Document Detail


Fibrin glue sealing of polytetrafluoroethylene vascular graft anastomoses: comparison with oxidized cellulose.
MedLine Citation:
PMID:  2460646     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To evaluate potential clinical applications of nonautologous fibrin glue (FG) as a hemostatic agent in vascular surgery, we compared its efficacy to oxidized regenerated cellulose (OC) in hemostatically sealing polytetrafluoroethylene (PTFE) vascular graft anastomoses. PTFE grafts (4 mm wide and 4 to 6 cm in length) were placed to each femoral artery in a heparinized canine model, in end-to-end fashion in half of the dogs and in end-to-side fashion in the remaining dogs. Each set of graft-arterial anastomoses was then sealed with either FG or OC, determined randomly, followed by simultaneous measurement of blood loss through the graft anastomoses and needle holes. There was significantly less bleeding from anastomoses sealed with FG compared with those sealed with OC, regardless of whether the anastomoses sealed with FG compared with those sealed with OC, regardless of whether the anastomosis was constructed in end-to-end (p less than 0.03) or end-to-side (p less than 0.004) fashion; overall, the operative blood loss for grafts sealed with FG was 14 +/- 6 (mean +/- standard error of the mean) vs 99 +/- 27 ml/min for those sealed with OC (p less than 0.001). In the early postoperative period, significant groin hematomas occurred more frequently in grafts sealed with OC compared with those sealed with FG. Microscopic examination of graft-arterial specimens harvested at postoperative intervals ranging from 1 day to 3 months revealed no significant inflammatory reaction with either hemostatic agent; after 2 to 3 weeks, paired specimens appeared histologically similar despite previous treatment with either FG or OC.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
H B Kram; P Nugent; B I Reuben; W C Shoemaker
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  8     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1988 Nov 
Date Detail:
Created Date:  1988-12-02     Completed Date:  1988-12-02     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  563-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, King-Drew Medical Center, Los Angeles, CA 90059.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Animals
Aprotinin*
Biocompatible Materials
Blood Vessel Prosthesis*
Cellulose* / analogs & derivatives
Cellulose, Oxidized*
Dogs
Drug Combinations
Factor XIII*
Femoral Artery / pathology,  surgery*
Fibrin*
Fibrin Tissue Adhesive
Fibrinogen*
Hemorrhage / etiology
Polytetrafluoroethylene*
Postoperative Complications
Random Allocation
Thrombin*
Tissue Adhesives*
Vascular Patency
Wound Healing
Chemical
Reg. No./Substance:
0/Biocompatible Materials; 0/Drug Combinations; 0/Fibrin Tissue Adhesive; 0/Tissue Adhesives; 82347-53-3/Surgicel; 9001-31-4/Fibrin; 9001-32-5/Fibrinogen; 9002-84-0/Polytetrafluoroethylene; 9004-34-6/Cellulose; 9013-56-3/Factor XIII; 9032-53-5/Cellulose, Oxidized; 9087-70-1/Aprotinin; EC 3.4.21.5/Thrombin

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


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