Regeneration of the femoral artery following experimental end-to-end anastomosis in the rat. An ultrastructural follow-up.

An experimental end-to-end anastomosis of the common femoral artery was performed in 45 adult Wistar rats. The vessel wall condition was assessed at 10 min, 3 days, 1, 2, 4, and 8 weeks following surgery by scanning and transmission electron microscopy. The microsurgical procedure inflicts extensive trauma in all layers of the arterial wall, with a desendothelialization largely surpassing the surgical field. Reendothelialization was completed at 2 weeks. Apparently, and as compared to less damaging vessel wall manipulations, such deep medial and wide endothelial lesions do not retard vessel wall healing to normal functionality. Moreover, the formation of primary atherogenic structures by smooth muscle cell migration to the intima seems restricted.