An experimental study of a new sutureless intraluminal graft with an elastic ring that can attach itself to the vessel wall Masaru Matsumae, MD, Hatsuzo.

Slides:

Advertisements

Similar presentations

Endothelial cell seeding reduces thrombogenicity of Dacron grafts in humans Per Örtenwall, MD, PhD *, Hans Wadenvik, MD, PhD **, Jack Kutti, MD, PhD **,

Advertisements

Development and regression of intimal thickening of arterially transplanted autologous vein grafts in dogs Kazumasa Morinaga, M.D., Hiroshi Eguchi, M.D.,

Age of onset, pattern of distribution, and histology of aneurysm development in a genetically predisposed mouse model Colleen M. Brophy, MD, Joan E.

Robert J. Pitsch, MD, David J. Minion, MD, Margaret L

Frank W. Sellke, M. D. , Gary B. Williams, M. D. , Duane L. Donovan, M

Christopher K. Zarins, MD, Chengpei Xu, MD, Seymour Glagov, MD

Gastroesophageal tumor embolization to the popliteal arteries

Oral bacteria in the occluded arteries of patients with Buerger disease Takehisa Iwai, MD, PhD, Yoshinori Inoue, MD, PhD, Makoto Umeda, DDS, PhD, Yi Huang,

Development of a “leak-proof,” knitted Dacron vascular prosthesis

Atherosclerotic aneurysm formation in an in situ saphenous vein graft

Boundary layer infusion of heparin prevents thrombosis and reduces neointimal hyperplasia in venous polytetrafluoroethylene grafts without systemic anticoagulation

Mark Wengrovitz, MD. , Lulseged G. Selassie, MD. , Robert R. M

Renal artery stenosis and aneurysms associated with neurofibromatosis

The role of circulating cells in the healing of vascular prostheses

A new valvulotome for in situ bypass grafts

Enabling sutureless vascular bypass grafting with the exovascular sleeve anastomosis David W. Chang, MD, Allen Chan, MD, R.Armour Forse, MD, PhD, William.

Effect of differential shear stress on platelet aggregation, surface thrombosis, and endothelialization of bilateral carotid-femoral grafts in the dog

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.

Malcolm O. Perry, MD, Richard Kempczinski, MD

Adventitial elastolysis is a primary event in aneurysm formation

Conformational stress and anastomotic hyperplasia

Thomas Reifsnyder, MD, Jonathan B. Towne, MD, Gary R

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

Age of onset, pattern of distribution, and histology of aneurysm development in a genetically predisposed mouse model Colleen M. Brophy, MD, Joan E.

William W. Lin, BA, Gregory S. McGee, MD, Bruce K

Interposition grafting for reoperation on the common femoral artery

Aortic corset syndrome

James E. Chapman, M.D., William Allen Loy, M.D.

Dacron inhibition of arterial regenerative activities

Pathologic features of cryopreserved aortic allograft implanted in the active infection Akitoshi Yamada, MD, Kenji Okada, MD, Rei Takahashi, MD, Yutaka.

Photodynamic therapy of vein grafts: Suppression of intimal hyperplasia of the vein graft but not the anastomosis Glenn M. LaMuraglia, MD, Michael L.

Surgical treatment of recurrent abdominal aortic aneurysm in a patient with systemic lupus erythematosus Naoki Washiyama, MDa, Teruhisa Kazui, MDa, Makoto.

Jennifer Engle, MD, Hazim J. Safi, MD, Omid Abbassi, MD, Dimitrios C

Objective tinnitus resulting from internal carotid artery stenosis

Mark K. Hirko, MD, Joseph R. McShannic, MD, Steven P

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

Primary leiomyosarcoma of the abdominal aorta

Changes in arterial wall compliance after endovascular stenting

S.Amjad Hussain, MD, FRCSC, Ahmet Bayar, MD

Increased collagenase activity in early aneurysmal dilatation

Intraabdominal hemorrhage as a result of segmental mediolytic arteritis of an omental artery: Case report Dianne M. Heritz, MD *, Jagdish Butany, MD,

Carotid endarterectomy with homologous vein patch angioplasty: A review of 1006 cases Konstadinos A. Plestis, MD, George Kantis, MS, Kenneth Haygood,

Transarterial wall oxygen gradients at a prosthetic vascular graft to artery anastomosis in the rabbit Steven M. Santilli, MD, PhD, Shane E. Wernsing,

The effect of carbon coating and porosity on early patency of expanded polytetrafluoroethylene grafts: An experimental study Donald L. Akers, MD, Yong.

Samuel C. Aldridge, MD, Anthony J. Comerota, MD, Mira L

Renal transplant perfusion during aortoiliac aneurysmectomy

Angioscope-assisted occlusion of venous tributaries with prolamine in in situ femoropopliteal bypass: Preliminary results of canine experiments John.

Immunosuppressive treatment of aortic allografts

Polyurethane vascular prostheses decreases neointimal formation compared with expanded polytetrafluoroethylene Marc G. Jeschke, MD, Valentin Hermanutz,

Recreational weight lifting and aortic dissection: Case report

Calvin B. Ernst, MD Journal of Vascular Surgery

Ruptured abdominal aortic aneurysm: A population-based study

Miltos K. Lazarides, MD, Spyros N

Thoracoabdominal aortic aneurysm in Cogan’s syndrome

Aortic blebs: Possible site of aneurysm rupture

Richard L. Binns, MD Journal of Vascular Surgery

Video-assisted replacement or bypass grafting of the descending thoracic aorta with a new sutureless vascular prosthesis: An experimental study Rachid.

Joseph J. Piotrowski, MD, Glenn C. Hunter, MD, Cleamond D

Carotid biaxillary bypass: A new operation

Critical hand ischemia caused by forearm fibromuscular dysplasia

The effects of endothelial injury on smooth muscle cell proliferation

Glenn C. Hunter, M.D., Stan N. Carson, M.D.

Michael A. Zatina, M. D. , Christopher K. Zarins, M. D. , Bruce L

Ross T. Lyon, M. D. , Arthur Runyon-Hass, Ph. D. , Harry R. Davis, Ph

James A. DeWeese, MD Journal of Vascular Surgery

Linda M. Reilly, MD, Christopher G

Arterial fibrodysplasia: Rapid progression complicated by rupture of a visceral aneurysm into the gastrointestinal tract G. den Butter, M.D., J.H. van.

Endovascular repair of two abdominal aortic aneurysms

Cornelius A. Sullivan, MD, Michael J. Rohrer, MD, Bruce S. Cutler, MD

Presentation transcript:

An experimental study of a new sutureless intraluminal graft with an elastic ring that can attach itself to the vessel wall Masaru Matsumae, MD, Hatsuzo Uchida, MD, Shigeru Teramoto, MD Journal of Vascular Surgery Volume 8, Issue 1, Pages 38-44 (July 1988) DOI: 10.1016/0741-5214(88)90241-8 Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Schematic drawing of elastic ring. A, Ring is made of flat spring, it overlaps by 4 mm, and its diameter is 13 mm before compression. B, Overlapping part is increased to 13 mm by compression and diameter is reduced to 8 mm. This process is reversible. C, Ring can be kept reduced in diameter by pinching overlap with forceps. D, Forceps is released and ring expands to its original size. Journal of Vascular Surgery 1988 8, 38-44DOI: (10.1016/0741-5214(88)90241-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Sutureless intraluminal graft with elastic ring. Elastic rings are placed at both ends of knitted Dacron graft 10 or 12 mm in diameter and are covered with graft cuff, which is turned over at both ends. Journal of Vascular Surgery 1988 8, 38-44DOI: (10.1016/0741-5214(88)90241-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Implantation procedure. SIGER is kept reduced in diameter by pinching overlapping part with forceps and introduced into aortic lumen far enough so that ring is fully covered with aortic wall, that is, overlap of aortic wall is at least 2 to 3 mm. At target forceps is released, ring expands to original size, and it attaches itself to vessel wall. No circular tie around ring is made. Journal of Vascular Surgery 1988 8, 38-44DOI: (10.1016/0741-5214(88)90241-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Macroscopic findings of resected specimens. Macroscopic examination showed neither aneurysmal change nor detachment of ring. A, 41 days; B, 55 days; C, 64 days; D, 80 days after implantation. Journal of Vascular Surgery 1988 8, 38-44DOI: (10.1016/0741-5214(88)90241-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Macroscopic findings of internal lumen. All grafts were covered with neointima and anastomotic lines were smooth. No detachment of ring was observed. A, 41 days; B, 55 days; C, 64 days; D, 80 days after implantation. Journal of Vascular Surgery 1988 8, 38-44DOI: (10.1016/0741-5214(88)90241-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Microscopic findings. Elastic lamella was stained black. Its thickness was reduced to half at ring. Neither amputation nor marked reduction of elastic fiber was observed. Overlap of 2 to 3 mm of aortic wall was preserved. A, distal end: 41 days; B, proximal end: 73 days; C, distal end: 73 days; D, distal end: 80 days after implantation. (Elastic—van Gieson stain; original magnification × 1.) Journal of Vascular Surgery 1988 8, 38-44DOI: (10.1016/0741-5214(88)90241-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 7 Longitudinal section of graft 41 days after implantation. In inner one third of aortic wall compressed by ring, nucleus of smooth muscle cells disappeared. (Hematoxylin-eosin stain; original magnification × 100.) Journal of Vascular Surgery 1988 8, 38-44DOI: (10.1016/0741-5214(88)90241-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 8 Aortography showed neither stenosis nor aneurysmal dilatation at anastomosis. A, 30 days; B, 41 days; C, 60 days; D, 80 days after implantation. Journal of Vascular Surgery 1988 8, 38-44DOI: (10.1016/0741-5214(88)90241-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions