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Clinical Use of Synthetic Arterial Substitutes in Three Hundred Seventeen Patients

Clinical Use of Synthetic Arterial Substitutes in Three Hundred Seventeen Patients Abstract In recent years increasing interest has been devoted to the direct surgical treatment of various forms of aortic and arterial disease. In general, three principles of therapy have been developed, namely, excision with restoration of normal continuity, the by-pass procedure, and thromboendarterectomy. The indications for each of these procedures is dependent upon the nature and extent of the disease. Although the value and efficacy of these methods of therapy have now become well established, there remain certain problems in their practical application. These are concerned particularly with the first two methods, in which a vascular replacement is required. The significance of this problem is well illustrated by our own experience. Thus, during the six-year period since the adoption of these methods of therapy we have employed some form of vascular replacement in approximately 1000 cases. In the great majority of these, more than three-fourths of the cases, homografts have been References 1. Made available through the courtesy of Dr. Paul Sanger, Charlotte, N. C. 2. Made available through the courtesy of Dr. Paul Sanger, Charlotte, N. C. 3. Cooley, D. A.; De Bakey, M. E., and Morris, G. C., Jr.: Controlled Extracorporeal Circulation in Surgical Treatment of Aortic Aneurysms , Ann. Surg. 145:898, 1957.Crossref 4. Crawford, E. S., and De Bakey, M. E.: The By-Pass Operation in the Treatment of Arteriosclerotic Occlusive Disease of the Lower Extremities , Surg. Gynec. & Obst. 101:529, 1955. 5. Crawford, E. S., and Henly, W. S.: The Fate of Equine Heterografts: An Experimental Study, to be published. 6. Creech, O., Jr.; De Bakey, M. E.; Self, M. M., and Halpert, B.: The Fate of Heterologous Arterial Grafts: An Experimental Study , Surgery 36:431, 1954. 7. De Bakey, M. E.; Crawford, E. S.; Cooley, D. A., and Creech, O., Jr.: The Use of Flexible Knitted Dacron Tubes as Aortic and Peripheral Arterial Replacements, to be published. 8. De Bakey, M. E.; Cooley, D. A., and Creech, O., Jr.: Aneurysm of the Aorta Treated by Resection: Analysis of 313 Cases , J. A. M. A. 163:1439, 1957. 9. De Bakey, M. E.; Creech, O., Jr., and Morris, G. C., Jr.: Aneurysm of Thoracoabdominal Aorta Involving Celiac, Superior Mesenteric, and Renal Arteries: Report of 4 Cases Treated by Resection and Homograft Replacement , Ann. Surg. 144:549, 1956. 10. De Bakey, M. E.; Crawford, E. S., and Cooley, D. A.: Chronic Arterial Insufficiency of the Lower Extremities , DM, p. 3, Feb., 1957. 11. De Bakey, M. E.; Creech, O., Jr., and Cooley, D. A.: Occlusive Disease of the Aorta and Its Treatment by Resection and Homograft Replacement , Ann. Surg. 140:290, 1954. 12. De Bakey, M. E., and Cooley, D. A.: Surgical Treatment of Aneurysm of Abdominal Aorta by Resection and Restoration of Continuity with Homograft , Surg. Gynec. & Obst. 97:257, 1953. 13. Deterling, R. A., Jr., and Bhonslay, S. B.: An Evaluation of Synthetic Materials and Fabrics Suitable for Blood Vessel Replacement , Surgery 38:71, 1955. 14. Edwards, W. S., and Tapp, J. S.: Chemically Treated Nylon Tubes as Arterial Grafts , Surgery 38:61, 1955. 15. Linton, R. R.; Shumacker, H. B., Jr.; Julian, O. C.; Deterling, R. A.; Edwards, W. S., and Creech, O., Jr.: Vascular Prostheses , Surgery 41:62, 1957. 16. Sanger, P. W.; Taylor, F. H.; McCall, R. E.; Duchesne, R., and Lepage, G.: Seamless Synthetic Arterial Grafts , J. A. M. A. 160:1403, 1956. 17. Shumway, N. E.; Gliedman, M. L., and Lewis, F. J.: An Experimental Study of the Use of Polyvinyl Sponge for Aortic Grafts , Surg. Gynec. & Obst. 100:703, 1955. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Clinical Use of Synthetic Arterial Substitutes in Three Hundred Seventeen Patients

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Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1958.01280200083009
Publisher site
See Article on Publisher Site

Abstract

Abstract In recent years increasing interest has been devoted to the direct surgical treatment of various forms of aortic and arterial disease. In general, three principles of therapy have been developed, namely, excision with restoration of normal continuity, the by-pass procedure, and thromboendarterectomy. The indications for each of these procedures is dependent upon the nature and extent of the disease. Although the value and efficacy of these methods of therapy have now become well established, there remain certain problems in their practical application. These are concerned particularly with the first two methods, in which a vascular replacement is required. The significance of this problem is well illustrated by our own experience. Thus, during the six-year period since the adoption of these methods of therapy we have employed some form of vascular replacement in approximately 1000 cases. In the great majority of these, more than three-fourths of the cases, homografts have been References 1. Made available through the courtesy of Dr. Paul Sanger, Charlotte, N. C. 2. Made available through the courtesy of Dr. Paul Sanger, Charlotte, N. C. 3. Cooley, D. A.; De Bakey, M. E., and Morris, G. C., Jr.: Controlled Extracorporeal Circulation in Surgical Treatment of Aortic Aneurysms , Ann. Surg. 145:898, 1957.Crossref 4. Crawford, E. S., and De Bakey, M. E.: The By-Pass Operation in the Treatment of Arteriosclerotic Occlusive Disease of the Lower Extremities , Surg. Gynec. & Obst. 101:529, 1955. 5. Crawford, E. S., and Henly, W. S.: The Fate of Equine Heterografts: An Experimental Study, to be published. 6. Creech, O., Jr.; De Bakey, M. E.; Self, M. M., and Halpert, B.: The Fate of Heterologous Arterial Grafts: An Experimental Study , Surgery 36:431, 1954. 7. De Bakey, M. E.; Crawford, E. S.; Cooley, D. A., and Creech, O., Jr.: The Use of Flexible Knitted Dacron Tubes as Aortic and Peripheral Arterial Replacements, to be published. 8. De Bakey, M. E.; Cooley, D. A., and Creech, O., Jr.: Aneurysm of the Aorta Treated by Resection: Analysis of 313 Cases , J. A. M. A. 163:1439, 1957. 9. De Bakey, M. E.; Creech, O., Jr., and Morris, G. C., Jr.: Aneurysm of Thoracoabdominal Aorta Involving Celiac, Superior Mesenteric, and Renal Arteries: Report of 4 Cases Treated by Resection and Homograft Replacement , Ann. Surg. 144:549, 1956. 10. De Bakey, M. E.; Crawford, E. S., and Cooley, D. A.: Chronic Arterial Insufficiency of the Lower Extremities , DM, p. 3, Feb., 1957. 11. De Bakey, M. E.; Creech, O., Jr., and Cooley, D. A.: Occlusive Disease of the Aorta and Its Treatment by Resection and Homograft Replacement , Ann. Surg. 140:290, 1954. 12. De Bakey, M. E., and Cooley, D. A.: Surgical Treatment of Aneurysm of Abdominal Aorta by Resection and Restoration of Continuity with Homograft , Surg. Gynec. & Obst. 97:257, 1953. 13. Deterling, R. A., Jr., and Bhonslay, S. B.: An Evaluation of Synthetic Materials and Fabrics Suitable for Blood Vessel Replacement , Surgery 38:71, 1955. 14. Edwards, W. S., and Tapp, J. S.: Chemically Treated Nylon Tubes as Arterial Grafts , Surgery 38:61, 1955. 15. Linton, R. R.; Shumacker, H. B., Jr.; Julian, O. C.; Deterling, R. A.; Edwards, W. S., and Creech, O., Jr.: Vascular Prostheses , Surgery 41:62, 1957. 16. Sanger, P. W.; Taylor, F. H.; McCall, R. E.; Duchesne, R., and Lepage, G.: Seamless Synthetic Arterial Grafts , J. A. M. A. 160:1403, 1956. 17. Shumway, N. E.; Gliedman, M. L., and Lewis, F. J.: An Experimental Study of the Use of Polyvinyl Sponge for Aortic Grafts , Surg. Gynec. & Obst. 100:703, 1955.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Feb 1, 1958

References