Document Detail


Heparin reduces the intimal hyperplasia seen in microvascular vein grafts.
MedLine Citation:
PMID:  1755775     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The influence of heparin on microvascular vein graft intimal hyperplasia was studied in a rat model. The iliolumbar vein was grafted into the iliac artery in 80 rats. Heparin was delivered via a subcutaneous miniosmotic pump, starting either 2 days before grafting (early heparin group, n = 20) or immediately after grafting (heparin group, n = 30). Saline-containing pumps were placed in the control group (n = 30). Heparin activity was measured at 24 h, and again 3 weeks later when the animals were sacrificed. The grafts were harvested and prepared for histological examination. The intimal thickness was measured at the anastomoses and in the mid-graft region using an eye-piece graticule set at right angles to the graft internal elastic lamina. Heparin significantly reduced the intimal thickness at the anastomoses, from a median of 38 microns (range: 10-100 microns) in the control group to a median of 20 microns (range: 10-150 microns) in the heparin group. A similar reduction was seen in the mid-graft region. Although intimal thickening was reduced in the early heparin group, this reduction failed to reach statistical significance. The possible clinical application is discussed.
Authors:
P E Norman; A K House
Related Documents :
7426815 - Segmental microvenous graft to artery.
18280285 - Experience with aortic grafting during excision of large abdominal neuroblastomas in ch...
2714455 - The non-reversed vein femoro-distal bypass graft: a modification of the standard in sit...
8468995 - The effect of coronary reoperation on the survival of patients with stenoses in sapheno...
20545665 - Vascular cryografts offer better biomechanical properties in chronically hemodialyzed p...
3194115 - The tegument of schistosoma hippopotami from hippopotamus amphibius in the kruger natio...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Australian and New Zealand journal of surgery     Volume:  61     ISSN:  0004-8682     ISO Abbreviation:  Aust N Z J Surg     Publication Date:  1991 Dec 
Date Detail:
Created Date:  1992-01-28     Completed Date:  1992-01-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0373115     Medline TA:  Aust N Z J Surg     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  942-8     Citation Subset:  IM    
Affiliation:
University Department of Surgery, Queen Elizabeth II Medical Centre, Nedlands, Western Australia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical
Animals
Blood Vessel Prosthesis
Endothelium, Vascular / drug effects
Graft Occlusion, Vascular / prevention & control*
Heparin / administration & dosage,  pharmacology,  therapeutic use*
Hyperplasia / prevention & control
Iliac Artery / surgery
Leg / blood supply*
Microcirculation / surgery
Muscle, Smooth, Vascular / drug effects*
Rats
Rats, Inbred WF
Veins / pathology,  transplantation
Chemical
Reg. No./Substance:
9005-49-6/Heparin

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


Previous Document:  The hand in heraldry.
Next Document:  Pre- and post-testing of students in surgery: do medical rotations help?