Brain oedema and blood-brain barrier permeability in pulsatile and nonpulsatile cardiopulmonary bypass

In pigs subjected to pulsatile or nonpulsatile cardiopulmonary bypass (CPB) at normothermia for 3 hours, evaluation was made of water content in brain tissue (specific gravity measurements), blood-brain permeability to serum proteins (immunocytochemical demonstration of extravasated proteins, using...

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Veröffentlicht in:Scandinavian cardiovascular journal : SCJ 1986, Vol.20 (2), p.161-166
Hauptverfasser: Laursen, Henning, Bødker, Anders, Andersen, Kurt, Waaben, Jens, Husum, Bent
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container_issue 2
container_start_page 161
container_title Scandinavian cardiovascular journal : SCJ
container_volume 20
creator Laursen, Henning
Bødker, Anders
Andersen, Kurt
Waaben, Jens
Husum, Bent
description In pigs subjected to pulsatile or nonpulsatile cardiopulmonary bypass (CPB) at normothermia for 3 hours, evaluation was made of water content in brain tissue (specific gravity measurements), blood-brain permeability to serum proteins (immunocytochemical demonstration of extravasated proteins, using perioxidase-antiperoxidase technique) and histopathology (paraffin sections). The specific gravity in parietal cortex was higher after pulsatile than after nonpulsatile CPB or in control pigs, the change corresponding to a 6.3% water increase. The tissue water content was unchanged in the internal capsule, basal ganglia and nucleus accumbens after CPB. The vascular permeability to serum proteins was unchanged after nonpulsatile CPB, but after pulsatile CPB minute foci of extravasated serum proteins appeared. All the animals showed dark neurons in cortical and subcortical regions, but these could have been artefacts in immersion-fixed tissue. There were no other signs of ischaemic tissue damage. The study indicated that cortical oedema may follow pulsatile CPB, the cause being altered permeability of the blood-brain barrier to serum proteins.
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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Blood-Brain Barrier</topic><topic>Brain - pathology</topic><topic>Brain Edema - etiology</topic><topic>Cardiopulmonary Bypass - adverse effects</topic><topic>Cardiopulmonary Bypass - methods</topic><topic>Medical sciences</topic><topic>Specific Gravity</topic><topic>Swine</topic><topic>Thoracic and cardiovascular surgery. 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identifier ISSN: 1401-7431
ispartof Scandinavian cardiovascular journal : SCJ, 1986, Vol.20 (2), p.161-166
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language eng
recordid cdi_informahealthcare_journals_10_3109_14017438609106495
source MEDLINE; Taylor & Francis:Master (3349 titles)
subjects Anesthesia
Anesthesia depending on type of surgery
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Animals
Biological and medical sciences
Blood-Brain Barrier
Brain - pathology
Brain Edema - etiology
Cardiopulmonary Bypass - adverse effects
Cardiopulmonary Bypass - methods
Medical sciences
Specific Gravity
Swine
Thoracic and cardiovascular surgery. Cardiopulmonary bypass
title Brain oedema and blood-brain barrier permeability in pulsatile and nonpulsatile cardiopulmonary bypass
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