In vivo and mechanical properties of peritoneum/fascia as a novel arterial substitute

Sarac, Timur P.; Carnevale, Kevin; Smedira, Nickolas; Tanquilut, Eugene M.; Augustinos, Peter; Patel, Ankita; Naska, Theresa; Clair, Daniel G.; Ouriel, Kenneth

doi:10.1016/j.jvs.2004.11.033

Cited by 20 publications

(20 citation statements)

References 13 publications

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“…Pena and Husni, in 1968, compared autogenous vein with Dacron in femoral artery patch angioplasty on dogs, and the time course of the study ranged from 2 weeks to 9 months. 20,25,31 In the present study, there were no clinical complications. The results were confirmed through clinical evaluation, Doppler fluxometry, angiography, and the measure of femoral vein diameter.…”

Section: Discussionsupporting

confidence: 43%

“…The major complications with the use of the patches are similar to those of the other kind of arterial substitutes: thrombosis, rupture or pseudoaneurysm formation, and operatory wound infection. [20][21][22][23][24][25][26][27] The rate of aneurismal formation and resistance to rupture of bovine pericardium, Dacron, PTFE, and greater saphenous vein have been reported in the literature. Biasi et al, in 2002, reported no cases of rupture or aneurismal formation by the use of bovine pericardium patch angioplasty during carotid endarterectomy in 323 cases.…”

Section: Discussionmentioning

confidence: 99%

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Sugarcane biopolymer patch in femoral vein angioplasty on dogs

Barros-Marques

Marques-Lins

Albuquerque

et al. 2012

Journal of Vascular Surgery

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The sugarcane biopolymer membrane is easily synthesized with a low cost of production. This membrane has been used in many areas of experimental surgery as in the healing of skin wounds, in urinary reconstruction, in reconstruction of tympanic membrane, and as an arterial substitute, but there is no report of its use as a vein substitute. In order to evaluate the possibility of using the sugarcane biopolymer membrane in venous reconstructive surgery, this study analyzed its utilization in femoral vein patch angioplasty.

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Section: Discussionsupporting

confidence: 43%

Section: Discussionmentioning

confidence: 99%

Sugarcane biopolymer patch in femoral vein angioplasty on dogs

Barros-Marques

Marques-Lins

Albuquerque

et al. 2012

Journal of Vascular Surgery

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“…One other biomaterial that has been reported after use in an animal study is a combination patch, with one side of the patch constructed from glutaraldehyde-fixed bovine peritoneum/fascia, and the other side constructed from polyester 54. This interesting patch was tested in femoral arteries of dogs and found to have, at 6 months, no degeneration and complete reendothelialization; the mechanical strength was superior to that of bovine pericardial patches.…”

Section: Types Of Patchesmentioning

confidence: 99%

Patches for carotid artery endarterectomy: Current materials and prospects

Muto

Nishibe²,

Dardik

et al. 2009

Journal of Vascular Surgery

110

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Patch angioplasty is commonly performed after carotid endarterectomy. Randomized prospective trials and meta-analyses have documented improved rates of perioperative and long-term stroke prevention as well as reduced rates of restenosis for patches compared to primary closure of the arteriotomy. Although use of vein patches is considered to be the “gold standard” for patch closure, newer generations of synthetic and biological materials rival outcomes associated with vein patches. Future bioengineered patches are likely to optimize patch performance, both by achieving minimal stroke risk and long-term rates of restenosis, as well as by minimizing the risk of unusual complications of prosthetic patches such as infection and pseudoaneurysm formation; in addition, lessons from bioengineered patches will likely enable construction of bioengineered and tissue-engineered bypass grafts.

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“…For these reasons, the parietal peritoneum has been proposed as a vascular substitute. For instance, Sarac et al studied a fascia-peritoneum patch as a pledget for an infected aortic stump [11] and as an arterial substitute in femoral artery patch angioplasty on dogs [12]. Garcia-Graz et al [13] created a vascular autograft with the posterior rectus aponeurosis including the subjacent peritoneum in seven dogs, and performed an implantation on the aorta by an end-to-end surgical anastomosis; to avoid the dilatation of the graft the authors encircled the fasciaperitoneum with three rings made of a 3/0 silk floss.…”

Section: Introductionmentioning

confidence: 99%

The Peritoneum as a Natural Scaffold for Vascular Regeneration

et al. 2012

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Objective The peritoneum has the same developmental origin as blood vessels, is highly reactive and poorly thrombogenic. We hypothesize that parietal peritoneum can sustain development and regeneration of new vessels. Methods and Results The study comprised two experimental approaches. First, to test surgical feasibility and efficacy of the peritoneal vascular autograft, we set up an autologous transplantation procedure in pigs, where a tubularized parietal peritoneal graft was covered with a metal mesh and anastomosed end-to-end in the infrarenal aorta. Second, to dissect the contribution of graft vs host cells to the newly developed vessel wall, we performed human-to-rat peritoneal patch grafting in the abdominal aorta and examined the origin of endothelial and smooth muscle cells. In pig experiments, the graft remodeled to an apparently normal blood vessel, without thrombosis. Histology confirmed arterialization of the graft with complete endothelial coverage and neointimal hyperplasia in the absence of erosion, inflammation or thrombosis. In rats, immunostaining for human mitochondri revealed that endothelial cells and smooth muscle cells rarely were of human origin. Remodeling of the graft was mainly attributable to local cells with no clear evidence of c-kit+ endothelial progenitor cells or c-kit+ resident perivascular progenitor cells. Conclusions The parietal peritoneum can be feasibly used as a scaffold to sustain the regeneration of blood vessels, which appears to occur through the contribution of host-derived resident mature cells.

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In vivo and mechanical properties of peritoneum/fascia as a novel arterial substitute

Cited by 20 publications

References 13 publications

Sugarcane biopolymer patch in femoral vein angioplasty on dogs

Sugarcane biopolymer patch in femoral vein angioplasty on dogs

Patches for carotid artery endarterectomy: Current materials and prospects

The Peritoneum as a Natural Scaffold for Vascular Regeneration

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