Impact of aortic cross-clamping time on peripheral nerves: experimental model.

Ann Thorac Cardiovasc Surg

Department of Plastic, Reconstructive and Aesthetic Surgery, Medikalpark Hospital, Istanbul, Turkey.

Published: December 2015

Purpose: The present study investigated the correlation between extend aortic cross-clamping time and peripheral nerve injury on rats.

Methods: 24 male, Sprague Dawley rats were divided into 3 groups; (a) control group: abdomen was directly closed after reached aorta, and followed by 72 hours, (b) short-term ischaemia-reperfusion group: peripheral nerve ischemia was induced in rats by supraceliac aortic occlusion for 20 min followed by 72 h of reperfusion, (c) long-term ischaemia-reperfusion group: peripheral nerve ischemia was induced for 30 min followed by 72 h of reperfusion. Preoperative and postoperative, electromyography (EMG) recordings were done. End of 72 h, the sciatic nerves were harvested from each animal for histopathological and biochemical analysis.

Results: The mean compound muscle action potential (CMAP) amplitude of long-term ischaemia-reperfusion group was statically significant reduced when compared to the control group (p <0.01). However, the mean distal latency value of long-term ischaemia-reperfusion group was statically significant increased (p <0.01). On the other hand, there were statically significant differences between the results of malondialdehyde, edema and ischemia fiber degeneration grades on control and long-term ischaemia-reperfusion group (p <0.001).

Conclusion: This study demonstrated that the extending cross clamping time directly harms the peripheral nerve of rats.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989990PMC
http://dx.doi.org/10.5761/atcs.oa.13-00283DOI Listing

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