Treatment of Syphilitic Aneurysms by Cellophane Wrapping

Poppe, J. Karl; Oliveira, H. Renault de

doi:10.1016/s0096-5588(20)31422-7

Cited by 45 publications

(3 citation statements)

References 6 publications

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“…Unfortunately, the progress of the second patient had worsened due to a postoperative infection, and the cellophane wrapping had to be replaced by ligation. Clinical success with cellophane wrapping was also reported later [24] in a series of aortic aneurysms.…”

Section: An Overview Of Wrapping Techniques In Vascular Surgerymentioning

confidence: 71%

Reinforcing the aneurysmal aorta by additional layering: old and new strategies to prevent rupture

Chirila

2024

Explor Cardiol

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Adventitial crosslinking is a method in current investigational stage for preventing the rupture of aortic aneurysms. It is based on the photochemical crosslinking of adventitial collagen by exposure to ultraviolet A radiation. Essentially, an adventitial top layer is generated that displays enhanced mechanical properties and imparts additional strength and stiffness to the aneurysmal wall. Looking back upon the history of aortic surgery during 1940s, the aortic film wrapping, then dubbed “cellophane wrapping”, also was a procedure employed for delaying the aneurysmal rupture. In principle, the two procedures are similar in that both result in laminar composites, although the top layers differ fundamentally from each other. This review discussed in some detail the use and clinical outcomes of the aortic wrapping with artificial films, also mentioning the contemporary procedures still grouped under this umbrella term. The focus of the review was a comparative view on two procedures, the aortic film wrapping and adventitial crosslinking. It was concluded that the methods are different in many aspects, including the mechanisms of action. In fact, the promoters of adventitial crosslinking were not aware of the prior existence of aortic film wrapping. However, the achievements of the classical wrapping, by now regarded as merely historical episodes, did not discard prior knowledge, but repurposed it in a process that led to innovative strategies.

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Section: An Overview Of Wrapping Techniques In Vascular Surgerymentioning

confidence: 71%

Reinforcing the aneurysmal aorta by additional layering: old and new strategies to prevent rupture

Chirila

2024

Explor Cardiol

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“…The preferred technique, introduced in 1943 by Harrison and Chandy, 13 was to wrap the aneurysm with cellophane, which contains the irritant dicetyl phosphate. Later, Poppe and De Oliviera 14 used various types of polythene plastic films for this purpose. The results were unpredictable, but numerous physicians reported successful treatments.…”

Section: Early Modern Treatmentsmentioning

confidence: 99%

Aortic Surgery

Cooley

2012

Semin Cardiothorac Vasc Anesth

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Aortic aneurysms have been recognized since at least the 2nd century. However, little progress in their treatment was made until the early 1800s, when surgical ligation of these lesions sometimes proved successful. Until the mid 20th century, the most widespread approach was indirect treatment to provide palliation and prevent rupture. Such treatment involved introducing foreign materials into the aneurysm to promote blood coagulation or wrapping the aneurysm with plastic film to stimulate periarterial fibrosis. In 1888, Rudolph Matas introduced endoaneurysmorrhaphy, in which the diseased portion of the aorta was removed and a tunnel was constructed through the remaining healthy portion. This approach was widely used until the 1950s, when the advent of synthetic grafts allowed modern, direct repair. Emphasis began to be placed on excising aortic aneurysms and restoring pulsatile distal flow. In the 1980s, however, most surgeons reverted to the endoaneurysmorrhaphy technique-this time relining rather than removing the diseased portion of the aorta-thus bringing the history of aortic aneurysm surgery full circle. Today, an increasing number of aortic repairs are being achieved with endovascular methods, which offer new hope to patients at high risk for traditional aortic surgery.

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“…2). During the following decades little progress was made in the treatment of aneurysms, although there were sporadic reports of successful treatments with cellophane wrapping of the aortic aneurysm [6,7]. In December 1948, Albert Einstein (Fig.…”

Section: Historymentioning

confidence: 99%