| Primary vascular anastomosis in growing pigs: comparison of polypropylene and polyglycolic acid sutures. | |
| | |
MedLine Citation:
|
PMID: 6262579 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Stenosis remains a significant problem in vascular anastomoses performed in the growing patient. This study compares the growth of vascular anastomoses performed with either polypropylene or polyglycolic acid sutures. End-to-end infrarenal aortic anastomoses were performed in 18 piglets. Twelve were performed with polypropylene; in six all sutures were placed in a continuous fashion (Group 1A), and in the other six the posterior sutures were continuous and the anterior were interrupted (Group B). Six anastomoses were performed with polyglycolic acid sutures placed in a continuous fashion (Group 2). The animals were killed 6 months following operation. The abdominal aorta was removed, measured, burst tested, and subjected to histologic studies. All anastomoses were patent. There were no burst failures at 300 mm Hg mean pressure. All polypropylene sutures in Group 1A and the continuous portion in Group 1B had straightened without breaking. Straightening without polypropylene suture breakage resulted in stricture in three Group 1A anastomoses and one Group 1B anastomosis; there was intraluminal polypropylene suture material in two Group 1A and five Group 1B anastomoses. Bowstring formation of the straightened, continuous portion of the polypropylene suture in two Group 1A anastomoses and one Group 1B anastomosis resulted in adherent thrombus. Group 2 anastomoses were without stricture and were grossly indistinguishable from adjacent normal vessel. Histologic examination showed varying degrees of chronic inflammation in the polypropylene anastomoses but negligible inflammation in the polyglycolic acid anastomoses. These results suggest that continuous suture techniques with polypropylene in growing vessels may result in stenosis and/or thrombosis. Moreover, synthetic absorbable polyglycolic acid sutures will be of use in vascular anastomoses in growing patients and in cases in which exacting technique with minimal postsurgical inflammation may be crucial to patency. |
| | |
Authors:
|
W E Pae; J A Waldhausen; G A Prophet; W S Pierce |
Related Documents
:
|
16386579 - Portal vein thrombosis in liver transplantation. 18294169 - Thoracoscopic-assisted placement of azygos vein central venous catheter in a child. 17312029 - Doppler sonographic abnormalities suggestive of venous congestion in the right lobe gra... 18385559 - Power doppler imaging in acute renal vein occlusion and recanalization: a canine model. 16724339 - Portal vein reconstruction in adult living donor liver transplantation using cryopreser... 343749 - Renal allograft rupture with iliofemoral thrombophlebitis. 9665009 - Reflex sympathetic dystrophy of the lower limbs after kidney transplantation. 7922219 - Mechanisms and treatment of dyslipidemia of renal diseases. 22885879 - Pulmonary complications after elective liver transplantation-incidence, risk factors, a... |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: The Journal of thoracic and cardiovascular surgery Volume: 81 ISSN: 0022-5223 ISO Abbreviation: J. Thorac. Cardiovasc. Surg. Publication Date: 1981 Jun |
Date Detail:
|
Created Date: 1981-07-20 Completed Date: 1981-07-20 Revised Date: 2007-11-14 |
Medline Journal Info:
|
Nlm Unique ID: 0376343 Medline TA: J Thorac Cardiovasc Surg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 921-7 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Animals Aorta, Abdominal / growth & development, surgery* Aortic Valve Stenosis / etiology Models, Biological Plastics* / adverse effects Polyglycolic Acid* / adverse effects Polypropylenes* / adverse effects Sutures / standards* Swine / growth & development* Thrombosis / etiology |
| Grant Support | |
ID/Acronym/Agency:
|
F32HL05994/HL/NHLBI NIH HHS |
| Chemical | |
Reg. No./Substance:
|
0/Plastics; 0/Polypropylenes; 26009-03-0/Polyglycolic Acid |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Specific protein phosphorylation during cyclic AMP-mediated morphological reversion of transformed c...
Next Document: Evidence for an increased level of DNA damage in high doubling level human diploid cells culture.