Implantation of Novel Small-Diameter Polyurethane Vascular Prostheses Interposed in Canine Femoral and Carotid Arteries

Objectives: The performance of small-diameter (3–5-mm) vascular grafts still poses a challenge in the field of vascular surgery. We present here our preliminary experience with implanting unique small-sized polycarbonate urethane vascular grafts in 7 dogs. Material and Methods: Each animal was impla...

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Veröffentlicht in:European surgical research 2004-07, Vol.36 (4), p.241-248
Hauptverfasser: Karapınar, K., Ulus, A.T., Tütün, U., Aksöyek, A., Apaydın, N., Pamuk, K., Can, Z., Sarıtaş, Z., Küçükay, F., Arda, K., Katırcıoğlu, S.F.
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container_end_page 248
container_issue 4
container_start_page 241
container_title European surgical research
container_volume 36
creator Karapınar, K.
Ulus, A.T.
Tütün, U.
Aksöyek, A.
Apaydın, N.
Pamuk, K.
Can, Z.
Sarıtaş, Z.
Küçükay, F.
Arda, K.
Katırcıoğlu, S.F.
description Objectives: The performance of small-diameter (3–5-mm) vascular grafts still poses a challenge in the field of vascular surgery. We present here our preliminary experience with implanting unique small-sized polycarbonate urethane vascular grafts in 7 dogs. Material and Methods: Each animal was implanted with 4 interposition grafts, 2 femoral and 2 carotid. No anti-thrombotic medication was administered. Doppler sonography was performed at 3-month intervals to examine for patency and flow characteristics. Animals were sacrificed electively at 3, 6 and 12 months. Results: At 3 months, all grafts were patent. After 6 months, 3 grafts occluded and at 1 year a further 6 grafts occluded. Hence 9 of 28 grafts occluded (67.9% patency). During the study, no correlation could be established between flow velocity or resistance index and occlusion. Histopathology showed intimal hyperplasia to be the cause of occlusion. Conclusions: Compared to literature data on small-diameter grafts in the same position, ADIAM’s Biomechanical grafts performed clearly better. Compliance data suggest a correlation between elastic compliance and patency.
doi_str_mv 10.1159/000078859
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We present here our preliminary experience with implanting unique small-sized polycarbonate urethane vascular grafts in 7 dogs. Material and Methods: Each animal was implanted with 4 interposition grafts, 2 femoral and 2 carotid. No anti-thrombotic medication was administered. Doppler sonography was performed at 3-month intervals to examine for patency and flow characteristics. Animals were sacrificed electively at 3, 6 and 12 months. Results: At 3 months, all grafts were patent. After 6 months, 3 grafts occluded and at 1 year a further 6 grafts occluded. Hence 9 of 28 grafts occluded (67.9% patency). During the study, no correlation could be established between flow velocity or resistance index and occlusion. Histopathology showed intimal hyperplasia to be the cause of occlusion. Conclusions: Compared to literature data on small-diameter grafts in the same position, ADIAM’s Biomechanical grafts performed clearly better. 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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Animals
Biological and medical sciences
Blood Vessel Prosthesis
Carotid Arteries - surgery
Dogs
Female
Femoral Artery - surgery
General aspects
Graft Occlusion, Vascular - diagnostic imaging
Graft Occlusion, Vascular - prevention & control
Graft Survival
Male
Medical sciences
Original Paper
Polyurethanes
Prosthesis Implantation
Ultrasonography, Doppler
title Implantation of Novel Small-Diameter Polyurethane Vascular Prostheses Interposed in Canine Femoral and Carotid Arteries
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