Early postoperative changes in hematological, erythrocyte aggregation and blood coagulation parameters after unilateral implantation of polytetrafluoroethylene vascular graft in the femoral artery of beagle dogs

作者: Csaba Toth , Zoltan Klarik , Ferenc Kiss , Eniko Toth , Zoltan Hargitai

DOI: 10.1590/S0102-86502014000500006

关键词: Partial thromboplastin timeAnesthesiaBlood samplingSurgeryPlateletThrombusFibrinogenThrombosisMedicineFemoral arteryErythrocyte aggregation

摘要: PURPOSE: The failure of small-caliber vascular grafts still means a serious problem. Concerning the early postoperative complications we aimed to investigate hemostaseological and hemorheological aspects this issue in canine model.METHODS: In Control group only anesthesia was induced. Grafted under general 3.5-cm segment resected unilaterally from femoral artery replaced with PTFE graft (diameter: 3 mm). On 1st-3rd-5th-7th 14thpostoperative days skin temperature both hind limbs measured, blood sampling occurred for hematological, tests.RESULTS: operated versus intact did not differ. leukocyte count elevated by 1st day, while platelet increased over entire follow-up period. Fibrinogen concentration rose on 1st-5th days, activated partial thromboplastin time 3rd-7th days. Erythrocyte aggregation enhanced significantly specimens taken 14thday, histologically found matured thrombus narrowing lumen.CONCLUSIONS:Small-caliber implantation into caused significant changes several parameters. However, better clarifying factors leading thrombosis these needs further studies.

参考文章(33)
Y. Song, J. Feijen, D.W. Grijpma, A.A. Poot, Tissue engineering of small-diameter vascular grafts: A literature review Clinical Hemorheology and Microcirculation. ,vol. 49, pp. 357- 374 ,(2011) , 10.3233/CH-2011-1486
Norbert Nemeth, Istvan Furka, Iren Miko, None, Hemorheological changes in ischemia-reperfusion: an overview on our experimental surgical data. Clinical Hemorheology and Microcirculation. ,vol. 57, pp. 215- 225 ,(2014) , 10.3233/CH-131648
Oguz K. Baskurt, In vivo correlates of altered blood rheology Biorheology. ,vol. 45, pp. 629- 638 ,(2008) , 10.3233/BIR-2008-0515
P. Menu, J.F. Stoltz, H. Kerdjoudj, Progress in vascular graft substitute. Clinical Hemorheology and Microcirculation. ,vol. 53, pp. 117- 129 ,(2013) , 10.3233/CH-2012-1580
Carlota Saldanha, Fibrinogen interaction with the red blood cell membrane. Clinical Hemorheology and Microcirculation. ,vol. 53, pp. 39- 44 ,(2013) , 10.3233/CH-2012-1574
Hisato Takagi, Shin-nosuke Goto, Masafumi Matsui, Hideaki Manabe, Takuya Umemoto, A contemporary meta-analysis of Dacron versus polytetrafluoroethylene grafts for femoropopliteal bypass grafting. Journal of Vascular Surgery. ,vol. 52, pp. 232- 236 ,(2010) , 10.1016/J.JVS.2010.02.010
Ganesha B. Perera, Sean P. Lyden, Current Trends in Lower Extremity Revascularization Surgical Clinics of North America. ,vol. 87, pp. 1135- 1147 ,(2007) , 10.1016/J.SUC.2007.07.004
Chang Shu, Yuanyuan Guo, Xiao Zhou, Heng Wan, Jingqiang Yan, Liqing Yuan, Effect of postoperative fractionated radiotherapy on canine ePTFE graft neointima and anastomotic stoma healing: A preliminary experimental study Asian Journal of Surgery. ,vol. 34, pp. 121- 127 ,(2011) , 10.1016/J.ASJSUR.2011.08.008
P.F. Lawrence, A. Chandra, When should open surgery be the initial option for critical limb ischaemia European Journal of Vascular and Endovascular Surgery. ,vol. 39, pp. 32- ,(2010) , 10.1016/J.EJVS.2009.11.032