Technique of implantation and feasibility, "in vitro" in aortas porcinas, of anastomose vascular end-terminal

Authors

DOI:

https://doi.org/10.33448/rsd-v10i14.22113

Keywords:

Vascular prosthesis; Vascular prosthesis implantation; Surgical anastomosis.

Abstract

The aim of this study was to demonstrate the feasibility, "in vitro", in porcin aortas, of end-to-end vascular anastomosis, with UnitaryAnastomotic Device (UAD®), titanium and describe the implant technique. This is an experimental, "in vitro" study carried out at the Experimental Surgery Center of the Federal University of Pernambuco. The external and internal aspects of vascular anastomoses presented: Absence of elbow or bulging in the anastomoses and maintenance of the longitudinal axis of the vessel, as well as macroscopic integrity of the vascular endothelium, regular edges, absence of suture at the site of the anastomoses, absence of irregularities and roughness. Based on this experimental study, it can be concluded that the terminal-terminal Anastomoses "in vitro", with porcin aortas and titanium prosthesis - UAD®- Unitary Anastomotic Device: Did not present external deformations at pressure of up to 420 mmHg; Externally maintained regularity, without cotoves, without bulging, without deformities in the longitudinal plane of the aorta, between the proximal and distal cables to the anastomosis;  Internally, all anastomoses maintained the circular shape, regular lips, intact endothelium macroscopically, complete absence of suture threads, absence of roughness and lacerations and all anastomoses resisted 420mmHg, without leakage.

Author Biographies

Euclides Martins Tenório, Universidade de Pernambuco

Prof. Adjunto do Departamento de Cirurgia 

Fernando Ribeiro de Moraes Neto, Universidade Federal de Pernambuco

Prof. Adjunto do Departamento de Cirurgia

Luiz Gonzaga Granja Filho, Universidade do ABC

Prof. Visitante do Departamento de Cirurgia

João Henrique de Andrade Torres, Instituto do Coração de Pernambuco

Residente de Cirurgia Cardiovascular do Instituto do Coração de Pernambuco

Patricia Eduardo Teles Correia, Instituto do Coração de Pernambuco

Residente de Cirurgia cardiovascular do Instituto do Coração de Pernambuco

References

Androsov, P. I. (1956). New method of surgical treatment of blood vessel lesions. Arch Surg, 73:902-10.

Bernardes, R. C., Reis Filho, F A., Marino, R. L., Marino, M. A., Castro, A. C., Rabelo, W. & Rabelo R. C. (1995). Surgical correction of aortic disease using intraluminal, crimped bovine pericardial graft. Ann Thoracic Surg. 60: S316-S21.

Berger, R. L., Karlson, K. J., Dunton, R. F. & Leonardi, H. K. (1992). Replacement of the thoracic aorta with intraluminal sutureless prosthesis. Ann Thoracic Surg., 53(5):920-7.

Blakemore, A. H. & Lord, J. W., Jr. (1945). A Nonsuture Method Of Blood Vessel Anastomosis: Experimental And Clinical Study. J Am Med Assoc., 127(12):685-91.

Corner, N. B. & Smith, R. E. (1994). Surgical diathermy is not suitable for vascular tissue welding. J R Army Med Corps.140 (3):127-31.

Dumanian, G. A., Dacombe, W. & Hong, C. (1995). A new photopolymerizable blood vessel glue that seals human vessel anastomoses without augmenting thrombogenicity. PlastReconstr Surg, 95:901-7.

Fröjd, V., Jeppsson, A. (2016). Reexploration for bleeding and its association with mortality after cardiac surgery. Ann Thoracic Surg., 102(1):109-17.

Gomes, O.M., Armelin, E., Macruz, R., Brum, J. M. G., Ribeiro, M. P., Minittengag J., J, Verginelli, G., Pileggi, F., Zerbini, E. J. (1982). Anastomose artério-venosa com laser. ArchBrasCardiol, 37(supl.1):117.

Granja Filho, L. G. (1998). Anastomose vascular término-lateral sem clampeamento sem sutura, com a prótese LG1, a uma pressão de 100 Mmhg. [Dissertação]. Recife. Pós-Graduação Cirurgia: Universidade Federal de Pernambuco.

Granja Filho, L. G. (2001). Anastomose Vascular Término-terminal, Múltipla a um só tempo, sem clampeamento e sem sutura com a prótese LG1 – Estudo Experimental: Tese doutorado. Universidade Federal do Paraná.

Guyton, R. A., McClenathan, J. H. & Michaelis, L. L. (1979). A mechanical device for sutureless aorta-saphenous vein anastomosis. Ann Thoracic Surg., 28(4):342-5.

Gyrkó, G., Bornemisza, G., Furka, I., & Czehelnik, R. Experience with tissue adhesives in 500 experimental vascular junctions. Am Surg ,40:210-5. 1974.

Jeong, W., Kim, K., Son, D. & Kim, Yunkun (2019). New Absorbable Microvascular Anastomotic Devices Representing a Modified Sleeve Technique: Evaluation of Two Types of Source Material and Design. Sci Rep, 9 (945): 1-11.

Lemole, G. M., Strong, M. D., Spagna, P. M., & Karmilowicz, N. P. (19882). Improved results for dissecting aneurysms: intraluminal sutureless prosthesis. J Thoracic Cardiovasc Surg., 83(2):249-55.

Lu, Q., Liu, K., Zhang, W. et al. (2020). End-to-end vascular anastomosis using a novel magnetic compression device in rabbits: a preliminary study. Sci Rep, 10(5981):1-7.

Oz, M. C, Ashton, Jr. R. C., MeNicholas, K. W. & Lemole, G. M. (1990). Sutureless ring graft replacement of ascending aorta and aortic arch. Ann Thoracic Surg., 50(1):74-9.

Rocha, E. A. V. & Souza, C. D. (2007). Avaliação hemodinâmica de anastomoses arteriais reforçadas com selante de fibrina: estudo experimental em suínos. Braz J CardioSurg., 22(1):81-6.

Samuels, P. B. (1955). Method of blood vessel anastomosis by means of metal clips. Arch Surg., 70:29-38.

Silveira, R.K., Granja Filho, L.G., Silveira, M.J.D.C. & Ferraz, E.M. (1998). Modelo experimental" in vitro" de uma nova técnica cirúrgica: anastomose biliodigestiva término-lateral sem sutura com utilização da prótese LG1. An Fac Med Univ Fed Pernamb., 151-4.

Schmiedt, W., Gruber, G., Iversen, S., & Oelert, H. (1994). Laser Welding-Suitable for Vascular Anastomosis? ThoracCardiovascr Surg., 42(06):333-6.

Swanson E, de Lima Lopes J, de Barros ALBL (2015). Factors associated with excessive bleeding after cardiac surgery: A prospective cohort study. Heart & Lung. 30:1e6.

Teixeira, M.W., Sá, M. J. C., Teixeira, M. J. D., Pina, F. L., Souza, A. F. A. & Azevedo, A. S. (2011). Utilization of the unitary anastomotic device metallic ring and the conventional technique of suture for experimental anastomosis of the carotid artery in dogs. Braz J Vet Res AnimSci. 48(6):503-11.

Vokrri, L., Krasniqi, X., Qavdarbasha, A., Hyseni, N., Cinquin, P. & Porcu, P. & Sessa, C. (2014). The vascular connector, design of a new device for sutureless vascular anastomosis. Annals of Surgical Innovation and research, 8(8): 1-7.

Weissber D, Goetz R. H. (1964). Necrosis of arterial wall following application of methyl 2-cyanoacrylate. Surg Gynecol Obstet. 19:1248-52.

Woodward S. C, Herrmann J. B, Cameron J. L, et al. (1965).Histotoxicity of cyanocrylate tissue adhesive in the rat. Ann Surg. 162:113-22.

Zhu, Z, Wang, Xiang, Huang, J., Li Jialiang, Ding, X. et al. (2018). Mechanical versus Hand-Sewn Venous Anastomoses in Free Flap Reconstruction: A Systematic Review and Meta-Analysis. Plast Reconstr Surg 141(5):1272–81.

Published

03/11/2021

How to Cite

TENÓRIO, E. M. .; MORAES NETO, F. R. de .; GRANJA FILHO, L. G.; TORRES, J. H. de A. .; CORREIA, P. E. T. .; PITTA, G. B. B. .; REIS, R. P. dos. Technique of implantation and feasibility, "in vitro" in aortas porcinas, of anastomose vascular end-terminal. Research, Society and Development, [S. l.], v. 10, n. 14, p. e334101422113, 2021. DOI: 10.33448/rsd-v10i14.22113. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/22113. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences