Online oxygen measurements in ex vivo perfused muscle tissue in a porcine model using dynamic quenching methods

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Adrian Dragu - , University Center for Orthopedics, Trauma and Plastic Surgery, University Hospital at the Friedrich-Alexander University Erlangen-Nürnberg, Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Holger Hübner - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Raymund E. Horch - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Christian D. Taeger - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Torsten Birkholz - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Konstantin Präbst - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Rainer Buchholz - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Björn Sommerfeld - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Judith Amélie Kleinmann - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Frank Münch - , Friedrich-Alexander University Erlangen-Nürnberg (Author)

Abstract

Introduction Transplantation of autologous free tissue flaps is the best applicable technique for treating large and complex tissue defects and still has one major failure criterion. Tissue - and in particular muscle tissue - is strongly sensitive to ischemia, thus after a critical period of oxygen depletion the risk of a partial or total flap loss is high. Materials and methods For that reason a miniaturized ex vivo perfusion system has been developed, that supplies the tissue during operational delays. The purpose of this study was to determine the oxygenation levels during such a perfusion using different perfusates and therefore to objectify if a complementary oxygenation unit is required to improve perfusion quality. The oxygen levels of the tissue, as well of the perfusate, were measured by using minimal invasive optical oxygen sensors that are based on dynamic quenching. The ex vivo perfused tissue was the porcine rectus abdominis muscle. Results Results show, that during perfusion with heparinized crystalloid fluid (Jonosteril®) and heparinized autologous whole blood, additional oxygenation of the perfusion reactor led to different ex vivo oxygen tissue saturations, which can be detected by dynamic quenching. Conclusion Dynamic quenching methods are a promising and valuable technique to perform online oxygen measurements in ex vivo perfused muscle tissue in a porcine model.

Details

Original languageEnglish
Pages (from-to)655-661
Number of pages7
JournalArchives of orthopaedic and trauma surgery
Volume132
Issue number5
Publication statusPublished - May 2012
Peer-reviewedYes

External IDs

PubMed 22246464
ORCID /0000-0003-4633-2695/work/145698720

Keywords

Keywords

  • Dynamic quenching, Extracorporeal perfusion, Free flap tissue transplantation, Hypoxia, Ischemia, Optical oxygen sensor, Porcine tissue