Sauvage L R, Berger K, Beilin L B, Smith J C, Wood S J, Mansfield P B
Ann Surg. 1975 Dec;182(6):749-53. doi: 10.1097/00000658-197512000-00017.
An axillary-bilateral common femoral graft of knitted Dacron with an external velour surface was examined within one hour after the patient's death from non-graft-related causes. The prothesis, implanted for 20 months, was patent and was completely healed over 32% of the flow surface--that is, full wall fibrous tissue encapsulation of the graft had occurred, and 32% of the flow surface was endothelialized. The remaining flow surface was formed of fibrin, but fibrous tissue healing had reached the inner surface of the graft material, and the fibrin overlay was very thin. The healed protions of the graft included not only the areas adjacent to the anastomoses, but were scattered throughout the 45 cm length of the prosthesis. To our knowledge, this is the first report of complete healing (fibrous tissue encapsulation and endothelialization) documented at points beyond the plannus ingrowth at the prosthesis-artery anastomosis.
在患者因非移植物相关原因死亡后一小时内,对一段带有外部天鹅绒表面的针织涤纶腋 - 双侧股总动脉移植物进行了检查。该假体植入20个月,通畅,在32%的血流表面完全愈合——也就是说,移植物已被全壁纤维组织包裹,32%的血流表面已内皮化。其余血流表面由纤维蛋白构成,但纤维组织愈合已到达移植物材料的内表面,且纤维蛋白覆盖层非常薄。移植物的愈合部分不仅包括与吻合口相邻的区域,还散布在整个45厘米长的假体中。据我们所知,这是首次报道在假体 - 动脉吻合处的平面生长点之外记录到完全愈合(纤维组织包裹和内皮化)。