Features of regional blood flow after endoscopic myomectomy

2021 ◽  
Vol 50 (3) ◽  
pp. 66-69
Author(s):  
D. A. Niauri ◽  
A. F. Harutyunyan
Keyword(s):  
Blood Flow ◽  
Doppler Sonography ◽  
Regional Blood Flow ◽  
Color Doppler ◽  
Morphological Structure ◽  
Endoscopic Surgical Procedures ◽  
Doppler Examination ◽  
Uterine Arteries ◽  
Before And After ◽  
Myoma Uteri

The state of regional blood flow in 65 patients before and after endoscopic myomectomy was studied using modem methods such as Doppler examination and color Doppler sonography. It was determined that blood flow velocity indeces obtained during the Doppler examination of myoma vessels and uterine arteries allow to estimate the morphological structure of myomas uninvasively and can be used to define the indications for conservative endoscopic surgical procedures in patients with myoma uteri. Doppler monitoring of regional blood flow during postoperative period makes it possible to evaluate the effectiveness of surgical treatment previously performed.

Alpha-adrenergic-mediated reflex responses to induced muscular contraction are changed with age in dogs

1993 ◽  
Vol 265 (6) ◽  
pp. H1899-H1908 ◽  
Author(s):  
G. C. Haidet
Keyword(s):  
Blood Flow ◽  
Regional Blood Flow ◽  
Muscular Contraction ◽  
Related Difference ◽  
Abdominal Organs ◽  
Age Related ◽  
Before And After ◽  
Alpha Blockade ◽  
Anesthetized Dogs ◽  
Age Related Changes

Aging significantly affects reflex cardiovascular (CV) responses to induced muscular contraction in anesthetized dogs. To further investigate whether age-related changes in alpha-adrenergic-mediated responses to muscular contraction contribute to these previously reported age-related changes in CV responses associated with advanced age, hemodynamic and regional blood flow (BF) responses at baseline and during hindlimb contraction (HLC) were evaluated both before and after alpha-blockade (alpha-AB) in older (8-14 yr old) and in younger (2-3 yr old) beagles during alpha-chloralose anesthesia. alpha-AB with phentolamine resulted in significant (P < 0.05) reductions in mean arterial pressure before and during HLC, regardless of age. However, age-related differences in the systemic vascular resistance, cardiac output, and stroke volume responses to HLC, observed before alpha-AB, were eliminated after phentolamine as the result of an age-related difference in each of these responses to alpha-AB. Baseline BF (microspheres) was unchanged after alpha-AB in seven of eight abdominal organs, regardless of age. However, reductions in BF during HLC were attenuated in seven of eight abdominal organs in the younger dogs after alpha-AB, but in none of these organs in the older dogs, indicative of diminished alpha-mediated vasoconstriction in these organs in the older dogs during HLC. Furthermore, the age-related difference in the combined BF reduction to all eight abdominal organs before alpha-AB was eliminated after alpha-AB. Finally, BF increases to two of four contracting muscles, as well as the combined increase in blood flow to all four contracting muscles, were attenuated after alpha-AB, regardless of age. These results demonstrate that alpha-blockade eliminates many of the age-related differences in CV responses to HLC observed before alpha-AB and suggest that alpha-adrenergic-mediated responses to HLC change with age in beagles.

scholarly journals Prenatal diagnosis of varix of the fetal intraabdominal umbilical vein: Case report

2008 ◽  
Vol 61 (1-2) ◽  
pp. 75-78 ◽  
Author(s):  
Aleksandra Novakov-Mikic ◽  
Sinisa Stojic
Keyword(s):  
Blood Flow ◽  
Case Report ◽  
Prenatal Diagnosis ◽  
Anterior Abdominal Wall ◽  
Umbilical Vein ◽  
Color Doppler ◽  
Contemporary Literature ◽  
Ultrasound Scan ◽  
Lower Edge ◽  
Doppler Examination

Varix of intraabdominal part of fetal umbilical vein is during a prenatal ultrasound scan seen as a hypoechogenic mass between anterior abdominal wall and lower edge of liver, and the diagnosis is confirmed when blood flow is seen during color Doppler examination. A case of prenatal diagnosis of this abnormality is presented, with review of contemporary literature regarding diagnosis and management as well as the outcome of such pregnancies.

scholarly journals Steep head-down tilt has persisting effects on the distribution of pulmonary blood flow

2006 ◽  
Vol 101 (2) ◽  
pp. 583-589 ◽  
Author(s):  
A. Cortney Henderson ◽  
David L. Levin ◽  
Susan R. Hopkins ◽  
I. Mark Olfert ◽  
Richard B. Buxton ◽  
...  
Keyword(s):  
Blood Flow ◽  
Pulmonary Blood Flow ◽  
Regional Blood Flow ◽  
Flow Distribution ◽  
Normal Subjects ◽  
Relative Dispersion ◽  
Lung Water ◽  
Before And After ◽  
Capillary Pressures ◽  
The Right

Head-down tilt has been shown to increase lung water content in animals and alter the distribution of ventilation in humans; however, its effects on the distribution of pulmonary blood flow in humans are unknown. We hypothesized that head-down tilt would increase the heterogeneity of pulmonary blood flow in humans, an effect analogous to the changes seen in the distribution of ventilation, by increasing capillary hydrostatic pressure and fluid efflux in the lung. To test this, we evaluated changes in the distribution of pulmonary blood flow in seven normal subjects before and after 1 h of 30° head-down tilt using the magnetic resonance imaging technique of arterial spin labeling. Data were acquired in triplicate before tilt and at 10-min intervals for 1 h after tilt. Pulmonary blood flow heterogeneity was quantified by the relative dispersion (standard deviation/mean) of signal intensity for all voxels within the right lung. Relative dispersion was significantly increased by 29% after tilt and remained elevated during the 1 h of measurements after tilt (0.84 ± 0.06 pretilt, 1.09 ± 0.09 calculated for all time points posttilt, P < 0.05). We speculate that the mechanism most likely responsible for our findings is that increased pulmonary capillary pressures and fluid efflux in the lung resulting from head-down tilt alters regional blood flow distribution.

Hemodynimic effects of systemic and central administration of clonidine in the monkey

1975 ◽  
Vol 228 (4) ◽  
pp. 1276-1279 ◽  
Author(s):  
P Bolme ◽  
RP Forsyth ◽  
T Ishizaki ◽  
KL Melmon
Keyword(s):  
Blood Flow ◽  
Cardiac Output ◽  
Regional Blood Flow ◽  
Systemic Arterial Pressure ◽  
Intraventricular Injection ◽  
Central Administration ◽  
New Information ◽  
Before And After ◽  
Microsphere Method ◽  
Radioactive Microsphere Method

Systemic and regional hemodynamic changes were measured in restrained, conscious rhesus monkeys with indwelling arterial and venous catheters before and after clonidine (5 and 15 mug/kg) was slowly infused intravenously or smaller doses (2 mug/kg) were injected into a lateral cerebral ventricle. Dye-dilution cardiac outputs and the complete distribution of cardiac output were obtained intermittently with the use of the radioactive microsphere method. After the higher intravenous dose and the intraventricular injection, systemic arterial pressure was significantly lowered for 30-45 min. Both of these groups had similar changes in the redistribution of cardiac output and blood flow that outlasted the hypotensive period. Blood flow was maintained or increased in the hepatic and renal arteries at the expense of skin; flow to skeletal muscle and brain also decreased during the first hour. These data support previous studies that indicate that the primary action of clonidine is in the central nervous system and, in addition, add new information about the regional blood flow changes evoked by clonidine.

scholarly journals Feasibility of transabdominal Doppler sonography for studying uterine blood flow characteristics in cycling gilts

2018 ◽  
Vol 46 (03) ◽  
pp. 154-163 ◽  
Author(s):  
Catherine Herlt ◽  
Rosa Stark ◽  
Haukur Sigmarsson ◽  
Johannes Kauffold
Keyword(s):  
Blood Flow ◽  
Estrous Cycle ◽  
Cross Sections ◽  
Doppler Sonography ◽  
Pulse Wave ◽  
Color Doppler ◽  
Flow Characteristics ◽  
Color Doppler Sonography ◽  
Power Pulse ◽  
Uterine Perfusion

Summary Objective: To test for the feasibility of transabdominal Doppler sonography (color, power, pulse wave) to define uterine perfusion characteristics throughout the estrous cycle in gilts. Materials and methods: A total of 15 gilts were synchronized for estrus and scanned in their following spontaneous cycle while being restrained in a purpose-designed mobile crate. To define uterine perfusion characteristics, vessels in between and within uterine cross-sections were imaged and recorded as video sequences to be analyzed by PixelFlux® software for perfused area (Amix), blood flow velocity (vmix) and intensity (Imix) as well as resistance (RIvmix) and pulsatility index (PIvmix). Results: Color Doppler sonography proved to be the only feasible technique, as it was less affected by animal movements than power and pulse wave sonography. As determined by color Doppler sonography, all five parameters determined showed specific patterns through the estrous cycle, i. e. Amix, vmix, Imix were high in proestrus, decreased in estrus and remained low in midestrus and most parts of diestrus; RIvmix and PIvmix with inversely paralleled patterns. Conclusion and clinical relevance: This study has demonstrated that transabdominal color Doppler but not power and pulse wave Doppler sonography is feasible to be performed in crate-restrained gilts for studying uterine perfusion characteristics during the estrous cycle, and that changes of uterine perfusion over the course of the estrous cycle can be clearly followed by color Doppler sonography. Results encourage the use of color Doppler sonography for studying i. e. uterine capacity or uterus related infertility such as for cases of clinically unapparent endometritis.

Sodium Nitrite Increases Regional Blood Flow in Patients with Sickle Cell Disease.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 2328-2328
Author(s):  
A. Kyle Mack ◽  
Roberto F. Machado ◽  
Vandana Sachdev ◽  
Mark T. Gladwin ◽  
Gregory J. Kato
Keyword(s):  
Nitric Oxide ◽  
Blood Flow ◽  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Forearm Blood Flow ◽  
Regional Blood Flow ◽  
Cell Disease ◽  
No Donor ◽  
No Donors ◽  
Before And After

Abstract Patients with sickle cell disease have decreased nitric oxide bioavailability, and studies from several groups have confirmed a blunted response to various NO donors in humans and mice with sickle cell disease. Recently published studies show that nitrite induces vasodilation in humans, apparently mediated by conversion of nitrite to NO. This study is designed to determine the potential therapeutic effect of intra-arterial nitrite infusion to restore nitric oxide dependent blood flow in the forearms of patients with sickle cell disease. Venous occlusion strain gauge plethysmography is used to measure the change of forearm blood flow in patients with sickle cell disease, before and after sequential brachial artery infusions of increasing doses of sodium nitrite. In addition, NO responsiveness before and after nitrite infusion is measured by test doses of the NO donor sodium nitroprusside (SNP). Six patients have completed the study and enrollment is continuing. These data indicate that nitrite promotes regional blood flow in patients with sickle cell disease, albeit with a blunted response compared to our healthy control subjects, in whom we previously have found increased blood flow up to 187% with comparable dosing. The significant but blunted response is consistent with the state of nitric oxide resistance to NO donors that has been seen by several groups in patients and mice with SCD. Additionally, we find in these patients that nitrite partially restores SNP responsiveness, with baseline maximal SNP responses more than doubling on average following nitrite infusion, although this finding is preliminary. No adverse effects of nitrite were seen in these six patients. Our early results support a role for nitrite as an NO donor effective in restoring NO-dependent blood flow in patients with sickle cell disease. Additional translational studies are warranted to evaluate the therapeutic effects of systemic nitrite dosing. Table 1. Forearm Blood Flow Response to Nitrite Infusion Nitrite Dose (micromole/min) Sickle Cell Disease Historical Controls P&lt; .0001 (ANOVA) 0.4 5 +/−7.2% N=6 22 +/−3.2% N=10 4 15 +/− 11% N=6 Not infused 40 49 +/− 8.9% N=6 187 +/− 16%N=18 Table 2. Nitrite Effect on Nitroprusside Responsiveness SNP Dose (micrograms/min) Pre-Nitrite Post-Nitrite P= .02 (RM-ANOVA) N=6 0.8 +21 +/− 5.6% +33 +/− 8.3% 1.6 +15 +/− 5.9% +62 +/− 15.1% 3.2 +29 +/− 6.3% +67 +/− 11.5%

scholarly journals Transcranial doppler sonography in two patients who underwent decompressive craniectomy for traumatic brain swelling: report of two cases

2004 ◽  
Vol 62 (3a) ◽  
pp. 715-721 ◽  
Author(s):  
Edson Bor-Seng-Shu ◽  
Manoel Jacobsen Teixeira ◽  
Roberto Hirsch ◽  
Almir Ferreira de Andrade ◽  
Raul Marino Jr
Keyword(s):  
Blood Flow ◽  
Decompressive Craniectomy ◽  
Transcranial Doppler ◽  
Doppler Sonography ◽  
Transcranial Doppler Sonography ◽  
Brain Swelling ◽  
Hemodynamic Changes ◽  
Before And After ◽  
Intracranial Arteries

The role of decompressive craniectomy in the treatment of severe posttraumatic cerebral swelling remains quite a controversial issue. To the best of our knowledge, there is no study demonstrating the effect of decompressive craniectomy on cerebral blood flow (CBF) velocity by means of transcranial Doppler sonography (TCD). We present two patients who developed traumatic brain swelling and uncontrollable intracranial hypertension with coma and signs of transtentorial herniation. One patient underwent bifrontal, while the second, unilateral, frontotemporoparietal decompressive craniectomy with dural expansion. In both patients, TCD examinations were performed immediately before and after surgery to study the cerebral hemodynamic changes related to the operations. Pre and postoperative TCD examinations demonstrated a significant increase in blood flow velocity in the intracranial arteries in both subjects. In conclusion, our cases suggest that decompressive craniectomy with dural expansion may result in elevation of CBF velocity in patients with massive brain swelling. The increase in CBF velocity appears to occur not only in the decompressed hemisphere, but also on the opposite side.

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