Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.200086
Jornal Vascular Brasileiro
Original Article

Estudo de anatomia comparada suína por angiotomografia: contribuições para modelos de pesquisa e treinamento em cirurgia vascular e endovascular

Comparative angiotomographic study of swine vascular anatomy: contributions to research and training models in vascular and endovascular surgery

Adenauer Marinho de Oliveira Góes Junior; Rosa Helena de Figueiredo Chaves; Ismari Perini Furlaneto; Emanuelle de Matos Rodrigues; Flávia Beatriz Araújo de Albuquerque; Jacob Hindrik Antunes Smit; Carolina Pinheiro de Oliveira; Simone de Campos Vieira Abib

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Resumo

Resumo: Contexto: Modelos com animais de médio e grande porte permitem que pesquisadores avaliem a eficácia e a segurança de procedimentos cardiovasculares em sistemas que se assemelham à anatomia humana e podem ser usados para simular cenários para fins de treinamento. Embora modelos suínos tenham sido extensivamente utilizados, muitos fatores fisiológicos e anatômicos permanecem desconhecidos ou apenas superficialmente descritos.

Objetivos: Descrever a anatomia vascular do suíno por tomografia computadorizada, compará-la à anatomia humana e discutir a aplicação dos modelos porcinos em procedimentos abertos e endovasculares.

Métodos: Três porcos machos da raça Landrace foram submetidos a tomografia computadorizada. A anatomia vascular de pescoço, tórax, abdome e membros foi analisada e descrita; foram destacadas similaridades e divergências relevantes entre a anatomia vascular de suínos e de humanos e as implicações em procedimentos vasculares nos suínos.

Resultados: O território carotídeo, o arco aórtico e os ramos terminais da aorta em suínos apresentaram diferenças marcantes quando comparados aos de humanos. Foram detectadas compressões de veias renal e ilíaca comum, ambas à esquerda, semelhantes às encontradas nas síndromes humanas de Nutcracker e May-Thurner. Medidas vasculares (diâmetro, comprimento e ângulos) de diferentes topografias de suínos foram fornecidas.

Conclusões: Os dados fornecidos podem ser úteis para o planejamento de ensaios pré-clínicos e pesquisa básica, bem como para o refinamento do treinamento cirúrgico usando modelos suínos no campo da cirurgia vascular.

Palavras-chave

suínos, vasos sanguíneos, procedimentos cirúrgicos vasculares, anatomia comparada, procedimentos endovasculares, angiografia por tomografia computadorizada

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Submitted date:
06/15/2020

Accepted date:
08/26/2020

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