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Eur J Cardiothorac Surg 2008;34:109-112. doi:10.1016/j.ejcts.2008.03.053
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.

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Transmural pressure and membrane potential in human saphenous vein

Detlef Biegera, Carol Ann Forda, Kam Mongb, Reza Tabrizchia,*

a Division of BioMedical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL, Canada
b Discipline of Surgery, Health Care Corporation of St. John's, St. John's, NL, Canada

Received 24 September 2007; received in revised form 26 March 2008; accepted 27 March 2008.

* Corresponding author. Address: Division of BioMedical Sciences, Faculty of Medicine, Memorial University of Newfoundland, Health Sciences Centre, St. John's, NL, Canada A1B 3V6. Tel.: +1 709 777 6864; fax: +1 709 777 7010. (Email: rtabrizc{at}mun.ca).

Objective: An increase in transmural pressure reportedly depolarizes myocytes in various arterial blood vessels. We have examined the relationship between transmural pressure and membrane potential (E m) in human saphenous veins with a view to determine whether contractile force generation, hence spasmogenesis in vein grafts, involves a similar process of mechanoelectrical excitation. Methods: Intracellular recordings were made by sharp glass microelectrodes in human isolated saphenous veins and parallel measurements were performed in ring preparations. Results: E m values obtained in pressurized vessels at four different pressure levels were (mean ± SD): –74.4 ± 5.5 mV (0–6 cm H2O; n = 10), –72.6 ± 6.5 mV (11–14 cm H2O; n = 27), –72.1 ± 6.5 mV (26–27 cm H2O; n = 30), and –72.9 ± 4.0 mV (50–54 cm H2O; n = 38), demonstrating the lack of an overt pressure-dependence. Except at the lowest transmural pressure tested, these values were significantly different from E m obtained in ring preparations (–77.8 ± 4.0 mV; n = 30). Raising extracellular K+ to 80 mM produced a comparable depolarization in tissues either pressurized to 50–54 cm H2O (–64.9 ± 4.3 mV; n = 27) or set up as ring preparations (–64.06 ± 6.9 mV; n = 35). Conclusions: Human saphenous veins respond to transmural pressure with a limited depolarization that lacks correlation with pressure. The absence of a pressure-induced graded depolarization suggests that pressure-dependent vasoconstriction does not play a primary role in blood flow regulation in lower limb large veins. Moreover, this raises doubts that mechanical stimuli per se would lead to development of vasospasm in the early stages of saphenous vein grafting into arterial vascular beds.

Key Words: Vascular smooth muscle • Pressurized vessels • Ring preparation







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Copyright © 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.