Intrathoracic tracheal reconstruction with a collagen-conjugated prosthesis: Evaluation of the efficacy of omental wrapping Masayoshi Teramachi, MDa,

Slides:

Advertisements

Similar presentations

Experimental study on a new tracheal prosthesis made from collagen-conjugated mesh Norihito Okumura, MD, Tatsuo Nakamura, MD, Tohru Natsume, MD, Kenji.

Advertisements

Volume 115, Issue 2, Pages (February 1999)

Clinical and laboratory evaluation of a new thin-walled self-expanding tracheobronchial silicone stent: Progress and pitfalls Klaus Wassermann, MDa,

Clinical and laboratory evaluation of a new thin-walled self-expanding tracheobronchial silicone stent: Progress and pitfalls Klaus Wassermann, MDa,

Comparison of the effect of monopolar and bipolar cauterization on skeletonized, dissected internal thoracic arteries Hiroki Yoshida, MD, Moses Hong-De.

Experimental repair of phrenic nerve using a polyglycolic acid and collagen tube Makoto Yoshitani, MD, Seijun Fukuda, MD, Shin-ichi Itoi, MD, Shigeyuki.

In situ tissue engineering for tracheal reconstruction using a luminar remodeling type of artificial trachea Tatsuo Nakamura, MD, Toshihiko Sato, Masato.

Central venous catheter failure is induced by injury and can be prevented by stabilizing the catheter tip Ted R. Kohler, MD, Thomas R. Kirkman, BS Journal.

Tracheal regeneration: Evidence of bone marrow mesenchymal stem cell involvement Agathe Seguin, MD, PhD, Sonia Baccari, MD, Muriel Holder-Espinasse, MD,

Tracheal cartilage regeneration by slow release of basic fibroblast growth factor from a gelatin sponge Hitoshi Igai, MD, Yasumichi Yamamoto, MD, Sung.

Novel Tissue-Engineered Biodegradable Material for Reconstruction of Vascular Wall Shigemitsu Iwai, MD, Yoshiki Sawa, MD, Satoshi Taketani, MD, Kei Torikai,

Morphologic Assessment of Extracellular Matrix Scaffolds for Patch Tracheoplasty in a Canine Model Thomas W. Gilbert, PhD, Sebastien Gilbert, MD, Matthew.

The trachea: The first tissue-engineered organ?

Idiopathic tracheal and bronchial stenosis in two pediatric patients

Fernando Villegas-Álvarez, MD, José F

The role of circulating cells in the healing of vascular prostheses

B. Albat, MD, P. Messner-Pellenc, MD, A. Thévenet, MD

Intrathoracic esophageal replacement by in situ tissue-engineered esophagus Yuen Nakase, MD, PhD, Tatsuo Nakamura, MD, PhD, Shuichi Kin, MD, PhD, Susumu.

Pathophysiology of severe asthma

Behavior of vital and killed autologous pericardium in the descending aorta of sheep David T. Cheung, PhD, Suk Jung Choo, MD, Albert C. Grobe, MS, Douglas.

Compound polyglactin 910/polypropylene small vessel prostheses

Two-Stage End-to-End Reconstruction of Long-Segment Tracheal Defects With a Bioabsorbable Scaffold Grafting Technique in a Canine Model Hisashi Tsukada,

New tubular bioabsorbable knitted airway stent: Biocompatibility and mechanical strength Yukihito Saito, MDa, Kenichirou Minami, MDa, Masashi Kobayashi,

Optimal dose of basic fibroblast growth factor for long-segment orthotopic tracheal autografts Ryoichi Nakanishi, MD, Nobuyuki Nagaya, MD, Takashi Yoshimatsu,

Sustained local application of epidermal growth factor to accelerate reepithelialization of tracheal grafts Jinbo Zhao, MD, Yong Han, MD, Zhibo Liang,

C.J McNamee, MD, D Lien, MD, L Puttagunta, MD, A.Alan Conlan, MD,

Clifford H. Van Meter, MD (by invitation), William C

Intrapulmonary benign fibrous tumor of the pleura

Biodegradable polymer coating promotes the epithelization of tissue-engineered airway prostheses Toshihiko Sato, MD, Masato Araki, MD, Naoki Nakajima,

J. A. C. Buckels, M. D. , F. R. C. S. , A. G. Nordestgaard, M. D. , S

Experimental study of a new sutureless intraluminal graft with a shape-memory alloy ring Chuanrui Yang, MD, Yanqing Sun, MD, Peiqing Dong, MD, Huazhong.

Skinning the cat: Another wrinkle for T-tube insertion

Primary hemangiopericytoma of the trachea

Quiz Page December 2008 American Journal of Kidney Diseases

Hiromichi Miwa, MD, Takehisa Matsuda, PhD Journal of Vascular Surgery

Nervin Fanous, MD, S. Adil Husain, MD, Mark Ruzmetov, MD, PhD, Mark D

Martin H. Chamberlain, FRCS, David P. Taggart, MD, FRCS

The prognostic significance of tumor cell detection in intraoperative pleural lavage and lung tissue cultures for patients with lung cancer J. Buhr,

The influence of concordant xenografts on the humoral and cell-mediated immune responses to subsequent allografts in primates Robert E. Michler, MDa,

Jian Ye, MDa, Luojia Yang, MDa, Marc R

Healing process after total cricoidectomy and laryngotracheal reconstruction: Endoscopic and histologic evaluation in a canine model Kazumichi Yamamoto,

Successful allotransplantation of cryopreserved tracheal grafts with preservation of the pars membranacea in nonhuman primates Tomohiro Murakawa, MD,

The correlation between tumor size and lymphatic vessel invasion in resected peripheral stage I non-small-cell lung cancer Yukito Ichinose, MDa, Tokujiro.

Dacron inhibition of arterial regenerative activities

Occult active giant cell aortitis necessitating surgical repair

Tracheal allotransplantation in beagle dogs without immunosuppressants

Fresh venous allografts in peripheral arterial reconstruction in dogs

Support Your Specialty

Use of a bovine jugular vein graft with natural valve for right ventricular outflow tract reconstruction: A one-year animal study Yukio Ichikawa, MD,

Intrathoracic esophageal replacement in the dog with the use of an artificial esophagus composed of a collagen sponge with a double-layered silicone tube

Staged closure of tracheogastrocutaneous fistula after esophagectomy for infiltrative granular cell tumor Robert Merritt, MD, Steven M. Zeitels, MD,

Carinal reconstruction with a Y-shaped collagen-conjugated prosthesis

Nael Martini, MDa, Muhammad B. Zaman, MDb, Manjit S

Tracheal Diverticulum: A Rare Cause of Hoarseness of the Voice

Robert A. McCready, M. D. , Margaret A. Price, B. S. , Richard J

Differential diagnosis of thymic carcinoma and lung carcinoma with the use of antibodies to cytokeratins Ichiro Fukai, MDa, Akira Masaoka, MD, PhDa,

Primary tracheal synovial cell sarcoma: A first case report

Pediatric tracheal homograft reconstruction: A novel approach to complex tracheal stenoses in children Jeffrey P. Jacobs, MDa*, Martin J. Elliott, MD,

H. Yokomise, MDa, K. Inui, MDa, H. Wada, MDa, M. Ueda, MDa, S

Histological confirmation of healing of gastrobronchial fistula using a muscle flap Manabu Okuyama, MD, Reijiro Saito, MD, Satoru Motoyama, MD, Michihiko.

Richard L. Binns, MD Journal of Vascular Surgery

Nasal polyposis: Immunohistochemistry and bioelectrical findings (a hypothesis for the development of nasal polyps) Joel M. Bernstein, MD, PhDa, Janet.

Initial human evaluation of argon laser—assisted vascular anastomoses

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Replacement of a tracheal defect with a tissue-engineered prosthesis: Early results from animal experiments Jhingook Kim, MD, Soo Won Suh, PhD, Ji Yeon.

Minimally invasive direct coronary artery bypass, percutaneous transluminal coronary angioplasty, and stent placement for left main stenosis William.

Bronchoscopic treatment of postpneumonectomy bronchopleural fistula with a collagen screw plug Hiroyuki Tao, MD, Masato Araki, MD, Toshihiko Sato, MD,

Experimental study on a new tracheal prosthesis made from collagen-conjugated mesh Norihito Okumura, MD, Tatsuo Nakamura, MD, Tohru Natsume, MD, Kenji.

The experimental replacement of a cervical esophageal segment with an artificial prosthesis with the use of collagen matrix and a silicone stent Yukinobu.

Presentation transcript:

Intrathoracic tracheal reconstruction with a collagen-conjugated prosthesis: Evaluation of the efficacy of omental wrapping Masayoshi Teramachi, MDa, Norihito Okumura, MDa, Tatsuo Nakamura, MDa, Yasumichi Yamamoto, MDa, Tetsuya Kiyotani, MDa, Yukinobu Takimoto, MDa, Shojiro Matsuda, MAgb, Yoshito Ikada, PhDb, Yasuhiko Shimizu, MDa The Journal of Thoracic and Cardiovascular Surgery Volume 113, Issue 4, Pages 701-711 (April 1997) DOI: 10.1016/S0022-5223(97)70227-7 Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 1 Tracheal prosthesis. The mesh cylinder is reinforced with a continuous polypropylene spiral (top), then conjugated and coated with collagen (bottom). The Journal of Thoracic and Cardiovascular Surgery 1997 113, 701-711DOI: (10.1016/S0022-5223(97)70227-7) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 2 A photograph taken after completion of tracheal reconstruction is shown at the top; at the bottom is a schema of the tracheal reconstruction. A silicone drainage tube is inserted into the prosthetic lumen. The Journal of Thoracic and Cardiovascular Surgery 1997 113, 701-711DOI: (10.1016/S0022-5223(97)70227-7) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 2 A photograph taken after completion of tracheal reconstruction is shown at the top; at the bottom is a schema of the tracheal reconstruction. A silicone drainage tube is inserted into the prosthetic lumen. The Journal of Thoracic and Cardiovascular Surgery 1997 113, 701-711DOI: (10.1016/S0022-5223(97)70227-7) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 3 Luminal surface of the prosthesis is completely covered with host tissue in a dog of the omentopexy group after 6 months. The Journal of Thoracic and Cardiovascular Surgery 1997 113, 701-711DOI: (10.1016/S0022-5223(97)70227-7) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 4 Severe tracheal luminal stenosis in a control dog after 6 months. Bronchoscopic views from the proximal anastomosis (left) and just proximal to the stenosis (right). The Journal of Thoracic and Cardiovascular Surgery 1997 113, 701-711DOI: (10.1016/S0022-5223(97)70227-7) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 5 Luminal surfaces of two prostheses. At the top is shown a large area of mesh exposure in a prosthesis from a control dog after 12 months. The bottom photo shows a small area of mesh exposure (arrowheads) in a prosthesis from a dog in the omentopexy group after 12 months. The Journal of Thoracic and Cardiovascular Surgery 1997 113, 701-711DOI: (10.1016/S0022-5223(97)70227-7) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 6 Regenerated mucosa with epithelial lining on the mesh of the prosthesis from a dog in the omentopexy group after 12 months. The mucosa is thicker than the normal tracheal mucosa. L, Tracheal lumen; M, mesh of the prosthesis; C, tracheal cartilage (hematoxylin and eosin staining; original magnification ×5). The Journal of Thoracic and Cardiovascular Surgery 1997 113, 701-711DOI: (10.1016/S0022-5223(97)70227-7) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 7 Ciliated epithelium is present on the regenerated mucosa near the anastomosis (top), but only squamous epithelium is present in the middle of the prosthesis (bottom) in a dog in the omentopexy group after 12 months (hematoxylin and eosin staining; original magnification ×50). The Journal of Thoracic and Cardiovascular Surgery 1997 113, 701-711DOI: (10.1016/S0022-5223(97)70227-7) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 7 Ciliated epithelium is present on the regenerated mucosa near the anastomosis (top), but only squamous epithelium is present in the middle of the prosthesis (bottom) in a dog in the omentopexy group after 12 months (hematoxylin and eosin staining; original magnification ×50). The Journal of Thoracic and Cardiovascular Surgery 1997 113, 701-711DOI: (10.1016/S0022-5223(97)70227-7) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 8 Scanning electron microscopic views of the luminal surface. Dense cilia like those of normal tracheal epithelium are present on the prosthesis near the anastomosis (left) and a few ciliated epithelial cells are present in areas where only squamous cell lining was demonstrated by light microscopy (right). The Journal of Thoracic and Cardiovascular Surgery 1997 113, 701-711DOI: (10.1016/S0022-5223(97)70227-7) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 8 Scanning electron microscopic views of the luminal surface. Dense cilia like those of normal tracheal epithelium are present on the prosthesis near the anastomosis (left) and a few ciliated epithelial cells are present in areas where only squamous cell lining was demonstrated by light microscopy (right). The Journal of Thoracic and Cardiovascular Surgery 1997 113, 701-711DOI: (10.1016/S0022-5223(97)70227-7) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 9 Angiographic roentgenograms taken at the time the dogs were killed (3 months). Hardly any regenerated vessels are present in the prosthesis of a control dog (top), whereas there are a few vessels (arrows) in the prosthesis of a dog in the omentopexy group (bottom). The Journal of Thoracic and Cardiovascular Surgery 1997 113, 701-711DOI: (10.1016/S0022-5223(97)70227-7) Copyright © 1997 Mosby, Inc. Terms and Conditions

Fig. 10 Roentgenogram of longitudinal sections of the prosthesis of a dog in the omentopexy group 6 months after reconstruction. Some new vessels (arrows) run vertically from the outside of the prosthesis to the subepithelial region. The Journal of Thoracic and Cardiovascular Surgery 1997 113, 701-711DOI: (10.1016/S0022-5223(97)70227-7) Copyright © 1997 Mosby, Inc. Terms and Conditions