.10.007-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/16337967-
heal.identifier.secondaryhttp://ac.els-cdn.com/S0022480405005421/1-s2.0-S0022480405005421-main.pdf?_tid=ac4c533ab223e6e6b05e8ba230fe450d&acdnat=1336386396_af781a056f0ac8686ae317a471e5fae3-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2006-
heal.abstractBACKGROUND: Spinal cord injury and subsequent paraplegia remains an unpredictable and devastating complication of thoracoabdominal aortic surgery. The aim of this study was to investigate spinal cord injury due to prolonged thoracoabdominal aortic occlusion. MATERIALS AND METHODS: We used a highly reproducible porcine model of 45-min thoracoabdominal aortic occlusion, which was accomplished by two balloon occlusion catheters. Neurological evaluation after the end of experiment was performed by an independent observer according to the Tarlov scale. The lower thoracic and lumbar spinal cords were harvested at 10, 48, and 120 h (n = 6 animals per time point) and examined histologically with hematoxylin and eosin (H&E) stain and TUNEL method. Tarlov scores, number of neurons, and the grade of inflammation were analyzed. RESULTS: H&E staining revealed reduction in the number of motor neurons which occurred in two phases (between 0 and 10 h and between 48 and 120 h of reperfusion), as well as development of inflammation in spinal cord sections during the reperfusion period, reaching a peak at 48 h. TUNEL reaction was negative for apoptotic neurons at any time point. CONCLUSIONS: In this porcine model, we demonstrated that, after 45 min of thoracoabdominal aortic occlusion, motor neuron death seems to occur in two phases (immediate and delayed). Inflammation was a subsequent event of transient prolonged spinal cord ischemia and possibly a major contributor of delayed neuronal death. Using TUNEL straining we found no evidence of neuronal apoptosis at any time point of reperfusion.en
heal.journalNameJ Surg Resen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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