Advertisement
Original communication Society for Vascular Surgery| Volume 33, ISSUE 2, P190-206, February 1953

The influence of diameter disproportion and of length on the incidence of complications in autogenous venous grafts in the abdominal aorta

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      • 1.
        1. Forty-two valid fresh venous autografts in growing pigs and thirty-six valid fresh venous autografts in mature dogs form the basis for this report. All of these grafts were implanted into the abdominal aortas of the animals.
      • 2.
        2. Fresh venous autografts served as satisfactory conduits for blood, provided occlusion by thrombosis did not occur.
      • 3.
        3. The factors of graft length and biterminal positive disproportion were highly significant in the development of early thrombosis.
      • 4.
        4. Short-length fresh venous autografts with positive disproportion, negative disproportion, or made isodimensional by plication and implanted into the abdominal aorta of growing pigs had a high incidence of delayed thrombosis.
      • 5.
        5. Autogenous vein grafts which remained patent had a tendency to dilate. This tendency was not related to the length of the grafts nor to the graft-aortic diameter ratio at the time of implantation.
      • 6.
        6. Aneurysmal dilatations were found in a significant number of venous autografts in growing pigs which were found open six months after implantation. However, a lesser number of autoplastic vein grafts did not grow as rapidly as the host aorta.
      • 7.
        7. Observations are being recorded on fresh venous autografts of the abdominal aorta in mature dogs implanted longer than thirty-three weeks.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Anzola J.
        • Palmer T.H.
        • Welch C.S.
        Long Femoral and Ilio-Femoral Grafts.
        in: Surgical Forum, 1951 W. B. Saunders Company, Philadelphia1952: 243-246
        • Everson T.C.
        • Southwick H.W.
        Growth of Vascular Grafts in Growing Animals.
        Arch. Surg. 1951; 63: 576-582
        • Freeman N.
        The Experimental and Clinical Use of Vein Grafts to Replace Defects of Large Arteries.
        Surgery. 1949; 26 (Discussion of article by Johnson and associates): 955
        • Johnson J.
        Discussion at Symposium on Vascular Grafts. National Institutes of Health, Bethesda, MdJan. 10, 1952
        • Johnson J.
        • Kirby C.K.
        • Greifenstein F.E.
        • Castillo A.
        The Experimental and Clinical Use of Vein Grafts to Replace Defects of Large Arteries.
        Surgery. 1949; 26: 945-954
        • Johnson J.
        • Kirby C.K.
        • Allam M.W.
        • Hagan W.
        The Growth of Vena Cava and Aorta Grafts.
        Surgery. 1951; 29: 726-730
        • Sako Y.
        Prevention of Dilatation in Autogenous Venous and Pericardial Grafts in the Thoracic Aorta.
        Surgery. 1951; 30: 148-160
        • Sauvage L.R.
        • Harkins H.N.
        An Experimental Study of Fresh Arterial and Venous Autografts and Homografts in the Growing Pig.
        in: Surgical Forum, 1951 W. B. Saunders Company, Philadelphia1952: 247-255
        • Shumacker Jr., H.B.
        • Schloss G.
        • Freeman L.W.
        • Wayson E.E.
        • Stahl N.H.
        Studies in Vascular Repair. V. Experiments With the Use of Free Venous Transplants for Bridging Aortal Defects.
        Yale J. Biol. & Med. 1950; 23: 81-93
        • Smith S.
        Studies in Experimental Vascular Surgery.
        Surgery. 1945; 18: 627-643
        • Taylor G.
        Prevention of Dilatation in Autogenous Venous and Pericardial Grafts in the Thoracic Aorta.
        Surgery. 1951; 30 (Discussion of article by Sako): 160