Osteomyocutaneous flap as a preclinical composite tissue allograft: Swine model

Composite tissue allotransplantation (CTA) constitutes one of the last frontiers of microsurgery. Prior to its clinical application, the long‐term efficacy of modern immunotherapy must be tested in a pre‐clinical CTA model. Based on the concept of osteomyocutaneous forearm flap, we developed a CTA f...

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Veröffentlicht in:Microsurgery 2000, Vol.20 (3), p.143-149
Hauptverfasser: Ren, Xiaoping, Shirbacheh, Mansour V., Üstüner, E. Tuncay, Zdichavsky, Marty, Edelstein, Jean, Maldonado, Claudio, Breidenbach, Warren C., Frank, Johannes, Tobin, Gordon R., Jones, Jon W., Barker, John H.
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container_end_page 149
container_issue 3
container_start_page 143
container_title Microsurgery
container_volume 20
creator Ren, Xiaoping
Shirbacheh, Mansour V.
Üstüner, E. Tuncay
Zdichavsky, Marty
Edelstein, Jean
Maldonado, Claudio
Breidenbach, Warren C.
Frank, Johannes
Tobin, Gordon R.
Jones, Jon W.
Barker, John H.
description Composite tissue allotransplantation (CTA) constitutes one of the last frontiers of microsurgery. Prior to its clinical application, the long‐term efficacy of modern immunotherapy must be tested in a pre‐clinical CTA model. Based on the concept of osteomyocutaneous forearm flap, we developed a CTA flap model in swine. After identifying the vascular territory of the flaps in six pigs (vascular casting), flaps were transplanted from mismatched donor to recipient pigs (n = 6). Rejection was assessed daily by visual inspection and histopathology of biopsy specimens. Recipient pigs were able to ambulate immediately following surgery. There were no flap failures owing to technical or surgical complications. Rejection occurred over a period of 7 days as manifested by edema, cellular infiltration, epidermalysis, and thrombosis. This pre‐clinical flap model is excellent for evaluating the effectiveness of modern immunotherapy because it is anatomically and immunologically relevant and because the minimal morbidity caused to the animal permits long‐term studies. © 2000 Wiley‐Liss, Inc. MICROSURGERY 20:143–149 2000
doi_str_mv 10.1002/(SICI)1098-2752(2000)20:3<143::AID-MICR9>3.0.CO;2-9
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subjects Animals
Biological and medical sciences
Female
Graft Rejection
Male
Medical sciences
Miscellaneous
Models, Biological
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps - immunology
Surgical Flaps - pathology
Swine
Transplantation, Homologous
title Osteomyocutaneous flap as a preclinical composite tissue allograft: Swine model
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