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Erschienen in: Journal of Medical Ultrasonics 2/2018

01.04.2018 | Original Article

Correlation between microcirculation and contrast-enhanced ultrasonography after crush injury of limbs

verfasst von: Chundong Zhang, Xin Wang, Jie Tang

Erschienen in: Journal of Medical Ultrasonics | Ausgabe 2/2018

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Abstract

Purpose

To explore the microcirculation formation mechanism of contrast-enhanced (CE) ultrasonography imaging performance in rabbits with limb muscle crush injury.

Methods

Seventy-two New Zealand white rabbits were randomly divided into two groups. A limb muscle crush injury model was created by airing a balloon cuff device with a force of 40 kpa. CE ultrasonography parameters were detected in the first group. In vivo microcirculation parameters were detected in the second group. Fine blood vessel diameter and blood flow velocity were calculated before extrusion and 0.5, 2, 6, 24 h, and 3 days after decompression.

Results

Compared with the uninjured muscle, reperfusion of the injured muscles showed early and high enhancement in CE ultrasonography images. The time-intensity curve showed a trend of rapid elevation and gradual drop. Compared with the control group, fine artery and vein diameters in the experimental group were wider and the blood flow velocity was slower, especially in the fine veins.

Conclusion

In vivo microcirculation detection can reflect changes in muscle microvascular diameter and blood flow velocity, which have a correlation with quantitative ultrasound imaging parameters.
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Literatur
1.
Zurück zum Zitat Sever MS, Vanholder R, Lameire N. Management of crush-related injuries after disasters. N Engl J Med. 2006;354:1052–63.CrossRefPubMed Sever MS, Vanholder R, Lameire N. Management of crush-related injuries after disasters. N Engl J Med. 2006;354:1052–63.CrossRefPubMed
2.
Zurück zum Zitat Ersoy A, Yavuz M, Usta M, et al. Survival analysis of the factors affecting in mortality in injured patients requiring dialysis due to acute renal failure during the Marmara earthquake: survivors vs non-survivors. Clin Nephrol. 2003;59:334–40.CrossRefPubMed Ersoy A, Yavuz M, Usta M, et al. Survival analysis of the factors affecting in mortality in injured patients requiring dialysis due to acute renal failure during the Marmara earthquake: survivors vs non-survivors. Clin Nephrol. 2003;59:334–40.CrossRefPubMed
3.
Zurück zum Zitat Mabvuure NT, Malahias M, Hindocha S, et al. Acute compartment syndrome of the limbs: current concepts and management. Open Orthop J. 2012;6:535–43.CrossRefPubMedPubMedCentral Mabvuure NT, Malahias M, Hindocha S, et al. Acute compartment syndrome of the limbs: current concepts and management. Open Orthop J. 2012;6:535–43.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Malik AA, Khan WS, Chaudhry A, et al. Acute compartment syndrome—a life and limb threatening surgical emergency. J Perioper Pract. 2009;19:137–42.CrossRefPubMed Malik AA, Khan WS, Chaudhry A, et al. Acute compartment syndrome—a life and limb threatening surgical emergency. J Perioper Pract. 2009;19:137–42.CrossRefPubMed
6.
Zurück zum Zitat Ulmer T. The clinical diagnosis of compartment syndrome of the lower leg: are clinical findings predictive of the disorder? J Orthop Trauma. 2002;16:572–7.CrossRefPubMed Ulmer T. The clinical diagnosis of compartment syndrome of the lower leg: are clinical findings predictive of the disorder? J Orthop Trauma. 2002;16:572–7.CrossRefPubMed
7.
Zurück zum Zitat Zhang L, Fang ZJ, Liu F, et al. Magnetic resonance imaging and magnetic resonance angiography in severe crush syndrome with consideration of fasciotomy or amputation: a novel diagnostic tool. Chin Med J. 2011;124:2068–70.PubMed Zhang L, Fang ZJ, Liu F, et al. Magnetic resonance imaging and magnetic resonance angiography in severe crush syndrome with consideration of fasciotomy or amputation: a novel diagnostic tool. Chin Med J. 2011;124:2068–70.PubMed
8.
Zurück zum Zitat Moratalla MB, Braun P, Fornas GM. Importance of MRI in the diagnosis and treatment of rhabdomyolysis. Eur J Radiol. 2008;65:311–5.CrossRefPubMed Moratalla MB, Braun P, Fornas GM. Importance of MRI in the diagnosis and treatment of rhabdomyolysis. Eur J Radiol. 2008;65:311–5.CrossRefPubMed
9.
Zurück zum Zitat Miles K. Measurement of tissue perfusion by dynamic computed tomography. Br J Radiol. 1991;64:409–12.CrossRefPubMed Miles K. Measurement of tissue perfusion by dynamic computed tomography. Br J Radiol. 1991;64:409–12.CrossRefPubMed
10.
Zurück zum Zitat Lu CH, Tsang YM, Yu CW, et al. Rhabdomyolysis: magnetic resonance imaging and computed tomography findings. J Comput Assist Tomogr. 2007;31:368–74.CrossRefPubMed Lu CH, Tsang YM, Yu CW, et al. Rhabdomyolysis: magnetic resonance imaging and computed tomography findings. J Comput Assist Tomogr. 2007;31:368–74.CrossRefPubMed
11.
Zurück zum Zitat Behrooz H, Saeed S, Mostafa H, et al. A systematic review of iranian experiences in seismo-nephrology. Arch Trauma Res. 2016;5:e28796. Behrooz H, Saeed S, Mostafa H, et al. A systematic review of iranian experiences in seismo-nephrology. Arch Trauma Res. 2016;5:e28796.
12.
Zurück zum Zitat Krix M, Krakowski RH, Amarteifio E, et al. Comparison of transient arterial occlusion and muscle exercise provocation for assessment of perfusion reserve in skeletal muscle with real-time contrast-enhanced ultrasound. Eur J Radiol. 2013;82:419–24.CrossRef Krix M, Krakowski RH, Amarteifio E, et al. Comparison of transient arterial occlusion and muscle exercise provocation for assessment of perfusion reserve in skeletal muscle with real-time contrast-enhanced ultrasound. Eur J Radiol. 2013;82:419–24.CrossRef
13.
Zurück zum Zitat Lv F, Tang J, Luo Y, et al. Contrast-enhanced ultrasound assessment of muscle blood perfusion of extremities that underwent crush injury: an animal experiment. J Trauma Acute Care Surg. 2013;74:214–9.CrossRefPubMed Lv F, Tang J, Luo Y, et al. Contrast-enhanced ultrasound assessment of muscle blood perfusion of extremities that underwent crush injury: an animal experiment. J Trauma Acute Care Surg. 2013;74:214–9.CrossRefPubMed
14.
Zurück zum Zitat Zhang CD, Lv FQ, Li QY, et al. Application of contrast-enhanced ultrasonography in the diagnosis of skeletal muscle crush injury in rabbits. Br J Radiol. 2014;87:20140421.CrossRefPubMedPubMedCentral Zhang CD, Lv FQ, Li QY, et al. Application of contrast-enhanced ultrasonography in the diagnosis of skeletal muscle crush injury in rabbits. Br J Radiol. 2014;87:20140421.CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Xiu R. Microcirculation-subtle life fountain. Chin J Microcirc. 1997;1997:3. Xiu R. Microcirculation-subtle life fountain. Chin J Microcirc. 1997;1997:3.
17.
Zurück zum Zitat Kurbel S, Kurbel B, Belovari T, et al. Model of interstitial pressure as a result of cyclical changes in the capillary wall fluid transport. Med Hypotheses. 2001;57:161–6.CrossRefPubMed Kurbel S, Kurbel B, Belovari T, et al. Model of interstitial pressure as a result of cyclical changes in the capillary wall fluid transport. Med Hypotheses. 2001;57:161–6.CrossRefPubMed
18.
Zurück zum Zitat Granger HJ, Goodman AH, Cook BH. Metabolic models of microcirculatory regulation. Fed Proc. 1975;34:2025–30.PubMed Granger HJ, Goodman AH, Cook BH. Metabolic models of microcirculatory regulation. Fed Proc. 1975;34:2025–30.PubMed
19.
Zurück zum Zitat Clifford PS, Hellsten Y. Vasodilatory mechanisms in contracting skeletal muscle. J Appl Physiol. 2004;97:393–403.CrossRefPubMed Clifford PS, Hellsten Y. Vasodilatory mechanisms in contracting skeletal muscle. J Appl Physiol. 2004;97:393–403.CrossRefPubMed
20.
Zurück zum Zitat Van Wagoner DR, Bond M. Reperfusion arrhythmias: new insights into the role of the Na(+)/Ca(2 +) exchanger. J Mol Cell Cardiol. 2002;33:2071–4.CrossRef Van Wagoner DR, Bond M. Reperfusion arrhythmias: new insights into the role of the Na(+)/Ca(2 +) exchanger. J Mol Cell Cardiol. 2002;33:2071–4.CrossRef
21.
Zurück zum Zitat Pang CY, Forrest CR. Acute pharmacologic preconditioning as a new concept and alternative approach for prevention of skeletal muscle ischemic necrosis. Biochem Pharmacol. 1995;49:1023–34.CrossRefPubMed Pang CY, Forrest CR. Acute pharmacologic preconditioning as a new concept and alternative approach for prevention of skeletal muscle ischemic necrosis. Biochem Pharmacol. 1995;49:1023–34.CrossRefPubMed
22.
Zurück zum Zitat Morris SF, Pang CY, Lofchy NM, et al. Deferoxamine attenuates ischemia-induced reperfusion injury in the skin and muscle of myocutaneous flaps in the pig. Plast Reconstr Surg. 1993;92:120–32.CrossRefPubMed Morris SF, Pang CY, Lofchy NM, et al. Deferoxamine attenuates ischemia-induced reperfusion injury in the skin and muscle of myocutaneous flaps in the pig. Plast Reconstr Surg. 1993;92:120–32.CrossRefPubMed
23.
Zurück zum Zitat Harkin DW, Barros D’sa AA, Mccallion K, et al. Circulating neutrophil priming and systemic inflammation in limb ischemia–reperfusion injury. Int Angiol A J Int Union Angiol. 2001;20:78–89. Harkin DW, Barros D’sa AA, Mccallion K, et al. Circulating neutrophil priming and systemic inflammation in limb ischemia–reperfusion injury. Int Angiol A J Int Union Angiol. 2001;20:78–89.
24.
Zurück zum Zitat Yassin MM, Harkin DW, Barros D’Sa AA, et al. Lower limb ischemia–reperfusion injury triggers a systemic inflammatory response and multiple organ dysfunction. World J Surg. 2002;26:115–21.CrossRefPubMed Yassin MM, Harkin DW, Barros D’Sa AA, et al. Lower limb ischemia–reperfusion injury triggers a systemic inflammatory response and multiple organ dysfunction. World J Surg. 2002;26:115–21.CrossRefPubMed
25.
Zurück zum Zitat Muhs BE, Plitas G, Delgado Y, et al. Temporal expression and activation of matrix metalloproteinases-2, -9, and membrane type 1-matrix metalloproteinase following acute hindlimb ischemia. J Surg Res. 2003;111:8–15.CrossRefPubMed Muhs BE, Plitas G, Delgado Y, et al. Temporal expression and activation of matrix metalloproteinases-2, -9, and membrane type 1-matrix metalloproteinase following acute hindlimb ischemia. J Surg Res. 2003;111:8–15.CrossRefPubMed
26.
Zurück zum Zitat Fitzal F, Delano FA, Young C, Schmidschönbein GW. Early capillary no-reflow during low-flow reperfusion after hind limb ischemia in the rat. Ann Plast Surg. 2002;49:170–80.CrossRefPubMed Fitzal F, Delano FA, Young C, Schmidschönbein GW. Early capillary no-reflow during low-flow reperfusion after hind limb ischemia in the rat. Ann Plast Surg. 2002;49:170–80.CrossRefPubMed
28.
Zurück zum Zitat Sahjian M, Frakes M. Crush injuries: pathophysiology and current treatment. Nurse Pract. 2007;32:13–8.CrossRefPubMed Sahjian M, Frakes M. Crush injuries: pathophysiology and current treatment. Nurse Pract. 2007;32:13–8.CrossRefPubMed
29.
Zurück zum Zitat Vollmar B, Westermann S, Menger MD. Microvascular response to compartment syndrome-like external pressure elevation: an in vivo fluorescence microscopic study in the hamster striated muscle. J Trauma Acute Care Surg. 1999;46:91–6.CrossRef Vollmar B, Westermann S, Menger MD. Microvascular response to compartment syndrome-like external pressure elevation: an in vivo fluorescence microscopic study in the hamster striated muscle. J Trauma Acute Care Surg. 1999;46:91–6.CrossRef
Metadaten
Titel
Correlation between microcirculation and contrast-enhanced ultrasonography after crush injury of limbs
verfasst von
Chundong Zhang
Xin Wang
Jie Tang
Publikationsdatum
01.04.2018
Verlag
Springer Japan
Erschienen in
Journal of Medical Ultrasonics / Ausgabe 2/2018
Print ISSN: 1346-4523
Elektronische ISSN: 1613-2254
DOI
https://doi.org/10.1007/s10396-017-0841-2

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