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Plastic Grafts for Aortic Substitution in Man

Plastic Grafts for Aortic Substitution in Man Abstract A steadily increasing need for blood vessel substitutes has arisen as a result of recent advances in the treatment of aneurysms, coarctation of the aorta, and obstructive lesions of the aorta and major arteries. Autogenous veins may be used for peripheral arterial grafts but are not suitable for aortic replacement. Preserved homologous arteries have, in general, served well. They are, however, difficult to procure in adequate numbers. They have the additional theortical disadvantages of not surviving as living structures and of being subject to late degenerative changes. In at least a few instances, they have been followed by aneurysmal dilatation or disruption. It has, therefore, seemed logical to inquire into the possibility of using inert plastic grafts. Voorhees, Jaretzki, and Blakemore1 were the first to demonstrate that tubes of Vinyon N cloth could be employed successfully for grafts to the canine aorta. Shortly afterward my associates and I began References 1. 24 F nylon fabric. The Stehli Company, Inc., 1372 Broadway, New York. 2. PE-2600 Polythene film, 0.0015 in. thickness. Clay-Adams Company, Inc., 308 Washington St., Chicago. 3. HT-5F Nylon filter fabric. Equipment Development Company, Inc., 368 Bloomfield Ave., Montclair, N. J. 4. Initially supplied by Mr. J. S. Tapp, Research Dept., The Chemstrand Corporation, Decatur, Ala.; later obtained from C. R. Bard, Inc., Summit, N. J. 5. Made by George P. Pilling and Son Company, 3451 Walnut St., Philadelphia 4. 6. Voorhees, G. B., Jr.; Jaretszki, A., III, and Blakemore, A. H.: Use of Tubes Constructed from Vinyon "N" in Bridging Arterial Defects: Prelinimany Report , Ann. Surg. 135:332, 1952.Crossref 7. Shumacker, H. B., Jr.; Harris, E. J., and Siderys, H.: Pliable Plastic Tubes as Aortic Substitutes , Surgery 37:80, 1955. 8. Harris, E. J.; Shumacker, H. B., Jr.; Siderys, H.; Moore, T. C., and Grice, P. F.: Pliable Plastic Aortic Grafts: Experimental Comparison of a Number of Materials , A. M. A. Arch. Surg. 71:449, 1955.Crossref 9. Shumacker, H. B., Jr.: Plastic Replacement of Diseased Arterial Segments , Minnesota Med. 38:927, 1955. 10. Shumacker, H. B., Jr., et al.: Comparative Experimental Study of Aortic Grafts, Surgery, to be published. 11. Shumacker, H. B., Jr., and King, H.: The Use of Pliable Plastic Tubes as Aortic Substitutes in Man , Surg. Gynec. & Obst. 99:287, 1954. 12. Shumacker, H. B., Jr., and Garrett, R.: Obstructive Uropathy from Abdominal Aortic Aneurysm , Surg., Gynec. & Obst. 100:758, 1955. 13. Shumacker, H. B., Jr., and King, H.: Surgical Treatment of Ruptured Aortic Aneurysms , A. M. A. Arch. Surg. 71:768, 1955. 14. Shumacker, H. B., Jr., and Jontz, J.: Rupture of Abdominal Aortic Aneurysm into Inferior Vena Cava: Successful Surgical Repair, Am. Surgeon, to be published. 15. Shumacker, H. B., Jr., and Harris, J.: Cure of Dissecting Aneurysm of Thoracic Aorta by Total Excision , A. M. A. Arch. Surg. 73:991, 1956. 16. Edwards, W. S., and Tapp, J. S.: Chemically Treated Nylon Tubes as Arterial Grafts , Surgery 38:61, 1955. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Plastic Grafts for Aortic Substitution in Man

A.M.A. Archives Surgery , Volume 75 (3) – Sep 1, 1957

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Publisher
American Medical Association
Copyright
Copyright © 1957 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1957.01280150103011
Publisher site
See Article on Publisher Site

Abstract

Abstract A steadily increasing need for blood vessel substitutes has arisen as a result of recent advances in the treatment of aneurysms, coarctation of the aorta, and obstructive lesions of the aorta and major arteries. Autogenous veins may be used for peripheral arterial grafts but are not suitable for aortic replacement. Preserved homologous arteries have, in general, served well. They are, however, difficult to procure in adequate numbers. They have the additional theortical disadvantages of not surviving as living structures and of being subject to late degenerative changes. In at least a few instances, they have been followed by aneurysmal dilatation or disruption. It has, therefore, seemed logical to inquire into the possibility of using inert plastic grafts. Voorhees, Jaretzki, and Blakemore1 were the first to demonstrate that tubes of Vinyon N cloth could be employed successfully for grafts to the canine aorta. Shortly afterward my associates and I began References 1. 24 F nylon fabric. The Stehli Company, Inc., 1372 Broadway, New York. 2. PE-2600 Polythene film, 0.0015 in. thickness. Clay-Adams Company, Inc., 308 Washington St., Chicago. 3. HT-5F Nylon filter fabric. Equipment Development Company, Inc., 368 Bloomfield Ave., Montclair, N. J. 4. Initially supplied by Mr. J. S. Tapp, Research Dept., The Chemstrand Corporation, Decatur, Ala.; later obtained from C. R. Bard, Inc., Summit, N. J. 5. Made by George P. Pilling and Son Company, 3451 Walnut St., Philadelphia 4. 6. Voorhees, G. B., Jr.; Jaretszki, A., III, and Blakemore, A. H.: Use of Tubes Constructed from Vinyon "N" in Bridging Arterial Defects: Prelinimany Report , Ann. Surg. 135:332, 1952.Crossref 7. Shumacker, H. B., Jr.; Harris, E. J., and Siderys, H.: Pliable Plastic Tubes as Aortic Substitutes , Surgery 37:80, 1955. 8. Harris, E. J.; Shumacker, H. B., Jr.; Siderys, H.; Moore, T. C., and Grice, P. F.: Pliable Plastic Aortic Grafts: Experimental Comparison of a Number of Materials , A. M. A. Arch. Surg. 71:449, 1955.Crossref 9. Shumacker, H. B., Jr.: Plastic Replacement of Diseased Arterial Segments , Minnesota Med. 38:927, 1955. 10. Shumacker, H. B., Jr., et al.: Comparative Experimental Study of Aortic Grafts, Surgery, to be published. 11. Shumacker, H. B., Jr., and King, H.: The Use of Pliable Plastic Tubes as Aortic Substitutes in Man , Surg. Gynec. & Obst. 99:287, 1954. 12. Shumacker, H. B., Jr., and Garrett, R.: Obstructive Uropathy from Abdominal Aortic Aneurysm , Surg., Gynec. & Obst. 100:758, 1955. 13. Shumacker, H. B., Jr., and King, H.: Surgical Treatment of Ruptured Aortic Aneurysms , A. M. A. Arch. Surg. 71:768, 1955. 14. Shumacker, H. B., Jr., and Jontz, J.: Rupture of Abdominal Aortic Aneurysm into Inferior Vena Cava: Successful Surgical Repair, Am. Surgeon, to be published. 15. Shumacker, H. B., Jr., and Harris, J.: Cure of Dissecting Aneurysm of Thoracic Aorta by Total Excision , A. M. A. Arch. Surg. 73:991, 1956. 16. Edwards, W. S., and Tapp, J. S.: Chemically Treated Nylon Tubes as Arterial Grafts , Surgery 38:61, 1955.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Sep 1, 1957

References