Venous prostheses: Improved patency with external stents
A uniformly successful prosthesis for replacement in the venous system has not been developed. This study assesses the effect of external stents on the patency of polytetrafluoroethylene (PTFE) grafts in the infrarenal vena cava. Under general anesthesia, 21 mongrel dogs underwent midline laparotomy...
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Veröffentlicht in: | The Journal of surgical research 1984-04, Vol.36 (4), p.306-311 |
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creator | Robison, Robert J. Peigh, Pamela S. Fiore, Andrew C. Deschner, William P. Sears, Nicholas J. Steven Whitaker, J. King, Harold Brown, John W. |
description | A uniformly successful prosthesis for replacement in the venous system has not been developed. This study assesses the effect of external stents on the patency of polytetrafluoroethylene (PTFE) grafts in the infrarenal vena cava. Under general anesthesia, 21 mongrel dogs underwent midline laparotomy. The infrarenal vena cava was resected and replaced by a standard segment (8 cm × 10 mm) of stented PTFE (12 dogs) and nonstented PTFE (9 dogs). Patency was assessed by contrast venography and the results compared between the two groups. The 7-, 30-, and 90-day patency was
12
12
,
10
12
, and
9
12
, respectively, for stented PTFE and
6
9
,
2
9
, and
2
9
, respectively, for nonstented PTFE. The patency of externally stented PTFE at 30 and 90 days was significantly better than grafts fashioned from PTFE alone (
P < 0.05 by chi-square analysis). These data demonstrate that external stenting improves the early patency of PTFE prostheses in the infrarenal vena cava. Consideration should be given to the clinical use of externally stented PTFE when prosthetic replacement in the venous system is required. |
doi_str_mv | 10.1016/0022-4804(84)90104-5 |
format | Article |
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12
12
,
10
12
, and
9
12
, respectively, for stented PTFE and
6
9
,
2
9
, and
2
9
, respectively, for nonstented PTFE. The patency of externally stented PTFE at 30 and 90 days was significantly better than grafts fashioned from PTFE alone (
P < 0.05 by chi-square analysis). These data demonstrate that external stenting improves the early patency of PTFE prostheses in the infrarenal vena cava. Consideration should be given to the clinical use of externally stented PTFE when prosthetic replacement in the venous system is required.</description><identifier>ISSN: 0022-4804</identifier><identifier>EISSN: 1095-8673</identifier><identifier>DOI: 10.1016/0022-4804(84)90104-5</identifier><identifier>PMID: 6708495</identifier><identifier>CODEN: JSGRA2</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Animals ; Biological and medical sciences ; Blood Vessel Prosthesis ; Dogs ; Medical sciences ; Polytetrafluoroethylene ; Prosthesis Design ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels ; Veins - surgery ; Vena Cava, Inferior - surgery</subject><ispartof>The Journal of surgical research, 1984-04, Vol.36 (4), p.306-311</ispartof><rights>1984</rights><rights>1984 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-f13552de977cb23f87531b9197416361b542d7792a694dce601f7570351ca9593</citedby><cites>FETCH-LOGICAL-c386t-f13552de977cb23f87531b9197416361b542d7792a694dce601f7570351ca9593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0022-4804(84)90104-5$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9709755$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6708495$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Robison, Robert J.</creatorcontrib><creatorcontrib>Peigh, Pamela S.</creatorcontrib><creatorcontrib>Fiore, Andrew C.</creatorcontrib><creatorcontrib>Deschner, William P.</creatorcontrib><creatorcontrib>Sears, Nicholas J.</creatorcontrib><creatorcontrib>Steven Whitaker, J.</creatorcontrib><creatorcontrib>King, Harold</creatorcontrib><creatorcontrib>Brown, John W.</creatorcontrib><title>Venous prostheses: Improved patency with external stents</title><title>The Journal of surgical research</title><addtitle>J Surg Res</addtitle><description>A uniformly successful prosthesis for replacement in the venous system has not been developed. This study assesses the effect of external stents on the patency of polytetrafluoroethylene (PTFE) grafts in the infrarenal vena cava. Under general anesthesia, 21 mongrel dogs underwent midline laparotomy. The infrarenal vena cava was resected and replaced by a standard segment (8 cm × 10 mm) of stented PTFE (12 dogs) and nonstented PTFE (9 dogs). Patency was assessed by contrast venography and the results compared between the two groups. The 7-, 30-, and 90-day patency was
12
12
,
10
12
, and
9
12
, respectively, for stented PTFE and
6
9
,
2
9
, and
2
9
, respectively, for nonstented PTFE. The patency of externally stented PTFE at 30 and 90 days was significantly better than grafts fashioned from PTFE alone (
P < 0.05 by chi-square analysis). These data demonstrate that external stenting improves the early patency of PTFE prostheses in the infrarenal vena cava. Consideration should be given to the clinical use of externally stented PTFE when prosthetic replacement in the venous system is required.</description><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Blood Vessel Prosthesis</subject><subject>Dogs</subject><subject>Medical sciences</subject><subject>Polytetrafluoroethylene</subject><subject>Prosthesis Design</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><subject>Veins - surgery</subject><subject>Vena Cava, Inferior - surgery</subject><issn>0022-4804</issn><issn>1095-8673</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRav34Bwo5iOghupv99iBI8aNQ8KJel81mQiNJWnfTav-9Gxt69LTMzjPDOw9CZwTfEEzELcZZljKF2ZVi1xoTzFK-h8YEa54qIek-Gu-QQ3QUwieOtZZ0hEZCYsU0HyP1Ae1iFZKlX4RuDgHCXTJtYrWGIlnaDlq3Sb6rbp7ATwe-tXUS4mcXTtBBaesAp8N7jN6fHt8mL-ns9Xk6eZiljirRpSWhnGcFaCldntFSSU5JromWjAgqSM5ZVkipMys0KxwITErJJaacOKu5psfocrs3ZvpaQehMUwUHdW1biMGNwlprRUkE2RZ08ZTgoTRLXzXWbwzBphdmehumt2EUM3_CDI9j58P-Vd5AsRsaDMX-xdC3wdm69LZ1VdhhWmIteY_dbzGILtYVeBNcFeVBUXlwnSkW1f85fgEYD4Tg</recordid><startdate>198404</startdate><enddate>198404</enddate><creator>Robison, Robert J.</creator><creator>Peigh, Pamela S.</creator><creator>Fiore, Andrew C.</creator><creator>Deschner, William P.</creator><creator>Sears, Nicholas J.</creator><creator>Steven Whitaker, J.</creator><creator>King, Harold</creator><creator>Brown, John W.</creator><general>Elsevier Inc</general><general>Elsevier</general><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>198404</creationdate><title>Venous prostheses: Improved patency with external stents</title><author>Robison, Robert J. ; Peigh, Pamela S. ; Fiore, Andrew C. ; Deschner, William P. ; Sears, Nicholas J. ; Steven Whitaker, J. ; King, Harold ; Brown, John W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-f13552de977cb23f87531b9197416361b542d7792a694dce601f7570351ca9593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Blood Vessel Prosthesis</topic><topic>Dogs</topic><topic>Medical sciences</topic><topic>Polytetrafluoroethylene</topic><topic>Prosthesis Design</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><topic>Veins - surgery</topic><topic>Vena Cava, Inferior - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Robison, Robert J.</creatorcontrib><creatorcontrib>Peigh, Pamela S.</creatorcontrib><creatorcontrib>Fiore, Andrew C.</creatorcontrib><creatorcontrib>Deschner, William P.</creatorcontrib><creatorcontrib>Sears, Nicholas J.</creatorcontrib><creatorcontrib>Steven Whitaker, J.</creatorcontrib><creatorcontrib>King, Harold</creatorcontrib><creatorcontrib>Brown, John W.</creatorcontrib><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>The Journal of surgical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Robison, Robert J.</au><au>Peigh, Pamela S.</au><au>Fiore, Andrew C.</au><au>Deschner, William P.</au><au>Sears, Nicholas J.</au><au>Steven Whitaker, J.</au><au>King, Harold</au><au>Brown, John W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Venous prostheses: Improved patency with external stents</atitle><jtitle>The Journal of surgical research</jtitle><addtitle>J Surg Res</addtitle><date>1984-04</date><risdate>1984</risdate><volume>36</volume><issue>4</issue><spage>306</spage><epage>311</epage><pages>306-311</pages><issn>0022-4804</issn><eissn>1095-8673</eissn><coden>JSGRA2</coden><abstract>A uniformly successful prosthesis for replacement in the venous system has not been developed. This study assesses the effect of external stents on the patency of polytetrafluoroethylene (PTFE) grafts in the infrarenal vena cava. Under general anesthesia, 21 mongrel dogs underwent midline laparotomy. The infrarenal vena cava was resected and replaced by a standard segment (8 cm × 10 mm) of stented PTFE (12 dogs) and nonstented PTFE (9 dogs). Patency was assessed by contrast venography and the results compared between the two groups. The 7-, 30-, and 90-day patency was
12
12
,
10
12
, and
9
12
, respectively, for stented PTFE and
6
9
,
2
9
, and
2
9
, respectively, for nonstented PTFE. The patency of externally stented PTFE at 30 and 90 days was significantly better than grafts fashioned from PTFE alone (
P < 0.05 by chi-square analysis). These data demonstrate that external stenting improves the early patency of PTFE prostheses in the infrarenal vena cava. Consideration should be given to the clinical use of externally stented PTFE when prosthetic replacement in the venous system is required.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>6708495</pmid><doi>10.1016/0022-4804(84)90104-5</doi><tpages>6</tpages></addata></record> |
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subjects | Animals Biological and medical sciences Blood Vessel Prosthesis Dogs Medical sciences Polytetrafluoroethylene Prosthesis Design Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels Veins - surgery Vena Cava, Inferior - surgery |
title | Venous prostheses: Improved patency with external stents |
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