Pulsatile blood-flow in arterial grafts.

The distensibility of arterial wall is an important factor in the haemodynamics of pulsatile blood-flow. Autogenous-vein grafts have a dynamic response to the arterial pressure pulse (compliance) which approaches that of normal arterial wall, whereas synthetic prostheses are generally incompliant, or become so shortly after implantation. Although synthetic grafts have little effect on steady-state flow, their lack of compliance greatly interferes with pulsatile flow and this may be an important factor in explaining their lack of success as replacements for medium and small sized arteries.