Vein cuff interposition prevents juxta-anastomotic neointimal hyperplasia.

Abstract:

:This study sought to minimize juxta-anastomotic neointimal hyperplasia (JNIH) following the use of polytetrafluorethylene (PTFE) conduits. PTFE anastomoses to canine carotid arteries (noncuff grafts) were compared with grafts with vein cuffs interposed proximally and distally between the graft and native artery. This technique has been suggested clinically for below-knee PTFE femoropopliteal reconstruction. Twelve dogs received aspirin for 1 week before operation, which was continued after each animal received bilateral cuff and noncuff 4-mm PTFE grafts. At sacrifice, after 3-12 weeks, graft patency was assessed and luminal diameters measured with ophthalmic calipers at three sites along the anastomoses and 1 mm proximal or distal to graft toe (A' diameter). Specimens were perfusion fixed at arterial pressure for gross and histologic study; selected arteries were additionally fixed with 4% buffered glutaraldehyde, stored at 4 C, and examined immunochemically using antimyosin antibody immunopurified for smooth muscle. Overall patency of noncuff grafts in 11 long-term surviving dogs was 4 of 11; patency of the cuff grafts was 7 of 11. Regardless of graft thrombosis, antibody positive cellular proliferation occurred mainly at noncuffed PTFE anastomoses. Luminal encroachment was predominantly due to subintimal proliferation of cells highly reactive to smooth muscle derived antibody. JNIH was most prominent 1 mm distal to the graft toe (A' distal diameter). Average A' for noncuff grafts was 1.82 mm +/- 0.97 SEM; average A' diameter for cuff grafts was 3.41 mm +/- 0.74 SEM (p less than 0.001). Vein cuff inhibition of proliferation of smooth muscle or cells derived from smooth muscle possibly relates to wider distribution of kinetic energy (less compliance mismatch) or to interposition of venous endothelium.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Suggs WD,Henriques HF,DePalma RG

doi

10.1097/00000658-198806000-00011

subject

Has Abstract

pub_date

1988-06-01 00:00:00

pages

717-23

issue

6

eissn

0003-4932

issn

1528-1140

journal_volume

207

pub_type

杂志文章
  • Resection for pancreatitis in patients with pancreas divisum.

    abstract::Pancreas divisum is an anatomic duct variant, which may predispose to pancreatitis. Most patients are managed conservatively, but some patients justify attempts to improve drainage. The correct surgical approach is not yet established, and there has been no series published concerning pancreatic resection in this cont...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198411000-00006

    authors: Blair AJ 3rd,Russell CG,Cotton PB

    更新日期:1984-11-01 00:00:00

  • Banded Versus Nonbanded Sleeve Gastrectomy: A Randomized Controlled Trial With 3 Years of Follow-up.

    abstract:OBJECTIVE:The aim of this study was to compare silicone-banded sleeve gastrectomy (BSG) to nonbanded sleeve gastrectomy (SG) regarding weight loss, obesity-related comorbidities, and complications. SUMMARY BACKGROUND DATA:As a primary bariatric procedure, SG leads to excellent weight loss, yet weight regain is a relev...

    journal_title:Annals of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/SLA.0000000000004174

    authors: Fink JM,Hetzenecker A,Seifert G,Runkel M,Laessle C,Fichtner-Feigl S,Marjanovic G

    更新日期:2020-11-01 00:00:00

  • Gastrinoma excision for cure. A prospective analysis.

    abstract::The role of surgery in the treatment of gastrinoma is unclear. The purpose of this study was to determine prospectively the surgical cure rate using a controlled clinical trial. Eleven patients who fit the entry criteria underwent abdominal exploration and attempted tumor resection for cure. A historical control group...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199001000-00002

    authors: Howard TJ,Zinner MJ,Stabile BE,Passaro E Jr

    更新日期:1990-01-01 00:00:00

  • One thousand liver transplants. The lessons learned.

    abstract:OBJECTIVE:To evaluate the first 1000 liver transplants performed at UCLA Medical Center to determine factors responsible for improved results. SUMMARY BACKGROUND DATA:Liver transplant has evolved impressively since the first case was performed in 1963. The 1980s have highlighted this progress with the development of b...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199405000-00007

    authors: Busuttil RW,Shaked A,Millis JM,Jurim O,Colquhoun SD,Shackleton CR,Nuesse BJ,Csete M,Goldstein LI,McDiarmid SV

    更新日期:1994-05-01 00:00:00

  • Laparoscopic skills suffer on the first shift of sequential night shifts: program directors beware and residents prepare.

    abstract:OBJECTIVE:Research evaluating fatigue-induced skills decline has focused on acute sleep deprivation rather than the effects of circadian desynchronization associated with multiple shifts. As a result, the number of consecutive night shifts that residents can safely be on duty without detrimental effects to their techni...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181661a99

    authors: Leff DR,Aggarwal R,Rana M,Nakhjavani B,Purkayastha S,Khullar V,Darzi AW

    更新日期:2008-03-01 00:00:00

  • Nonfunctioning islet cell tumors.

    abstract::In nonfunctioning islet cell tumors of the pancreas, hormone production is not clinically evident. This type of tumor constituted 15% of all islet cell tumors seen at the Mayo Clinic from 1960 through 1978. Although identical to functioning islet cell tumors embryologically and histologically, the nonfunctioning tumor...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198102000-00010

    authors: Kent RB 3rd,van Heerden JA,Weiland LH

    更新日期:1981-02-01 00:00:00

  • Long term transhepatic intubation for hilar hepatic duct strictures.

    abstract::A technique for repairing benign hilar hepatic duct strictures using transhepatic intubation with a large bore silastic stent is described. This procedure has been used in 10 patients. In 9 instances the stricture involved the common hepatic duct, and in one patient the right and left hepatic ducts. Nine of the strict...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197605000-00005

    authors: Cameron JL,Skinner DB,Zuidema GD

    更新日期:1976-05-01 00:00:00

  • Multisource Evaluation of Surgeon Behavior Is Associated With Malpractice Claims.

    abstract:OBJECTIVE:We merged direct, multisource, and systematic assessments of surgeon behavior with malpractice claims, to analyze the relationship between surgeon 360-degree reviews and malpractice history. BACKGROUND:Previous work suggests that malpractice claims are associated with a poor physician-patient relationship, w...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000002742

    authors: Lagoo J,Berry WR,Miller K,Neal BJ,Sato L,Lillemoe KD,Doherty GM,Kasser JR,Chaikof EL,Gawande AA,Haynes AB

    更新日期:2019-07-01 00:00:00

  • Popliteal artery trauma. Systemic anticoagulation and intraoperative thrombolysis improves limb salvage.

    abstract:OBJECTIVE:This study was conducted to evaluate those factors associated with popliteal artery injury that influence amputation, with emphasis placed on those that the surgeon can control. SUMMARY BACKGROUND DATA:Generally accepted factors impacting amputation after popliteal artery injury include blunt trauma, prolong...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199705000-00009

    authors: Melton SM,Croce MA,Patton JH Jr,Pritchard FE,Minard G,Kudsk KA,Fabian TC

    更新日期:1997-05-01 00:00:00

  • The role of primary surgical procedure in maintaining intestinal continuity for patients with Crohn's colitis.

    abstract:OBJECTIVE:This study evaluates surgical procedures for Crohn's colitis. The risk of recurrence and how it interacts with future avoidance of permanent stoma and quality of life (QoL) is studied. BACKGROUND:Segmental and subtotal colectomy are widely used surgical options in isolated Crohn's colitis. It is not clear wh...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e318212b1a4

    authors: Kiran RP,Nisar PJ,Church JM,Fazio VW

    更新日期:2011-06-01 00:00:00

  • True Short Esophagus in Gastro-esophageal Reflux Disease: Old Controversies With New Perspectives.

    abstract::MINI: In cases of true short esophagus diagnosed intraoperatively with an endoscopic-laparoscopic method, Collis-Nissen and stomach around stomach fundoplication procedures achieved similar results. The notion that the gastric fundus must be wrapped around a conveniently long segment of the tubular esophagus to obtain...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000003582

    authors: Lugaresi M,Mattioli B,Daddi N,Bassi F,Pilotti V,Ferruzzi L,Mattioli S

    更新日期:2019-09-03 00:00:00

  • Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity.

    abstract:OBJECTIVE:To evaluate the short-term outcomes for laparoscopic Roux-en-Y gastric bypass in 275 patients with a follow-up of 1 to 31 months. SUMMARY BACKGROUND DATA:The Roux-en-Y gastric bypass is a highly successful approach to morbid obesity but results in significant perioperative complications. A laparoscopic appro...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-200010000-00007

    authors: Schauer PR,Ikramuddin S,Gourash W,Ramanathan R,Luketich J

    更新日期:2000-10-01 00:00:00

  • International Multicenter Study on the Impact of Extracapsular Lymph Node Involvement in Primary Surgery Adenocarcinoma of the Esophagus on Overall Survival and Staging Systems.

    abstract:OBJECTIVE:The current pathological lymph node (pN) staging is based on the number of positive lymph nodes but does not take into consideration characteristics of the involved lymph nodes itself. The current study aims to examine the prognostic value of extracapsular lymph node involvement (EC-LNI) and intracapsular lym...

    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/SLA.0000000000001463

    authors: Nafteux PR,Lerut AM,Moons J,Hölscher AH,Bollschweiler E,van Berge Henegouwen MI,Lagarde SM,van Lanschot JJ,Messager M,Mariette C,D'Journo XB,Thomas PA,De Leyn PR

    更新日期:2015-11-01 00:00:00

  • Does preoperative radiation therapy enhance the probability of local control and survival in high-risk distal rectal cancer?

    abstract::One hundred forty-eight patients were treated with preoperative radiation therapy and surgery for resectable rectal adenocarcinoma at the University of Florida between 1975 and 1986. All patients had at least 5 years' follow-up; no patient was lost to follow-up. Three treatment protocols were used over the study perio...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00000658-199206000-00017

    authors: Mendenhall WM,Bland KI,Copeland EM 3rd,Summers GE,Pfaff WW,Souba WW,Million RR

    更新日期:1992-06-01 00:00:00

  • Significantly increased pregnancy rates after laparoscopic restorative proctocolectomy: a cross-sectional study.

    abstract:OBJECTIVE:To assess the impact of a laparoscopic approach on female fecundity in ileoanal pouch surgery. BACKGROUND:Restorative proctocolectomy with ileal pouch anal anastomosis (IPAA) is associated with tubal factor infertility in female patients. Different studies showed less adhesion formation after laparoscopic co...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/SLA.0b013e318250caa9

    authors: Bartels SA,DʼHoore A,Cuesta MA,Bensdorp AJ,Lucas C,Bemelman WA

    更新日期:2012-12-01 00:00:00

  • A rational approach to surgery of the chronic venous statis syndrome.

    abstract::Ambulatory venous pressure (AVP) and ascending and retro-grade phlebography have been used to elucidate the precise pathogenetic factors in cases of venous stasis. On the bases of this information, procedures aimed at the correction of the particular pathophysiological alterations were carried out. Fifty-two lower ext...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198201001-00004

    authors: Schanzer H,Peirce EC 2nd

    更新日期:1982-01-01 00:00:00

  • Defining "the elderly" undergoing major gastrointestinal resections: receiver operating characteristic analysis of a large ACS-NSQIP cohort.

    abstract:OBJECTIVE:"The elderly" is an often used but poorly defined descriptor of surgical patients. Investigators have used varying subjectively determined age cutoffs to report outcomes in the elderly. We set out to use objective outcomes data to determine the "at-risk" elderly population. METHODS: PATIENTS:129,331 patient...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3182a196d8

    authors: Kurian AA,Wang L,Grunkemeier G,Bhayani NH,Swanström LL

    更新日期:2013-09-01 00:00:00

  • Role of insulin as a portal factor in maintaining the viability of liver.

    abstract::The subcutaneous administration of insulin did not induce a significant effect on oxidative phosphorylation of the mitochondria from normal rat liver. However, in rats subjected to ligation of a branch of portal vein, the phosphorylative activity of the mitochondria from the ligated lobe deprived of portal blood fell ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197411000-00002

    authors: Ozawa K,Yamada T,Honjo I

    更新日期:1974-11-01 00:00:00

  • Myocardial revascularization: a rebuttal of the cooperative study.

    abstract::From January 1972 through December 1974, at Saint Louis University Medical Center (SLU), 345 patients similar to those of the VA Cooperative Coronary Artery Study received CABG. Operative mortality was SLU 2.3%, VA 5.6% (p < 0.05). Perioperative myocardial infarction rate was SLU 8.4%, VA 18% (p < 0.005). One year gra...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197809000-00008

    authors: Kaiser GC,Barner HB,Tyras DH,Codd JE,Mudd JG,Willman VL

    更新日期:1978-09-01 00:00:00

  • A systematic study of host defense processes in badly injured patients.

    abstract::A prospective study of factors predisposing to infection in badly injured patients has disclosed: the dominant roles of two specific parameters: monocyte antigen presenting capacity, and opsonic capacity of diluted serum; the potential value of further assessment of: the predictive value of plots of activated T-cells/...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:

    authors: Polk HC Jr,George CD,Wellhausen SR,Cost K,Davidson PR,Regan MP,Borzotta AP

    更新日期:1986-09-01 00:00:00

  • Surgical management of abdominal aortic aneurysms: factors influencing mortality and morbidity--a 20-year experience.

    abstract::Abdominal aortic aneurysmectomy is being performed with progressively lower operative mortality and morbidity. Three hundred thirty seven patients have had elective aneurysm repair since 1954. Factors affecting mortality and morbidity in the last 108 cases are analyzed. Seventy-four per cent of patients had pre-existi...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197505000-00020

    authors: Thompson JE,Hollier LH,Patman RD,Persson AV

    更新日期:1975-05-01 00:00:00

  • The optimum excision margin and regional node management for primary cutaneous T3 melanomas (2-4 mm in Thickness): a retrospective study of 1587 patients treated at a single center.

    abstract:OBJECTIVE:To determine the optimum excision margin and nodal management for patients with primary cutaneous melanomas 2.01- to 4.00-mm thick (T3 melanomas). BACKGROUND:Currently available evidence does not reliably define the minimum safe excision margin and best nodal management for patients with primary cutaneous T3...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000000792

    authors: Lamboo LG,Haydu LE,Scolyer RA,Quinn MJ,Saw RP,Shannon KF,Spillane AJ,Stretch JR,Bonenkamp JJ,Thompson JF

    更新日期:2014-12-01 00:00:00

  • Total parathyroidectomy with forearm autograft for secondary hyperparathyroidism in chronic renal failure.

    abstract::One hundred twenty-eight patients with chronic renal failure and secondary hyperparathyroidism underwent total parathyroidectomy with forearm autograft. Postoperative clinical improvement was remarkable. In all cases, the grafted tissue functioned well, and reimplantation of the cryopreserved parathyroid tissues was u...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198811000-00016

    authors: Takagi H,Tominaga Y,Tanaka Y,Uchida K,Orihara A,Yamada N,Kawai M,Hayashi S,Taira N,Kano T

    更新日期:1988-11-01 00:00:00

  • Embryonic Origin of Primary Colon Cancer Predicts Pathologic Response and Survival in Patients Undergoing Resection for Colon Cancer Liver Metastases.

    abstract:BACKGROUND:The aim of this study was to determine the prognostic value of embryonic origin in patients undergoing resection after chemotherapy for colon cancer liver metastases (CCLM). METHODS:We identified 725 patients with primary colon cancer and known RAS mutation status who underwent hepatic resection after preop...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000002087

    authors: Yamashita S,Brudvik KW,Kopetz SE,Maru D,Clarke CN,Passot G,Conrad C,Chun YS,Aloia TA,Vauthey JN

    更新日期:2018-03-01 00:00:00

  • Intraperitoneal povidone-iodine in experimental peritonitis.

    abstract::Two experimental models were utilized to study the efficacy of intraperitoneal povidone-iodine in an established peritonitis. In both models, there was a 100% mortality in the povidone-iodine treated group. In laboratories which have reported favorable results, the animals were treated before peritonitis was allowed t...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197806000-00005

    authors: Lagarde MC,Bolton JS,Cohn I Jr

    更新日期:1978-06-01 00:00:00

  • Experience with 100 consecutive simultaneous kidney-pancreas transplants with bladder drainage.

    abstract::From December 1985 to December 1989, 100 consecutive simultaneous pancreas-kidney (SPK) transplants were performed at the University of Wisconsin Hospital and Clinics. Bladder drainage technique was used for all grafts. One- and three-year patient survival was 93% and 90%; kidney survival, 90% and 85%; and pancreas su...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199112000-00010

    authors: Sollinger HW,Knechtle SJ,Reed A,D'Alessandro AM,Kalayoglu M,Belzer FO,Pirsch J

    更新日期:1991-12-01 00:00:00

  • Protective effects of ischemic preconditioning for liver resection performed under inflow occlusion in humans.

    abstract:OBJECTIVE:To determine whether ischemic preconditioning protects the human liver against a subsequent period of ischemia in patients undergoing hemihepatectomy, and to identify possible underlying protective mechanisms of ischemic preconditioning, such as inhibition of hepatocellular apoptosis. SUMMARY BACKGROUND DATA...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-200008000-00001

    authors: Clavien PA,Yadav S,Sindram D,Bentley RC

    更新日期:2000-08-01 00:00:00

  • Pulmonary microembolism associated with massive transfusion: II. The basic pathophysiology of its pulmonary effects.

    abstract::In animals pulmonary hypertension, a decrease in total body O2 consumption and metabolic acidosis occur after transfusion of blood with an elevated screen filtration pressure (SFP) through standard blood transfusion filters. The purpose of this study was to define in detail the pulmonary abnormalities that develop fol...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197507000-00011

    authors: Barrett J,Dawidson I,Dhurandhar HN,Miller E,Litwin MS

    更新日期:1975-07-01 00:00:00

  • Analysis of reduced death and complication rates after esophageal resection.

    abstract:OBJECTIVE:To identify factors that have contributed to reduced rates of death and complications after esophageal resection in a 17-year period at a tertiary referral center. SUMMARY BACKGROUND DATA:There has been an evolving refinement in surgical technique and perioperative management of patients undergoing esophagea...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-200103000-00006

    authors: Whooley BP,Law S,Murthy SC,Alexandrou A,Wong J

    更新日期:2001-03-01 00:00:00

  • Group IIA phospholipase A2 mediates lung injury in intestinal ischemia-reperfusion.

    abstract:OBJECTIVE:To assess the mechanistic role of group IIA phospholipase A2 (PLA2) in the process of local and distant organ injury after intestinal ischemia-reperfusion. SUMMARY BACKGROUND DATA:Intestinal ischemia-reperfusion produces lung injury by a mechanism that involves PLA2 activation, but it is unclear which isozym...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-200007000-00013

    authors: Koike K,Yamamoto Y,Hori Y,Ono T

    更新日期:2000-07-01 00:00:00