EFFECTIVENESS OF A NEW NON-THROMBOGENIC BIO-ADHESIVE IN MICROVASCULAR ANASTOMOSES

被引:9
作者
DOWBAK, GM [1 ]
ROHRICH, RJ [1 ]
ROBINSON, JB [1 ]
PEDEN, E [1 ]
机构
[1] UNIV TEXAS,SW MED CTR,DEPT SURG,DIV PLAST & RECONSTRUCT SURG,DALLAS,TX 75230
关键词
D O I
10.1055/s-2007-1006607
中图分类号
R61 [外科手术学];
学科分类号
摘要
Negatively-charged fibrin glue was successfully prepared by combining human cryoprecipitate with succinic anhydride. The resulting bio-adhesive was tested for thrombogenicity and tensile strength by applying it to three groups of Sprague-Dawley rat femoral-artery anastomoses (6 suture, 2 suture, and no suture anastomoses). Anastomoses were tested by a standard patency test over 7 days. Both the 6-suture and 2-suture anastomoses with negatively-charged fibrin glue had 100 percent patency rates and no pseudoaneurysm formation over 7 days. When positively-charged fibrin glue was applied to sutured anastomoses, patency rates decreased gradually to 50 percent over 7 days. Fibrin glue alone (whether negatively- or positively-charged) does not have the tensile strength to maintain an anastomosis without sutures. However, when applied to a two-suture anastomosis, the breaking strength of the anastomosis is more enhanced by the negatively-charged fibrin glue.
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页码:383 / 386
页数:4
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