In vitro laser recanalization of chronically occluded prosthetic grafts
Polytetrafluoroethylene (PTFE) and Dacron grafts were implanted in canine femoral and carotid arteries using PTFE and Prolene suture, respectively. Arteries containing occluded grafts were explanted and laser recanalization was attempted in vitro. Laser recanalization was successful in 78% of PTFE g...
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| Veröffentlicht in: | Lasers in surgery and medicine 1992, Vol.12 (4), p.410-416 |
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| creator | Kaelin, Lawrence D. Klingman, Nina Normann, Sigurd J. Seeger, James M. |
| description | Polytetrafluoroethylene (PTFE) and Dacron grafts were implanted in canine femoral and carotid arteries using PTFE and Prolene suture, respectively. Arteries containing occluded grafts were explanted and laser recanalization was attempted in vitro.
Laser recanalization was successful in 78% of PTFE grafts compared to 30% of Dacron grafts. Recanalization was complete (residual stenosis < 5%) in opened PTFE grafts, whereas residual stenosis averaged 60% in recanalized Dacron grafts. PTFE graft/ PTFE suture anastomotic tensile strength was unchanged after recanalization, while Dacron graft/Prolene suture anastomotic tensile strength decreased significantly. In addition, anastomotic bursting pressure was significantly higher for lased PTFE grafts with PTFE sutures (300 mg Hg) compared to lased Dacron grafts with Prolene sutures (70 mm Hg).
Chronically occluded PTFE grafts with PTFE suture can be safely and effectively opened by laser recanalization. In contrast, attempted laser recanalization of Dacron grafts sutured with Prolene suture is seldom successful, significantly weakens the graft artery anastomosis, and should be avoided. |
| doi_str_mv | 10.1002/lsm.1900120410 |
| format | Article |
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Laser recanalization was successful in 78% of PTFE grafts compared to 30% of Dacron grafts. Recanalization was complete (residual stenosis < 5%) in opened PTFE grafts, whereas residual stenosis averaged 60% in recanalized Dacron grafts. PTFE graft/ PTFE suture anastomotic tensile strength was unchanged after recanalization, while Dacron graft/Prolene suture anastomotic tensile strength decreased significantly. In addition, anastomotic bursting pressure was significantly higher for lased PTFE grafts with PTFE sutures (300 mg Hg) compared to lased Dacron grafts with Prolene sutures (70 mm Hg).
Chronically occluded PTFE grafts with PTFE suture can be safely and effectively opened by laser recanalization. In contrast, attempted laser recanalization of Dacron grafts sutured with Prolene suture is seldom successful, significantly weakens the graft artery anastomosis, and should be avoided.</description><identifier>ISSN: 0196-8092</identifier><identifier>EISSN: 1096-9101</identifier><identifier>DOI: 10.1002/lsm.1900120410</identifier><identifier>PMID: 1386644</identifier><identifier>CODEN: LSMEDI</identifier><language>eng</language><publisher>New York: John Wiley & Sons, Inc</publisher><subject>Anastomosis, Surgical ; Angioplasty, Laser - instrumentation ; Angioplasty, Laser - methods ; Animals ; Argon ; argon laser ; Biological and medical sciences ; Blood Vessel Prosthesis ; Carotid Arteries - physiopathology ; Carotid Arteries - surgery ; Dacron ; Dogs ; Femoral Artery - physiopathology ; Femoral Artery - surgery ; Fibrosis ; Graft Occlusion, Vascular - pathology ; Graft Occlusion, Vascular - surgery ; Hot Temperature ; In Vitro Techniques ; Medical sciences ; Polyethylene Terephthalates - chemistry ; Polypropylenes - chemistry ; polytetrafluoroethylene (PTFE) ; Polytetrafluoroethylene - chemistry ; Pressure ; Prolene ; Prosthesis Failure ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Sutures ; Tensile Strength ; Thrombosis - pathology ; Thrombosis - surgery ; vascular grafts ; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><ispartof>Lasers in surgery and medicine, 1992, Vol.12 (4), p.410-416</ispartof><rights>Copyright © 1992 Wiley‐Liss, Inc., A Wiley Company</rights><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3220-bb0c0bbc2ae8e4162de096053e435fe375663e7ca89ed6a91eb842a5f08380273</citedby><cites>FETCH-LOGICAL-c3220-bb0c0bbc2ae8e4162de096053e435fe375663e7ca89ed6a91eb842a5f08380273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flsm.1900120410$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flsm.1900120410$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,4010,27904,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5482699$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1386644$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaelin, Lawrence D.</creatorcontrib><creatorcontrib>Klingman, Nina</creatorcontrib><creatorcontrib>Normann, Sigurd J.</creatorcontrib><creatorcontrib>Seeger, James M.</creatorcontrib><title>In vitro laser recanalization of chronically occluded prosthetic grafts</title><title>Lasers in surgery and medicine</title><addtitle>Lasers Surg. Med</addtitle><description>Polytetrafluoroethylene (PTFE) and Dacron grafts were implanted in canine femoral and carotid arteries using PTFE and Prolene suture, respectively. Arteries containing occluded grafts were explanted and laser recanalization was attempted in vitro.
Laser recanalization was successful in 78% of PTFE grafts compared to 30% of Dacron grafts. Recanalization was complete (residual stenosis < 5%) in opened PTFE grafts, whereas residual stenosis averaged 60% in recanalized Dacron grafts. PTFE graft/ PTFE suture anastomotic tensile strength was unchanged after recanalization, while Dacron graft/Prolene suture anastomotic tensile strength decreased significantly. In addition, anastomotic bursting pressure was significantly higher for lased PTFE grafts with PTFE sutures (300 mg Hg) compared to lased Dacron grafts with Prolene sutures (70 mm Hg).
Chronically occluded PTFE grafts with PTFE suture can be safely and effectively opened by laser recanalization. In contrast, attempted laser recanalization of Dacron grafts sutured with Prolene suture is seldom successful, significantly weakens the graft artery anastomosis, and should be avoided.</description><subject>Anastomosis, Surgical</subject><subject>Angioplasty, Laser - instrumentation</subject><subject>Angioplasty, Laser - methods</subject><subject>Animals</subject><subject>Argon</subject><subject>argon laser</subject><subject>Biological and medical sciences</subject><subject>Blood Vessel Prosthesis</subject><subject>Carotid Arteries - physiopathology</subject><subject>Carotid Arteries - surgery</subject><subject>Dacron</subject><subject>Dogs</subject><subject>Femoral Artery - physiopathology</subject><subject>Femoral Artery - surgery</subject><subject>Fibrosis</subject><subject>Graft Occlusion, Vascular - pathology</subject><subject>Graft Occlusion, Vascular - surgery</subject><subject>Hot Temperature</subject><subject>In Vitro Techniques</subject><subject>Medical sciences</subject><subject>Polyethylene Terephthalates - chemistry</subject><subject>Polypropylenes - chemistry</subject><subject>polytetrafluoroethylene (PTFE)</subject><subject>Polytetrafluoroethylene - chemistry</subject><subject>Pressure</subject><subject>Prolene</subject><subject>Prosthesis Failure</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Sutures</subject><subject>Tensile Strength</subject><subject>Thrombosis - pathology</subject><subject>Thrombosis - surgery</subject><subject>vascular grafts</subject><subject>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><issn>0196-8092</issn><issn>1096-9101</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEFv1DAQRi0EKtvClRtSDohbtjN24thHtKLbii1FAsTRcpwJNXiT1s4Cy6_HVVatOPXkkeZ940-PsVcISwTgpyFtl6gBkEOF8IQtELQsNQI-ZQvAPCvQ_Dk7TukHAAgOzRE7QqGkrKoFW18MxS8_xbEINlEsIjk72OD_2smPQzH2hbuO4-CdDWFfjM6FXUddcRPHNF3T5F3xPdp-Si_Ys96GRC8P7wn7evb-y-q83FytL1bvNqUTnEPZtuCgbR23pKhCyTvKdaEWVIm6J9HUUgpqnFWaOmk1UqsqbuselFDAG3HC3s53c4PbHaXJbH1yFIIdaNwl0whEBFVncDmDLldNkXpzE_3Wxr1BMHfmTDZnHszlwOvD5V27pe4Bn1Xl_ZvD3qZso492cD7dY3WluNQ6Y3rGfvtA-0c-NZvPl_9VKOesTxP9uc_a-NPIJrsx3z6uDZ41H1b606WpxD-8CpW7</recordid><startdate>1992</startdate><enddate>1992</enddate><creator>Kaelin, Lawrence D.</creator><creator>Klingman, Nina</creator><creator>Normann, Sigurd J.</creator><creator>Seeger, James M.</creator><general>John Wiley & Sons, Inc</general><general>Wiley-Liss</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1992</creationdate><title>In vitro laser recanalization of chronically occluded prosthetic grafts</title><author>Kaelin, Lawrence D. ; Klingman, Nina ; Normann, Sigurd J. ; Seeger, James M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3220-bb0c0bbc2ae8e4162de096053e435fe375663e7ca89ed6a91eb842a5f08380273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Anastomosis, Surgical</topic><topic>Angioplasty, Laser - instrumentation</topic><topic>Angioplasty, Laser - methods</topic><topic>Animals</topic><topic>Argon</topic><topic>argon laser</topic><topic>Biological and medical sciences</topic><topic>Blood Vessel Prosthesis</topic><topic>Carotid Arteries - physiopathology</topic><topic>Carotid Arteries - surgery</topic><topic>Dacron</topic><topic>Dogs</topic><topic>Femoral Artery - physiopathology</topic><topic>Femoral Artery - surgery</topic><topic>Fibrosis</topic><topic>Graft Occlusion, Vascular - pathology</topic><topic>Graft Occlusion, Vascular - surgery</topic><topic>Hot Temperature</topic><topic>In Vitro Techniques</topic><topic>Medical sciences</topic><topic>Polyethylene Terephthalates - chemistry</topic><topic>Polypropylenes - chemistry</topic><topic>polytetrafluoroethylene (PTFE)</topic><topic>Polytetrafluoroethylene - chemistry</topic><topic>Pressure</topic><topic>Prolene</topic><topic>Prosthesis Failure</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Sutures</topic><topic>Tensile Strength</topic><topic>Thrombosis - pathology</topic><topic>Thrombosis - surgery</topic><topic>vascular grafts</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaelin, Lawrence D.</creatorcontrib><creatorcontrib>Klingman, Nina</creatorcontrib><creatorcontrib>Normann, Sigurd J.</creatorcontrib><creatorcontrib>Seeger, James M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Lasers in surgery and medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaelin, Lawrence D.</au><au>Klingman, Nina</au><au>Normann, Sigurd J.</au><au>Seeger, James M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>In vitro laser recanalization of chronically occluded prosthetic grafts</atitle><jtitle>Lasers in surgery and medicine</jtitle><addtitle>Lasers Surg. Med</addtitle><date>1992</date><risdate>1992</risdate><volume>12</volume><issue>4</issue><spage>410</spage><epage>416</epage><pages>410-416</pages><issn>0196-8092</issn><eissn>1096-9101</eissn><coden>LSMEDI</coden><abstract>Polytetrafluoroethylene (PTFE) and Dacron grafts were implanted in canine femoral and carotid arteries using PTFE and Prolene suture, respectively. Arteries containing occluded grafts were explanted and laser recanalization was attempted in vitro.
Laser recanalization was successful in 78% of PTFE grafts compared to 30% of Dacron grafts. Recanalization was complete (residual stenosis < 5%) in opened PTFE grafts, whereas residual stenosis averaged 60% in recanalized Dacron grafts. PTFE graft/ PTFE suture anastomotic tensile strength was unchanged after recanalization, while Dacron graft/Prolene suture anastomotic tensile strength decreased significantly. In addition, anastomotic bursting pressure was significantly higher for lased PTFE grafts with PTFE sutures (300 mg Hg) compared to lased Dacron grafts with Prolene sutures (70 mm Hg).
Chronically occluded PTFE grafts with PTFE suture can be safely and effectively opened by laser recanalization. In contrast, attempted laser recanalization of Dacron grafts sutured with Prolene suture is seldom successful, significantly weakens the graft artery anastomosis, and should be avoided.</abstract><cop>New York</cop><pub>John Wiley & Sons, Inc</pub><pmid>1386644</pmid><doi>10.1002/lsm.1900120410</doi><tpages>7</tpages></addata></record> |
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| ispartof | Lasers in surgery and medicine, 1992, Vol.12 (4), p.410-416 |
| issn | 0196-8092 1096-9101 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Anastomosis, Surgical Angioplasty, Laser - instrumentation Angioplasty, Laser - methods Animals Argon argon laser Biological and medical sciences Blood Vessel Prosthesis Carotid Arteries - physiopathology Carotid Arteries - surgery Dacron Dogs Femoral Artery - physiopathology Femoral Artery - surgery Fibrosis Graft Occlusion, Vascular - pathology Graft Occlusion, Vascular - surgery Hot Temperature In Vitro Techniques Medical sciences Polyethylene Terephthalates - chemistry Polypropylenes - chemistry polytetrafluoroethylene (PTFE) Polytetrafluoroethylene - chemistry Pressure Prolene Prosthesis Failure Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Sutures Tensile Strength Thrombosis - pathology Thrombosis - surgery vascular grafts Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels |
| title | In vitro laser recanalization of chronically occluded prosthetic grafts |
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