Skip to main content
Log in

The initial blood retention properties of arterial prostheses

  • Original Papers
  • Published:
Research in Experimental Medicine

Summary

The initial contact between blood and vascular grafts may be a determinant of the fate of the implants. They behave in different ways depending upon their nature: the processed human umbilical vein and the bovine heterograft just lead to minimal thrombotic retention; the expanded PTFE is even more antithrombogenic; the porous polyesters which are porous textiles, should be totally impregnated with a thrombotic matrix to make the wall impervious. These observations were clearly determined by exposing the grafts to blood, incorporating either labeled platelets or labeled fibrinogen, and they were correlated by SEM examination.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. DeBakey ME, Jordan GL, Abbott JP, Halpert B, O'Neal RM (1964) The fate of Dacron vascular grafts. Arch Surg 89:757–782

    PubMed  Google Scholar 

  2. Szilagyi DE, Elliott JP, Hageman JH, Smith RF, Dall'Olmo CA (1973) Biologic fate of autogenous vein implants as arterial substitutes. Clinical, angiographic, and histopathologic observation in femoral-popliteal operations for atherosclerosis. Ann Surg 178:232–244

    PubMed  Google Scholar 

  3. Reichle FA (1978) Criteria for evaluation of new arterial prosthesis by comparing vein with Dacron femoropopliteal bypasses. Surg Gyn Obstet 146:714–720

    Google Scholar 

  4. Darling RC, Linton RR (1972) Durability of femoropopliteal reconstructions. Endarterectomy versus vein bypass grafts. Am J Surg 123:472–479

    PubMed  Google Scholar 

  5. Dardik H, Ibrahim IM, Sussman BC, Kahn M, Dardik I (1982) Glutaraldehyde-tanned human umbilical vein grafts. In: Stanley JC (ed) Biologic and synthetic vascular prostheses. Grune & Stratton, New York, pp 445–465

    Google Scholar 

  6. Cutler BS, Thompson JE, Kleinsasser LJ, Hempel GK (1976) Autologous saphenous vein femoropopliteal bypass grafting. Analysis of 298 cases. Surgery 79:325–331

    PubMed  Google Scholar 

  7. Seansel HC, Fenn JE, Tilson MD, Laks H (1979) Surgical principles and polytetrafluoroethylene. Arch Surg 114:1291–1294

    PubMed  Google Scholar 

  8. Mehta S (1980) A statistical summary of the results of femoro-popliteal bypass surgery published and/or presented during 1965 to 1979. Technical Note no. 175, Newark, Delaware, WL Gore & Associates

    Google Scholar 

  9. Edwards WS, Syder RW, Botzko K, Larkin J (1978) Comparison of durability of tensile strength of Teflon and Dacron grafts. In: Dardik H (ed) Graft materials in vascular surgery, Symposia Specialists, Miami, FL, pp 169–182

    Google Scholar 

  10. Guidoin R, King M, Blais P, Marois M, Gosselin C, Roy P, Courbier R, David M, Noel HP (1981) A biological and structural evaluation of retrieved Dacron arterial prostheses. NBS Special Publication 601:29–129

    Google Scholar 

  11. Weinberg S (1981) The evaluation of explanted umbilical vein grafts. NBS Special Publication 601:449–469

    Google Scholar 

  12. Sauvage LR, Berger KE, Wood SJ, Yates SG II, Smith JC, Mansfield PB (1974) Interspecies healing of porous arterial prostheses. Observations 1960–1974. Arch Surg 109:698–705

    PubMed  Google Scholar 

  13. Dardik I, Dardik H (1975) The fate of human umbilical cord vessels used as inter-position arterial grafts in the baboon. Surg Gyn Obstet 140:567–571

    Google Scholar 

  14. Guidoin R, Levaillant PA, Marois M, Gosselin C, Martin L, Rouleau C, Garneau P, Noël HP, Blais P (1980) Les prothèses en polyéthylène téréphtalate (Dacron) comme substituts artériels. Evaluation des greffes commerciales comme substituts de l'aorte abdominale de chiens. J Mal Vasc 5:3–12

    PubMed  Google Scholar 

  15. Sauvage LR, Walker MW, Berger K, Robel SB, Lischko MM, Yates SG, Logan GA (1979) Current arterial prosthesis — experimental evaluation by implantation in the carotid and circumflex coronary arteries of the dog. Arch Surg 114:687–691

    PubMed  Google Scholar 

  16. Hamlin GW, Rajah SM, Grow MJ, Kester RC (1978) Evaluation of the thrombogenic potential of three types of arterial graft studied in an artificial circulation. Br J Surg 65:272–276

    PubMed  Google Scholar 

  17. Kenny DA, Berger K, Walker MW, Robel SB, Boguslavsky L, Lischko MM, Sauvage LR (1980) Experimental comparison of the thrombogenicity of fibrin and PTFE flow surface. Ann Surg 191:355–361

    PubMed  Google Scholar 

  18. Glowinski S, Worowski K (1981) The haemostatic system components of neo-intima forming in polyester aortic grafts in the early post-operative period. Haematologica 14:383–398

    Google Scholar 

  19. Guidollet J, Chignier E, Devolfe C, Serres-Guillaumod M, Descotes J, Louisot P (1978) Mécanisme de la biosynthèse des glycoconjugues au niveau des parois artérielles après contact avec des matériaux alloplastiques. Ann Biol Clin 36:63–67

    Google Scholar 

  20. Robert AM, Moczar M, Godeau G, Allard R, Moczar E, Robert L, Loisance D, Derouette S, Cachera JP (1976) Biochemical studies on Dacron arterial prostheses. Pathol Biol 24 [Suppl]:42–47

    PubMed  Google Scholar 

  21. Sinzinger H, Silbenbauer K, Winter M, Auerswald W (1979) Relation between fibrinolytic activity and prostacyclin generation of atherosclerotic artery and Dacron prosthetic graft. Experientia 35:785–786

    PubMed  Google Scholar 

  22. Bernier J, Guidoin R (1982) Importance des facteurs thrombodynamiques dans la thrombose aiguë dans les prothèses artérielles. Rev Eur Technol Biomed 4:103–113

    Google Scholar 

  23. Baier R (1982) Physical chemistry of blood-surface interface. In: Stanley JC (ed) Biologic and synthetic vascular prostheses. Grune & Stratton, New York, pp 83–99

    Google Scholar 

  24. Finklestein S, Miller A, Callahan RJ, Fallon JT, Godley F, Feldman BC, Hinton RC, Robert AB, Strauss HW, Lees RS (1982) Imaging of acute arterial injury with 111 Indium in labelled platelets. Comparison with scanning electron micrographs. Radiology 145:155–159

    PubMed  Google Scholar 

  25. Guidoin R, Snyder R, Martin L, Botzko K, Marois M, Awad J, King M, Domurado D, Bedros M, Gosselin C (1984) Albumin coating of a knitted polyester arterial prostheses: an alternative to preclotting. Ann Thorac Surg 37:457–475

    PubMed  Google Scholar 

  26. Hawker RJ, Haecker LM, Wilkinson AR (1980) Indium (III-Indium)-labelled human platelets: optimal method. Clin Sci 58:243–248

    PubMed  Google Scholar 

  27. Thakur ML, Welch MJ, Joist JH, Coleman RE (1976) Indium-III labelled platelets: studies on preparation and evaluation of in vitro and in vivo functions. Thromb Res 9:345–357

    PubMed  Google Scholar 

  28. Karino T, Goldsmith HL (1979) Aggregation and adhesion of human platelets in an annular vortex distal to a tubular expansion. Microvasc Res 17:217–262

    PubMed  Google Scholar 

  29. Ratnoff OD (1981) The role of haemostatic mechanisms. Clin Haematol 10:261–281

    PubMed  Google Scholar 

  30. Hanson SR, Harker LA, Ratner BD, Hoffman AS (1980) In vivo evaluation of artificial surfaces with a nonhuman primate model of arterial thrombosis. J Lab Clin Med 95: 289–304

    PubMed  Google Scholar 

  31. Harker LA, Slichter SJ, Sauvage LR (1977) Platelet consumption by arterial prostheses: The effect of endothelialization and pharmacologic inhibition of platelet function. Ann Surg 186:594–601

    PubMed  Google Scholar 

  32. Downie H, Murphy E, Rowsell H, Mustard JF (1963) Extracorporeal circulation: A device for the quantitative study of thrombus formation. Circ Res 12:441–448

    Google Scholar 

  33. Friedman LI, Leonard EF (1971) Platelet adhesion to artificial surfaces: consequences of flow, exposure time, blood condition and surface nature. Fed Proc 30:1641–1648

    PubMed  Google Scholar 

  34. Yates SG, Nakagawa N, Berger K, Sauvage LR (1973) Surface thrombogenicity of arterial prostheses. Surg Gyn Obstet 136:12–16

    Google Scholar 

  35. Roon AJ, Moore WS, Goldstone J, Towan H, Campagna G (1977) Comparative surface thrombogenicity of implanted vascular grafts. J Surg Res 22:165–173

    PubMed  Google Scholar 

  36. Schultz JS, Goddard JD, Ciarkowski A, Penner JA, Lindernauer SM (1977) An ex-vivo method for the evaluation of biomaterials in contact with blood. Ann NY Acad Sci 282:494–523

    Google Scholar 

  37. Lyman DJ, Metcaff C, Albo D Jr, Richards KF, Lamb J (1974) The effect of chemical structure and surface properties of synthetic polymers on the coagulation of blood. III. In vivo absorption of proteins on polymers surfaces. Trans Am Soc Artif Intern Organs 20:474–478

    PubMed  Google Scholar 

  38. Sawyer PN, Stanczewski B, Turner R, Hoffman H (1978) Evaluation of chemical compaction techniques on the performance, thrombosis rate, histology and healing of experimental similarity fabricated Dacron prostheses. Trans Am Soc Artif Intern Organs 24:215–222

    PubMed  Google Scholar 

  39. Harker LA (1978) Platelet survival time: Its measurement and use. Prof Hemostas Thromb 4:321–347

    Google Scholar 

  40. DePalma VA (1980) Apparatus for zeta potential measurement of rectangular flow cells. Rev Sci Instrum 51:1390–1395

    Google Scholar 

  41. McAdams HT (June 1974) Scanning electron microscope and the computer: new tools for surface metrology. Modern Machine Shop, pp 82–91

  42. Walkins RW, Robertson CR (1977) A total internal reflection technique for the examination of protein adsorption. J Biomed Mater Res 11:915–938

    PubMed  Google Scholar 

  43. DeWeese JA (1978) Anastomotic intimal hyperplasia. In: Sawyer PN, Kaplitt MG (eds) Vascular grafts. Appleton-Century-Crofts, New York, pp 147–152

    Google Scholar 

  44. Chavez CM (1976) False aneurysm of the femoral artery. A challenge in management. Ann Surg 183:694–700

    PubMed  Google Scholar 

  45. Campbell CD, Goldfard D, Roe R (1975) A small arterial substitute — expanded microporous polytetrafluoroethylene: Patency versus porosity. Ann Surg 182:138–143

    PubMed  Google Scholar 

  46. Maini R, Baillie H, Stark M (1977) Hepatic support system utilising high porosity proteinpermeable membranes in conjunction with dialysate regeneration. In: Kennedy RM, Courtney JM, Gaylor JDS, Gilchrist T (eds) Artificial organs, strathclyde bioengineering seminars. MacMillan, Glasgow, UK, pp 395–402

    Google Scholar 

  47. Trudell LA, Boudreau L, Van de Water JM, Jauregui H, Richardson PD, Galletti PM (1978) Alcohol-treated PTFE vascular grafts. Trans Am Soc Artif Intern Organs 24:320–323

    PubMed  Google Scholar 

  48. Guidoin R, Martin L, Levaillant P, Gosselin C, Domurado D, Marois M, Awad J, Blais P (1978) Endothelial lesions associated with vascular clamping — surface micropathology by SEM. Biomater Med Devices Artif Organs 6:179–197

    PubMed  Google Scholar 

  49. Guidoin R, Doyon B, Blais P, Domurado D, Boyce B, Marois M, Martin L, Roy J, Gosselin C (1981) Effects of traumatic manipulations on grafts, sutures, and host arteries during vascular procedures. Res Exp Med 179:1–21

    Google Scholar 

  50. Guidoin R, Gosselin C, Martin L, Marois M, Laroche F, King M, Gunasekera K, Domurado D, Sigot-Luizard MF, Blais P (1983) Polyester prostheses as substitutes in the thoracic aorta of dogs. I. Evaluation of commercial prostheses. J Biomed Mater Res 17:1049–1977

    PubMed  Google Scholar 

  51. Guidoin R, Martin L, Marois M, Gosselin C, King M, Gunasekera K, Domurado D, Sigot-Luizard MF, Sigot M, Blais P (1984) Polyester prostheses as substitutes in the thoracic aorta of dogs. II. Evaluation of albuminated polyester grafts stored in ethanol. J Biomed Mater Res 18:1059–1072

    PubMed  Google Scholar 

  52. Clagett GP, Graeber GM, Robinowitz M, Longloss JM, Ramwell PW (1986) Differentiation of vascular prostheses in dogs with serial tests of in vivo platelet reactivity. Surgery 95:331–338

    Google Scholar 

  53. Callow AD, Connolly R, O'Donnell TF Jr, Gembarowicz R, Keough E (1982) Platelet arterial synthetic graft interaction and its modification. Arch Surg 117:1447–1454

    PubMed  Google Scholar 

  54. Humphrey CW, Chesebro JH, Dewanjee MK, Wahner HW, Hollier LH, Pairolero PC, Fuster V (1883) In vivo quantitation of platelet deposition on human peripheral arterial bypass grafts using Indium-111 labelled platelets — Effect of dipyridamole and aspirin. Am J Cardiol 51:796–801

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported by grants from the Medical Research Council of Canada (MT 7879), la Direction de la Mission de la Recherche and les Echanges France-Quebec

Rights and permissions

Reprints and permissions

About this article

Cite this article

Legendre, J.M., de la Faye, D., Guidoin, R. et al. The initial blood retention properties of arterial prostheses. Res. Exp. Med. 186, 185–202 (1986). https://doi.org/10.1007/BF01852044

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01852044

Key words

Navigation