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Experimental Nylon Aortic Substitutes: Results After Two Years' Implantation in the Dog

Experimental Nylon Aortic Substitutes: Results After Two Years' Implantation in the Dog Abstract Pliable plastic aortic substitutes have enjoyed an increasing extension of use since the introduction of Vinyon N by Voorhees, Jaretzki, and Blakemore.23 Complications have, in general, been meager; however, the many experimental studies concerning this subject include very few reports in which the follow-up period was as long as two years.1,2,4-17,19-22,24 Recent evidence indicates a loss of as much as 80% of the strength of nylon six months after implantation.8 The importance of the synthetic fabric itself as a part of the newly formed artery is emphasized by Shumacker's experience18 in which removal of the plastic tube from a newly formed vessel was followed by aneurysm formation. The fibrous sheath alone was unable to maintain the integrity of the vessel wall when subjected to the pressure of the arterial system. In another instance, following resection of a large aortic aneurysm with insertion of a nylon graft, References 1. Barnett, W. O.: The Experimental Use of Nylon Tubes as Aortic Substitutes , Mississippi Doctor 34:117, 1956. 2. Blakemore, A. H., and Voorhees, A. B., Jr.: The Use of Tubes Constructed from Vinyon "N" in Bridging Arterial Defects—Experimental and Clinical , Ann. Surg. 140:324, 1954.Crossref 3. Claytor, H.; Birch, L.; Cardwell, E. S., and Zimmerman, S. L.: Suture-Line Rupture of a Nylon Aortic Bifurcation Graft into the Small Bowel , A. M. A. Arch. Surg. 73:947, 1956.Crossref 4. Deterling, R. A., Jr., and Bhonslay, S. B.: An Appraisal of Woven Synthetic Prostheses in the Vascular System , A. M. A. Arch. Surg. 72:76, 1956.Crossref 5. Egdahl, R. H.: Silicone Rubber as Aortic Grafting Material , A. M. A. Arch. Surg. 71:694, 1955.Crossref 6. Edwards, W. S., and Tapp, J. S.: Chemically Treated Nylon Tubes as Arterial Grafts , Surgery 38:61, 1955. 7. Girvin, G. W.; Wilhelm, M. C., and Merendino, K. A.: The Use of Teflon Fabrics as Arterial Grafts , Am. J. Surg. 92:240, 1956.Crossref 8. Harris, E. J.; Shumacker, H. B.; Siderys, H.; Moore, T. C., and Grice, P. E.: Pliable Plastic Aortic Grafts , A. M. A. Arch. Surg. 71:449, 1955.Crossref 9. Harrison, J. H.: The Use of Teflon as a Blood Vessel Replacement in Experimental Animals , Surg. Gynec. & Obst. 104:81, 1957. 10. Hufnagel, C. A., and Rabil, P.: Replacement of Arterial Segments, Utilizing Flexible Orlon Prostheses , A. M. A. Arch. Surg. 70:105, 1955. 11. Julian, O. C.; Deterling, R. A., Jr., Su, H. H.; Dye, W. S., and Belio, M. L.: Dacron Tube and Bifurcation Arterial Prostheses Produced to Specification , Surgery 41:50, 1957. 12. Kittle, C. F., and Taquechel, C.: A Preliminary Investigation of Dermal Heterografts (Leather) as Prostheses for Vascular Defects , A. M. A. Arch. Surg. 74:96, 1957. 13. Lary, B. G.; Meine, E. L., Jr., and de Takats, G.: The Experimental Use of Steel Mesh Tubes for the Replacement of Arterial Segments , A. M. A. Arch. Surg. 72:69, 1956. 14. Mortensen, J. D., and Grindlay, J. H.: Molded, Seamless Tubes of Polyvinyl Formalized Sponge , A. M. A. Arch. Surg. 72:871, 1956. 15. Ouzounian, G. S.: Arterial Grafting with Yard-Goods Nylon Cloth , A. M. A. Arch. Surg. 73:192, 1956. 16. Poth, E. J.; Johnson, J. K., and Childers, J. H.: The Use of Plastic Fabrics as Arterial Prostheses , Ann. Surg. 142:624, 1955. 17. Self, M. M.; Cooley, D. A.; DeBakey, M. D., and Creech, O.: The Use of Braided Nylon Tubes for Aortic Replacement , Ann. Surg. 142:836, 1955. 18. Shumacker, in discussion on Julian et al.11 19. Shumacker, H. B., Jr.; Harris, E. J., and Siderys, H.: Pliable Plastic Tubes as Aortic Substitutes , Surgery 37:80, 1955. 20. 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. 21. Sanger, P. W.; Taylor, F. H.; Matsuba, T., and Salomone, F.: The of Artificial Fiber as an Artery Substitute , Ann. Surg. 143:862, 1956. 22. Szilagyi, D. E.; Shonnard, C. P.; Lopez y Lopez, J., and Smyth, N. P. D.: The Replacement of Long and Narrow Arterial Segments , Surgery 40:1043, 1956. 23. Voorhees, A. B.; Jaretzki, A., III, and Blakemore, A. H.: The Use of Tubes Constructed from Vinyon "N" Cloth in Bridging Arterial Defects , Ann. Surg. 135:332, 1952.Crossref 24. Wesolowski, S. A., and Sauvage, L. R.: Comparison of the Fate of Orlon Mesh Prosthetic Replacement of the Thoracic Aorta and Aortic Bifurcation , Ann. Surg. 143:65, 1956.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Experimental Nylon Aortic Substitutes: Results After Two Years' Implantation in the Dog

A.M.A. Archives Surgery , Volume 76 (1) – Jan 1, 1958

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Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1958.01280190003001
Publisher site
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Abstract

Abstract Pliable plastic aortic substitutes have enjoyed an increasing extension of use since the introduction of Vinyon N by Voorhees, Jaretzki, and Blakemore.23 Complications have, in general, been meager; however, the many experimental studies concerning this subject include very few reports in which the follow-up period was as long as two years.1,2,4-17,19-22,24 Recent evidence indicates a loss of as much as 80% of the strength of nylon six months after implantation.8 The importance of the synthetic fabric itself as a part of the newly formed artery is emphasized by Shumacker's experience18 in which removal of the plastic tube from a newly formed vessel was followed by aneurysm formation. The fibrous sheath alone was unable to maintain the integrity of the vessel wall when subjected to the pressure of the arterial system. In another instance, following resection of a large aortic aneurysm with insertion of a nylon graft, References 1. Barnett, W. O.: The Experimental Use of Nylon Tubes as Aortic Substitutes , Mississippi Doctor 34:117, 1956. 2. Blakemore, A. H., and Voorhees, A. B., Jr.: The Use of Tubes Constructed from Vinyon "N" in Bridging Arterial Defects—Experimental and Clinical , Ann. Surg. 140:324, 1954.Crossref 3. Claytor, H.; Birch, L.; Cardwell, E. S., and Zimmerman, S. L.: Suture-Line Rupture of a Nylon Aortic Bifurcation Graft into the Small Bowel , A. M. A. Arch. Surg. 73:947, 1956.Crossref 4. Deterling, R. A., Jr., and Bhonslay, S. B.: An Appraisal of Woven Synthetic Prostheses in the Vascular System , A. M. A. Arch. Surg. 72:76, 1956.Crossref 5. Egdahl, R. H.: Silicone Rubber as Aortic Grafting Material , A. M. A. Arch. Surg. 71:694, 1955.Crossref 6. Edwards, W. S., and Tapp, J. S.: Chemically Treated Nylon Tubes as Arterial Grafts , Surgery 38:61, 1955. 7. Girvin, G. W.; Wilhelm, M. C., and Merendino, K. A.: The Use of Teflon Fabrics as Arterial Grafts , Am. J. Surg. 92:240, 1956.Crossref 8. Harris, E. J.; Shumacker, H. B.; Siderys, H.; Moore, T. C., and Grice, P. E.: Pliable Plastic Aortic Grafts , A. M. A. Arch. Surg. 71:449, 1955.Crossref 9. Harrison, J. H.: The Use of Teflon as a Blood Vessel Replacement in Experimental Animals , Surg. Gynec. & Obst. 104:81, 1957. 10. Hufnagel, C. A., and Rabil, P.: Replacement of Arterial Segments, Utilizing Flexible Orlon Prostheses , A. M. A. Arch. Surg. 70:105, 1955. 11. Julian, O. C.; Deterling, R. A., Jr., Su, H. H.; Dye, W. S., and Belio, M. L.: Dacron Tube and Bifurcation Arterial Prostheses Produced to Specification , Surgery 41:50, 1957. 12. Kittle, C. F., and Taquechel, C.: A Preliminary Investigation of Dermal Heterografts (Leather) as Prostheses for Vascular Defects , A. M. A. Arch. Surg. 74:96, 1957. 13. Lary, B. G.; Meine, E. L., Jr., and de Takats, G.: The Experimental Use of Steel Mesh Tubes for the Replacement of Arterial Segments , A. M. A. Arch. Surg. 72:69, 1956. 14. Mortensen, J. D., and Grindlay, J. H.: Molded, Seamless Tubes of Polyvinyl Formalized Sponge , A. M. A. Arch. Surg. 72:871, 1956. 15. Ouzounian, G. S.: Arterial Grafting with Yard-Goods Nylon Cloth , A. M. A. Arch. Surg. 73:192, 1956. 16. Poth, E. J.; Johnson, J. K., and Childers, J. H.: The Use of Plastic Fabrics as Arterial Prostheses , Ann. Surg. 142:624, 1955. 17. Self, M. M.; Cooley, D. A.; DeBakey, M. D., and Creech, O.: The Use of Braided Nylon Tubes for Aortic Replacement , Ann. Surg. 142:836, 1955. 18. Shumacker, in discussion on Julian et al.11 19. Shumacker, H. B., Jr.; Harris, E. J., and Siderys, H.: Pliable Plastic Tubes as Aortic Substitutes , Surgery 37:80, 1955. 20. 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. 21. Sanger, P. W.; Taylor, F. H.; Matsuba, T., and Salomone, F.: The of Artificial Fiber as an Artery Substitute , Ann. Surg. 143:862, 1956. 22. Szilagyi, D. E.; Shonnard, C. P.; Lopez y Lopez, J., and Smyth, N. P. D.: The Replacement of Long and Narrow Arterial Segments , Surgery 40:1043, 1956. 23. Voorhees, A. B.; Jaretzki, A., III, and Blakemore, A. H.: The Use of Tubes Constructed from Vinyon "N" Cloth in Bridging Arterial Defects , Ann. Surg. 135:332, 1952.Crossref 24. Wesolowski, S. A., and Sauvage, L. R.: Comparison of the Fate of Orlon Mesh Prosthetic Replacement of the Thoracic Aorta and Aortic Bifurcation , Ann. Surg. 143:65, 1956.Crossref

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Jan 1, 1958

References