Document Detail


De novo generation of axially vascularized tissue in a large animal model.
MedLine Citation:
PMID:  18853419     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
De novo generation of axially vascularized tissue with clinically relevant dimensions in a large animal model and implementation of clinically established imaging modalities for in vivo evaluation of vascularization. To be used for reconstruction of tissue defects, engineered grafts need to be axially vascularized to enable transplantation without graft loss due to hypoxia. Limitations to dimensions in small animal models had not yet been overcome, which is necessary to yield clinical relevance. Anatomical studies of groin and axillary regions in eight merino sheep were followed by microsurgical creation of an arteriovenous loop (AV-loop), embedded in an isolation chamber filled with fibrin matrix. Constructs were implanted in the groin of six sheep for up to 6 weeks. Course of vascularization in de novo forming tissue was assessed by sequential computed tomography angiography (CTA) and magnetic resonance angiography (MRA) in vivo, as well as by postexplantational micro-computed tomography and histology. A vascular axis was constantly found epifascially at the medial aspect of all sheep's thighs, which was used for AV-loop creation. Patency of AV-loop could be visualized by CTA and MRA scans during 1-6 weeks. Complex 3D-vessel-reconstruction revealed increasing axial vascularization of the fibrin matrix and growing connective tissue within the isolation chamber, which was confirmed by micro-computed tomography and histology postexplantation. De novo formation of axially vascularized tissue was demonstrated for the first time ever in a large animal model, paving the way for the first application of tissue engineering vascularized grafts with clinically relevant dimensions.
Authors:
Justus P Beier; Raymund E Horch; Andreas Arkudas; Elias Polykandriotis; Oliver Bleiziffer; Edith Adamek; Andreas Hess; Ulrich Kneser
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Publication Detail:
Type:  In Vitro; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Microsurgery     Volume:  29     ISSN:  1098-2752     ISO Abbreviation:  Microsurgery     Publication Date:  2009  
Date Detail:
Created Date:  2009-01-14     Completed Date:  2009-04-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309230     Medline TA:  Microsurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  42-51     Citation Subset:  IM    
Affiliation:
Department of Plastic and Hand Surgery, University Hospital Erlangen, Erlangen, Germany. Justus.beier@uk-erlangen.de
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MeSH Terms
Descriptor/Qualifier:
Animals
Arteries / drug effects,  pathology,  surgery
Arteriovenous Shunt, Surgical / methods*
Axilla / blood supply,  physiology,  surgery*
Cadaver
Disease Models, Animal
Female
Fibrin / pharmacology
Groin / blood supply,  physiology,  surgery*
Magnetic Resonance Angiography
Microsurgery*
Neovascularization, Physiologic* / drug effects
Saphenous Vein / drug effects,  pathology,  radiography,  surgery
Tissue Engineering / methods
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
9001-31-4/Fibrin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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