PMID: 3768656Oct 1, 1986Paper

Haemodynamics of the interposition vein cuff

The British Journal of Surgery
J D BeardM Horrocks

Abstract

It has been suggested that the use of an interposition vein cuff for anastomosing PTFE grafts to small calibre arteries confers a haemodynamic advantage. Pulsatile blood flow through a standard anastomosis was compared, in vitro, to that incorporating a vein cuff. 6 mm PTFE was anastomosed end-to-side to 10 pairs of cadaver internal mammary arteries matched for length and internal diameter (median 1.8 mm, range 1.6-2.4). Blood flow was significantly higher through the vein cuff anastomosis than the standard anastomosis (comparison of regression analysis, P less than 0.001) when the arterial diameter was less than 2.0 mm (five pairs). These results suggest that the vein cuff does confer a significant haemodynamic advantage when PTFE is anastomosed to arteries less than 2.0 mm diameter and this may be because the compliant vein cuff allows more distension of the anastomosis thus reducing anastomotic resistance.

References

Jan 1, 1986·The British Journal of Surgery·J G Mosley, A Marston
Nov 1, 1985·The British Journal of Surgery·P M CharlesworthJ W Hallet
Jun 1, 1984·The Australian and New Zealand Journal of Surgery·J H MillerI Faris
Oct 1, 1980·Archives of Surgery·R WaldenW M Abbott

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Citations

Dec 1, 1988·World Journal of Surgery·D F CourtneyJ J Bergan
Sep 17, 2002·Journal of Biomechanics·J S ColeM J G O'Reilly
May 24, 2012·The British Journal of Surgery·C P TwineL J Fligelstone
Mar 26, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A TiwariA M Seifalian
May 10, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M S LemsonP J Kitslaar
Sep 10, 1999·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L D WijesingheD J Scott
Aug 26, 1998·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L D WijesingheD J Scott
Feb 5, 2013·Journal of Vascular Surgery·James T McPheeMatthew T Menard
May 4, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E DucasseC Creusy
Mar 23, 2001·Journal of Biomaterials Applications·H J SalacinskiR J Carson
May 1, 1991·The British Journal of Surgery·M M ThompsonP R Bell
May 23, 2002·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·J S ColeD J A Scott
Jan 1, 1992·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·M R TyrrellR S Taylor

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