Weng Z C, Cheng K K, Lai S T, Chian H, Yu T J, Kuo S M
Department of Surgery, Veterans General Hospital, Taipei, Taiwan, R.O.C.
J Formos Med Assoc. 1990 Mar;89(3):171-6.
Locally produced human umbilical vein grafts (HUVG), using glutaraldehyde as a stabilizing agent, were implanted into 24 mongrel dogs. Different arterial bypass procedures, using HUVG, were carried out in three experimental groups. In Group I, 2 dogs underwent femorofemoral crossover bypass procedures and 6 dogs received aortoiliac bypass procedures. Thrombus formation was found in all HUVG implants of Group I. In Group II, 8 dogs received abdominal aorta HUVG interposition. In Group III, 8 dogs received abdominal aorta HUVG bypass procedures. Patent HUVG implants without thrombus formation, demonstrated by postoperative angiogram, were found in 6 dogs of Group II and 5 dogs of Group III. Morphological and histological studies of the patent HUVG implants retrieved after sacrifice showed on sign of rejection, biodegeneration, or aneurysmal formation. Our preliminary experience with this cost-effective locally produced human umbilical vein graft material was promising and may pave the way to further clinical applications.
将以戊二醛作为稳定剂的本地生产的人脐静脉移植物(HUVG)植入24只杂种犬体内。在三个实验组中,采用HUVG进行了不同的动脉搭桥手术。在第一组中,2只犬接受了股-股交叉搭桥手术,6只犬接受了主动脉-髂动脉搭桥手术。在第一组的所有HUVG植入物中均发现有血栓形成。在第二组中,8只犬接受了腹主动脉HUVG植入术。在第三组中,8只犬接受了腹主动脉HUVG搭桥手术。术后血管造影显示,第二组的6只犬和第三组的5只犬的HUVG植入物通畅且无血栓形成。对处死动物后取出的通畅HUVG植入物进行的形态学和组织学研究显示,没有排斥、生物降解或动脉瘤形成的迹象。我们使用这种具有成本效益的本地生产的人脐静脉移植物材料的初步经验很有前景,可能为进一步的临床应用铺平道路。