Eliava Sh Sh, Sazonov I A, Shekhtman O D, Martirosian N L, Shishkina L V, Lakomkin M M, Zelikova Iu A, Guseĭnov R K
Zh Vopr Neirokhir Im N N Burdenko. 2007 Jan-Mar(1):22-6; discussion 26-7.
A mechanical device for making arterial wide-section anastomoses was tested on a series of 15 laboratory rabbits. End-to-side anastomoses were made using a vein graft and they functioned in 93.1% of cases, as evidenced by intraoperative Doppler studies. When an anastomosis is made, the mean duration of temporary blood flow arrest in the rabbit aorta averaged 2 min. According to outcomes, the survived animals were divided into 3 groups: Group 1 comprised 2 (13.3%) rabbits that died within 10-12 hours after surgery and had significant symptoms of anastomotic dysfunction. Group 2 included 8 (53.3%) animals that died 2-3 days after surgery. They moved 5-6 hours following surgery without assistance, which was indicating of anastomotic functioning. Group 3 consisted of 3 (20%) rabbits that survived 2 weeks. Autoptic studies revealed no anastomic thrombosis in Group 2 animals. Group 3 animals were noted to have signs of allograft thrombosis and rejection. Thus, it is expedient to continue studies to make arterial wide-section anastomoses, by using the above device, in order to introduce this procedure into clinical practice.
一种用于制作动脉宽段吻合术的机械装置在15只实验兔身上进行了测试。使用静脉移植物进行端侧吻合,术中多普勒研究表明,93.1%的病例吻合成功。进行吻合时,兔主动脉临时血流阻断的平均持续时间为2分钟。根据结果,存活的动物分为3组:第1组包括2只(13.3%)兔子,在术后10 - 12小时内死亡,有明显的吻合功能障碍症状。第2组包括8只(53.3%)动物,在术后2 - 3天死亡。它们术后5 - 6小时无需辅助就能活动,这表明吻合功能良好。第3组由3只(20%)存活2周的兔子组成。尸检研究显示第2组动物无吻合口血栓形成。第3组动物有同种异体移植血栓形成和排斥反应的迹象。因此,有必要继续使用上述装置进行动脉宽段吻合术的研究,以便将该手术引入临床实践。