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Vein Grafts in the Venous System: An Experimental Evaluation of Autogenous Veins Used as Bypass Implants

Vein Grafts in the Venous System: An Experimental Evaluation of Autogenous Veins Used as Bypass... Abstract End-to-end implantation of a graft is the most commonly used procedure for vein implants in the venous system. In contrast to the growing literature on this method of venous grafting,1 no information is available on the end-to-side implants. Since in some clinical conditions it might be necessary to carry out a bypass procedure around veins involved by thrombosis or neoplastic invasions, its experimental investigation appeared desirable. The present study was therefore designed to evaluate the fate of such grafts and was carried out in two venous areas: the jugular and the inferior vena cava. Methods and Material Fifty-six adult mongrel dogs weighing 10 to 19 kg were used. The procedures were performed under intravenous anesthesia with pentobarbital (Nembutal) (12 mg/kg body weight).Fresh autogenous grafts were used in all experiments and secured from the right external jugular vien. A four-stay suture technique2 was always used for the end-to-side References 1. Coumadin was supplied by Endo Laboratories, Inc. 2. Zinicola, N., and Haimovici, H.: Grafts in the Venous System: An Experimental and Clinical Evaluation; Review of the Literature, in preparation. 3. Haimovici, H.: A Four-Stay Suture Technique for End-to-Side Arterial Anastomosis , Surgery 47:266-267, 1960. 4. Bryant, M. F., Jr.; Lazenby, W. D.; and Howard, J. M.: Experimental Replacement of Short Segments of Veins , AMA Arch Surg 76:289-293, 1958.Crossref 5. Earle, A. S.; Horsley, J. S.; Villavicencio, J. L.; and Warren, R.: Replacement of Venous Defects by Venous Autografts , AMA Arch Surg 80:119-124, 1960.Crossref 6. Schauble, J. F.; Anlyan, W. G.; and Postlethwait, R. W.: A Study of Grafts in the Venous System , AMA Arch Surg 78:288-292, 1959.Crossref 7. Collins, H. A.; Burrus, G.; and DeBakey, M. E.: Experimental Evaluation of Grafts in the Canine Inferior Vena Cava , Amer J Surg 99:40-44, 1960.Crossref 8. Rousselot, L. M.: Autogenous Vein Grafts in Splenorenal Anastomosis , Surgery 31:403-410, 1952. 9. Symbas, P. N.; Foster, J. H.; and Scott, H. W., Jr.: Experimental Vein Grafting in the Portal Venous System , Surgery 50:97-106, 1961. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Vein Grafts in the Venous System: An Experimental Evaluation of Autogenous Veins Used as Bypass Implants

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Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310160004002
Publisher site
See Article on Publisher Site

Abstract

Abstract End-to-end implantation of a graft is the most commonly used procedure for vein implants in the venous system. In contrast to the growing literature on this method of venous grafting,1 no information is available on the end-to-side implants. Since in some clinical conditions it might be necessary to carry out a bypass procedure around veins involved by thrombosis or neoplastic invasions, its experimental investigation appeared desirable. The present study was therefore designed to evaluate the fate of such grafts and was carried out in two venous areas: the jugular and the inferior vena cava. Methods and Material Fifty-six adult mongrel dogs weighing 10 to 19 kg were used. The procedures were performed under intravenous anesthesia with pentobarbital (Nembutal) (12 mg/kg body weight).Fresh autogenous grafts were used in all experiments and secured from the right external jugular vien. A four-stay suture technique2 was always used for the end-to-side References 1. Coumadin was supplied by Endo Laboratories, Inc. 2. Zinicola, N., and Haimovici, H.: Grafts in the Venous System: An Experimental and Clinical Evaluation; Review of the Literature, in preparation. 3. Haimovici, H.: A Four-Stay Suture Technique for End-to-Side Arterial Anastomosis , Surgery 47:266-267, 1960. 4. Bryant, M. F., Jr.; Lazenby, W. D.; and Howard, J. M.: Experimental Replacement of Short Segments of Veins , AMA Arch Surg 76:289-293, 1958.Crossref 5. Earle, A. S.; Horsley, J. S.; Villavicencio, J. L.; and Warren, R.: Replacement of Venous Defects by Venous Autografts , AMA Arch Surg 80:119-124, 1960.Crossref 6. Schauble, J. F.; Anlyan, W. G.; and Postlethwait, R. W.: A Study of Grafts in the Venous System , AMA Arch Surg 78:288-292, 1959.Crossref 7. Collins, H. A.; Burrus, G.; and DeBakey, M. E.: Experimental Evaluation of Grafts in the Canine Inferior Vena Cava , Amer J Surg 99:40-44, 1960.Crossref 8. Rousselot, L. M.: Autogenous Vein Grafts in Splenorenal Anastomosis , Surgery 31:403-410, 1952. 9. Symbas, P. N.; Foster, J. H.; and Scott, H. W., Jr.: Experimental Vein Grafting in the Portal Venous System , Surgery 50:97-106, 1961.

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1963

References