Document Detail


Vascular anastomosing by gluing--an experimental study.
MedLine Citation:
PMID:  15002069     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Performing anastomoses by stitching is very time-consuming. We therefore looked for an alternative technique and used a relatively new surgical adhesive. METHODS: Ten anastomoses between the aorta and a prosthesis were performed on five pigs (Deutsche Landrasse) using surgical glue (BioGlue). The proximal anastomoses between the abdominal aorta and the prostheses were performed end-to-side just below the renal arteries, the distal anastomoses in an end-to-end fashion just above the iliac bifurcation. The aorta between the anastomoses was ligated and resected. The animals were sacrificed between one week and up to four months after operation and anastomoses were analysed by angiography, CT angiography, angioscopy, and histology. RESULTS: Angiography and CT angiography revealed that all anastomoses were patent. No aneurysms were found at the site of anastomoses. No haematomas were detected. Angioscopy revealed well-healed connections between the original aorta and the prosthesis. CONCLUSIONS: We could demonstrate that anastomoses between the aorta and a prosthesis can be performed safely using a surgical adhesive. Further investigations of these anastomoses, especially over the long term, using calcified aortas, are necessary.
Authors:
J Rötker; F Trösch; D Grabosch; U R Jahn; S Kloska; F Grabellus; H H Scheld
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  52     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-03-05     Completed Date:  2004-11-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  6-9     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, University Münster, Münster, Germany. Juergen.Roetker@t-online.de
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MeSH Terms
Descriptor/Qualifier:
Adhesives / pharmacology*
Anastomosis, Surgical
Aneurysm, Dissecting / physiopathology,  radiography,  surgery
Animals
Aorta, Abdominal / physiopathology,  radiography,  surgery
Aortic Aneurysm, Abdominal / physiopathology,  radiography,  surgery
Blood Vessel Prosthesis
Female
Models, Animal
Models, Cardiovascular
Postoperative Complications / etiology,  radiography
Swine
Tomography, X-Ray Computed
Tunica Media / physiopathology,  radiography,  surgery
Vascular Patency / physiology
Vascular Surgical Procedures*
Chemical
Reg. No./Substance:
0/Adhesives

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


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