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Autologous Rectus Fascia as an Arterial Replacement: A Two-Year Experimental Study

Autologous Rectus Fascia as an Arterial Replacement: A Two-Year Experimental Study Abstract ALTHOUGH vascular prostheses enjoy widespread clinical acceptance,1-8 the application of autologous tissue as arterial substitutes is an appealing concept. The purpose of this study was to reevaluate the use of autologous anterior rectus fascia as an arterial graft with longer periods of observation in order to clarify conflicting results of similar studies previously reported.9,10 Materials and Methods Healthy mongrel dogs were anesthetized using sodium pentobarbital for veterinary use (Diabutal) administered intravenously in doses of 30 mg/kg of body weight. Through a midline abdominal incision, the skin and subcutaneous tissue were reflected laterally and the anterior rectus fascia was exposed. An appropriate section of this fascia was excised and cleaned of all muscle fibers and connective tissue. The fascial segment was then folded over a catheter stent so that the parietal surface corresponded to the intimal aspect of the tubular graft constructed as shown in Fig 1. Using a References 1. Halpert, B., et al: Fate of Homografts and Prostheses of the Human Aorta , Surg Gynec Obstet 111:659-674 ( (Dec) ) 1960. 2. Harrison, J.: Synthetic Materials as Vascular Prostheses , Amer J Surg 95:3-15 ( (Jan) ) 1958.Crossref 3. Foster, J.H.; Ekman, C.A.; and Scott, H.W., Jr.: Late Behavior of Vascular Substitutes: Three to Five Year Follow-up of Arterial Homografts and Synthetic Prostheses , Ann Surg 151:867-878 ( (June) ) 1960.Crossref 4. Phillips, C.E.; DeWeese, J.A.; and Campeti, F.L.: Comparison of Peripheral Arterial Grafts: Experimental Observations of Hemodynamic Changes Using Cineangiography , Arch Surg 82:38-48 ( (Jan) ) 1961.Crossref 5. Wesolowski, S.A.: Evaluation of Tissue and Prosthetic Vascular Grafts , Springfield, Ill: Charles C Thomas, Publisher, 1962. 6. Edwards, W.S.: Plastic Arterial Grafts , Springfield, Ill: Charles C Thomas, Publisher, 1958. 7. Edwards, W.S.: " Clinical Experience with Teflon Grafts ," in Fundamentals of Vascular Grafting , New York: McGraw-Hill Book Co., Inc., 1963. 8. Crawford, E.S., et al: " Use of Crimped Knitted Dacron Grafts in Patients With Occlusive Disease of the Aorta, Iliac, Femoral and Popliteal Arteries ," in Fundamentals of Vascular Grafting , New York: McGraw-Hill Book Co., Inc., 1963. 9. Cousar, J.E., and Lam, C.R.: Rectus Sheath Grafts in Vascular Repair , Arch Surg 65:471-476 ( (Sept) ) 1952.Crossref 10. Kehne, J.H., and Sensenig, D.M.: Arterial Replacement With Rectus Fascia: An Experimental Study , Arch Surg 72:516-519 ( (March) ) 1956.Crossref 11. Fisher, B., et al: The Fate of Autogenous Skin Tubes as Aorta Grafts , Surg Gynec Obstet 102:309-314 ( (March) ) 1956. 12. Sauvage, L.R., and Wood, S.J.: " The Use of Autogenous Tissues as Arterial Grafts ," in Fundamentals of Vascular Grafting , New York: McGraw-Hill Book Co., Inc., 1963. 13. Dale, W.A.: " Autogenous Venous Grafts ," in Fundamentals of Vascular Grafting , New York: McGraw-Hill Book Company, Inc., 1963. 14. Nunn, D.B., et al: Autogenous Veins as Arterial Substitutes , Ann Surg 160:14-22 ( (July) ) 1964.Crossref 15. Sako, Y., and Varco, R.L.: Ten-Year Observations on Autologous Pericardial and Venous Grafts in the Thoracic Aorta: An Experimental Study , Surgery 51:465-470 ( (April) ) 1962. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Autologous Rectus Fascia as an Arterial Replacement: A Two-Year Experimental Study

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References (15)

Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1968.01340010154020
Publisher site
See Article on Publisher Site

Abstract

Abstract ALTHOUGH vascular prostheses enjoy widespread clinical acceptance,1-8 the application of autologous tissue as arterial substitutes is an appealing concept. The purpose of this study was to reevaluate the use of autologous anterior rectus fascia as an arterial graft with longer periods of observation in order to clarify conflicting results of similar studies previously reported.9,10 Materials and Methods Healthy mongrel dogs were anesthetized using sodium pentobarbital for veterinary use (Diabutal) administered intravenously in doses of 30 mg/kg of body weight. Through a midline abdominal incision, the skin and subcutaneous tissue were reflected laterally and the anterior rectus fascia was exposed. An appropriate section of this fascia was excised and cleaned of all muscle fibers and connective tissue. The fascial segment was then folded over a catheter stent so that the parietal surface corresponded to the intimal aspect of the tubular graft constructed as shown in Fig 1. Using a References 1. Halpert, B., et al: Fate of Homografts and Prostheses of the Human Aorta , Surg Gynec Obstet 111:659-674 ( (Dec) ) 1960. 2. Harrison, J.: Synthetic Materials as Vascular Prostheses , Amer J Surg 95:3-15 ( (Jan) ) 1958.Crossref 3. Foster, J.H.; Ekman, C.A.; and Scott, H.W., Jr.: Late Behavior of Vascular Substitutes: Three to Five Year Follow-up of Arterial Homografts and Synthetic Prostheses , Ann Surg 151:867-878 ( (June) ) 1960.Crossref 4. Phillips, C.E.; DeWeese, J.A.; and Campeti, F.L.: Comparison of Peripheral Arterial Grafts: Experimental Observations of Hemodynamic Changes Using Cineangiography , Arch Surg 82:38-48 ( (Jan) ) 1961.Crossref 5. Wesolowski, S.A.: Evaluation of Tissue and Prosthetic Vascular Grafts , Springfield, Ill: Charles C Thomas, Publisher, 1962. 6. Edwards, W.S.: Plastic Arterial Grafts , Springfield, Ill: Charles C Thomas, Publisher, 1958. 7. Edwards, W.S.: " Clinical Experience with Teflon Grafts ," in Fundamentals of Vascular Grafting , New York: McGraw-Hill Book Co., Inc., 1963. 8. Crawford, E.S., et al: " Use of Crimped Knitted Dacron Grafts in Patients With Occlusive Disease of the Aorta, Iliac, Femoral and Popliteal Arteries ," in Fundamentals of Vascular Grafting , New York: McGraw-Hill Book Co., Inc., 1963. 9. Cousar, J.E., and Lam, C.R.: Rectus Sheath Grafts in Vascular Repair , Arch Surg 65:471-476 ( (Sept) ) 1952.Crossref 10. Kehne, J.H., and Sensenig, D.M.: Arterial Replacement With Rectus Fascia: An Experimental Study , Arch Surg 72:516-519 ( (March) ) 1956.Crossref 11. Fisher, B., et al: The Fate of Autogenous Skin Tubes as Aorta Grafts , Surg Gynec Obstet 102:309-314 ( (March) ) 1956. 12. Sauvage, L.R., and Wood, S.J.: " The Use of Autogenous Tissues as Arterial Grafts ," in Fundamentals of Vascular Grafting , New York: McGraw-Hill Book Co., Inc., 1963. 13. Dale, W.A.: " Autogenous Venous Grafts ," in Fundamentals of Vascular Grafting , New York: McGraw-Hill Book Company, Inc., 1963. 14. Nunn, D.B., et al: Autogenous Veins as Arterial Substitutes , Ann Surg 160:14-22 ( (July) ) 1964.Crossref 15. Sako, Y., and Varco, R.L.: Ten-Year Observations on Autologous Pericardial and Venous Grafts in the Thoracic Aorta: An Experimental Study , Surgery 51:465-470 ( (April) ) 1962.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1968

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