Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1984-10-3
pubmed:abstractText
Thrombogenicity of graft material, low velocity of blood flow, and wall collapsibility have been cited as the main factors responsible for the high occlusion rate of vascular prostheses placed in the venous system. This study was performed to analyze the effects of measures taken to overcome each of these factors. The thrombogenicity of expanded polytetrafluoroethylene (ePTFE) was evaluated by determination of the 3-hour deposition of radionuclide-labeled platelets and fibrin on grafts placed in the infrarenal vena cava of 18 dogs. Wetting the prosthesis with heparin before implantation significantly decreased platelet deposition at the cranial anastomosis (p less than 0.025) and on the graft surface (p less than 0.01), whereas the decrease of fibrin deposition was not statistically significant. The effects of flow velocity and graft support were studied in 44 dogs subjected to iliocaval bypass. The results of these studies demonstrated that a flow-increasing arteriovenous fistula was necessary to maintain patency of ePTFE grafts (p less than 0.01) but did not enhance patency of autogenous vein grafts. External ring support of ePTFE grafts did not significantly improve early patency. Decreasing thrombogenicity by wetting the grafts with heparin and increasing the blood flow by constructing an arteriovenous fistula helps in overcoming failure of venous vascular prostheses.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0039-6060
pubmed:author
pubmed:issnType
Print
pubmed:volume
96
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
503-10
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1984
pubmed:articleTitle
Overcoming failure of venous vascular prostheses.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't