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Novel short-duration heating balloon dilatation with uniform temperature distribution: The heating conditions to suppress neo-intimal hyperplasia

机译:具有均匀温度分布的新型短时加热球囊扩张:抑制新内膜增生的加热条件

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We investigate the relation between the influences on smooth muscle cells and the chronic performances of our novel short-duration heating balloon dilatation to reveal the heating conditions which can suppress the neo-intimal hyperplasia after our heating dilatations. The temperature of prototype balloon catheter surface was measured during short-duration heating balloon dilatation ex vivo. There existed 2°C temperature variations in the long direction of prototype balloon catheter at a maximum. The neo-intimal hyperplasia occupancy rate after our short-duration heating dilatations were measured in vivo porcine study. The neo-intimal hyperplasia was suppressed most at 75°C in balloon peak temperature in vivo. The estimated dead rate of smooth muscle cells at this condition was about 13% by the Arrhenius equation. We think that the suppression of neo-intimal hyperplasia was obtained after our short-duration heating dilatation due to the proper decrease of smooth muscle cells by heating and no thermal damages to the adventitia and surrounding tissues.
机译:我们调查了对平滑肌细胞的影响与我们新型短时加热球囊扩张的慢性表现之间的关系,以揭示可以抑制我们的加热扩张后新内膜增生的加热条件。在离体短时间加热球囊扩张期间测量原型球囊导管表面的温度。在原型球囊导管的最长方向上最大存在2°C的温度变化。在体内猪研究中测量了我们短时加热扩张后新内膜增生的占用率。在体内球囊峰值温度中,新内膜增生在75°C时最多被抑制。根据Arrhenius方程,在这种情况下,平滑肌细胞的估计死亡率约为13%。我们认为,由于加热使平滑肌细胞适当减少,并且对外膜和周围组织无热损伤,因此在短时加热扩张后获得了对新内膜增生的抑制作用。

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