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Biomedical subjects

D Cathignol

Publications and source records attributed to D Cathignol.

87 records · Page 5Linked to original sources
PubMed1976

Detailed description of an implantable directional Doppler flowmeter.

A Doppler flowmeter and the necessary modifications for implantation are described in detail. Since only part of the electronics was implanted a phase-locked loop had to be introduced in order to keep the flow measurement directional. The proper working of the apparatus is demonstrated in vitro and in vivo. As an example the result of flow studies in the aorta and the pulmonary artery after homotransplantation of the lung in dogs are given.

Animals↗
PubMedDate not supplied

Noninvasive aortic blood flow measurement using an intraesophageal probe.

The continuous measurement of cardiac output by the thermodilution technique is invasive, impractical and unpleasant for the patient. This paper describes the measurement of aortic blood flow with a specially designed intraesophageal echo Doppler probe. An A-scan unit allows the measurement of the diameter of the thoracic aorta and a continuous wave Doppler velocimeter is used for measurement of instantaneous blood flow velocity. In vitro experimental results as well as clinical studies are presented.

Aorta, Thoracic↗
PubMedDate not supplied

New use of cyanosilane coupling agent for direct binding of antibodies to silica supports. Physicochemical characterization of molecularly bioengineered layers.

A simple protocol to fix biological species to silica-based surfaces (silica microbeads and glass slides), using a bifunctional silane reagent (3-cyanopropyl dimethyl chlorosilane), is presented. This silane reagent was used without further derivatization. This system led to strong, but not covalent, linkage of antibodies through their glycosylated regions (OH groups) to solid supports. The use of a microsized sample revealed that the coupling process depends not only on physicochemical interactions but also on steric phenomena, and in this case, it was shown that a molecule acting as a spacer was required for more efficient cell fixation. Here, monoclonal mouse antibodies against the CD45 molecule expressed on rat lymphocytes (MAR anti CD45 Ab) were linked to lymphocytes, and as spacers, sheep anti-mouse antibodies (SAM Ab) were immobilized on silica surfaces, allowing the cells to stick to the floating hollow silica microbeads by simple incubation. Under such conditions, a single microbead can fix several cells. The potential of this hollow, low-density support is in ultrasound applications, for the destruction by cavitation phenomena of cells selectively fixed onto such a support. Such a study can serve as a basic model for various microbiosystems involving cell manipulation.

Animals↗
PubMedDate not supplied

Cylindrical thermal coagulation necrosis using an interstitial applicator with a plane ultrasonic transducer: in vitro and in vivo experiments versus computer simulations.

Extracorporeal HIFU techniques still cannot be used to treat tumours of the digestive tract, therefore an interstitial applicator has been developed to fill this gap. The object of the study was to validate the use of a plane ultrasonic transducer in an interstitial applicator to obtain large sector based or cylindrical coagulation necrosis. Two very different shot sequences were performed in vitro and in vivo and compared with numerical calculations. Each sequence consisted of 20 shots. After each shot the applicator was rotated through an angle of 18 degrees. Each shot in sequence 1 lasted 20 s, with a 2-min interval between shots which can be considered as independent. The second sequence involved coupling the shots so that each benefits from the heat deposited by the preceding ones. The first shot lasted 20 s to establish the lesion, then the duration of the subsequent 19 shots was 10 s to take into account the temperature rise due to preceding shots. In both cases, it was shown that cylindrical necrosis resulted in vivo and in vitro: 20 mm diameter and 8mm in height. The dimensions and the shapes of the necrosed volumes agreed with numerical predictions: the necrosed area induced by sequence 1 had a serrated border, whereas that of the second sequence was much more uniform. It was also shown that, for the two sequences, less than 20 s were necessary to coagulate the tissues in each direction. The results with sequence 2 showed that coupling the shots could be used to reduce treatment time without modifying the necrosed volume.

Animals↗
PubMedDate not supplied

Extracorporeal ablation of liver tissue by high-intensity focused ultrasound.

High-intensity focused ultrasound (HIFU) may produce a well-delineated lesion of coagulation necrosis in deep organs, by means of an extracorporeal transducer. Applications of this method to the liver in animal models have been studied for many years. The effects of HIFU on the normal liver parenchyma and on hepatic tumors are reviewed. In the normal rabbit liver in vivo we showed the relation between intensity levels and exposure times and the need to adapt intensity to the depth of the target. No severe complications were observed when an intensity of 1,000 W/cm2 was used. HIFU is a noninvasive method for the local destruction of liver tumors. In experimental models, safety and efficacy were demonstrated. HIFU may be interesting for the treatment of some human liver tumors.

Animals↗
PubMedDate not supplied

Time dependent modifications in arterial flow in a transplanted pulmonary lobe.

Study of pulmonary arterial flow in the transplanted lung by means of an implanted ultrasonic flowmeter enables us: 1. To confirm results obtained by other methods (De Bono,8 Strider14 and Strandberg18): without specific treatment, rejection of graft causes increased peripheral resistances and the pulmonary arterial flow decreases progressively. 2. To prove by direct observation the existence in the treated animal of authentic precapillary shunts whose importance can cause the animal's death through functional disorder alone.

Animals↗
PubMedDate not supplied

[Evaluation of tissue perfusion by simultaneous non-invasive monitoring of the hemodynamic profile and capnography].

OBJECTIVES: To assess the simultaneous variations in blood gases and CO2 tele-expiratory pressure (ETCO2) produced by changes in tissue perfusion in anesthetized patients with stable lung perfusion, alveolar ventilation and metabolic states. MATERIAL AND METHODS: Forty patients were divided into two groups. Group 1 included 20 ASA I patients undergoing orthopedic surgery on the lower extremities. Group 2 included 20 ASA I-III patients undergoing peripheral vascular surgery during which myocardial depression developed after isoflurane administration. The decrease in minute volume was measured in the descending aorta by esophageal ultrasound in both groups. Other hemodynamic parameters were measured by digital plethysmography. ETCO2 was measured by lateral aspiration capnography, and central venous pressure was measured in group 2 by subclavian venous catheter. Measurements were taken before and after release of the tourniquet in group 1, and before and after the decrease in minute volume (> 30%) in group 2. RESULTS: Release of the tourniquet after a mean compression time of 51 +/- 07 minutes produced an increase of 52% (p < 0.001) in minute volume in all patients in group 1; an increase of 23% (p < 0.001) in ETCO2; and a decrease of 60% (p < 0.001) in total vascular resistance. In group 2 a 15% decrease in ETCO2 (p < 0.01) was observed, coinciding with a 35% decrease in minute volume (p < 0.01). CONCLUSIONS: An increase in minute volume produces an increase in ETCO2 while a decrease in minute volume results in a decrease in ETCO2. This means that sharp changes in ETCO2 may be useful in judging the degree of change in tissue perfusion when other parameters like alveolar ventilation, lung perfusion and metabolic rate remain constant.

Adult↗