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Modifications of the vein wall after microsurgical end-to-side artero-venous anastomosis

โœ Scribed by Umberto Fox; Mario Ferro; Luca Camozzi; Giario Conti; Walter Montorsi


Publisher
John Wiley and Sons
Year
1986
Tongue
English
Weight
350 KB
Volume
7
Category
Article
ISSN
0738-1085

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โœฆ Synopsis


The repercussions on the venous wall of the creation of 20 artero-venous anastomoses (AVA) between the femoral artery and vein of the rat have been evaluated. The rats were killed 7, 15, 30, and 90 days after AVA, and AVAs were examined by optical microscopy and by scanning electronic microscopy. Deposits of whitish material that nearly completely occluded the venous lumen were seen, especially in the group studied longer than 90 days. These venous wall lesions, which resemble arteriosclerotic lesions, must be attributed to the new hemodynamic situation created by the AVA. The implications of such findings for the long-term validity of venous graft in vascular microsurgery and the long-term patency of the AVA in hemodialyzed children are discussed.


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