Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Vascular grafts in reconstructive surgery of the main veins

Authors: S.I. Pryadko, S.S. Atuev, A.A. Malinin

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2018-15-2-83-91

UDC: 616.14-089.844

Link: Clinical Physiology of Blood Circulaiton. 2018; 15 (2): 83-91

Quote as: Pryadko S.I., Atuev S.S., Malinin A.A. Vascular grafts in reconstructive surgery of the main veins. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal). 2018; 15 (2): 83–91 (in Russ.). DOI: 10.24022/1814-6910-2018-15-2-83-91

Received / Accepted:  14.11.2017/05.12.2017

Download
Full text:  

Abstract

One of the main problems of cardiovascular surgery is the choice of plastic material for restorative operations. In view of the anatomical features and vascular hemodynamic forces in venous system, the great vessel operations require the use of special plastic materials suitable for replacement of venous segments.
The need for reconstruction trunk veins operations arises from obstruction disease, extensive injuries, tumorous vascular invasions in case of oncology and vascular congenital anomalies – inferior vena cava dysplasia. The issue on the possibility of reconstruction and the choice of optimum graft in the iliocaval occlusive remains undertermined. This area is one of the most difficult in phlebology.
This article provides a brief overview of the various types of modern vascular prostheses. It analyzes the advantages and disadvantages of synthetic, autogenous, allogenic and xenogenic transplants and the possibility of their use in restorative trunk veins operations.

References

  1. Суковатых Б.С., Беликов Л.Н., Суковатых М.Б., Сидоров Д.В., Иноходова Е.Б. Бедренно-подколенное шунтирование свободным аутовенозным трансплантатом ниже щели коленного сустава в лечении критической ишемии нижних конечностей. Новости хирургии. 2015; 23 (6): 637–43.
  2. Стилиди И.С., Губина Г.И., Бохян В.Р., Цвелодуб C.B., Назлиев П.Б., Огородникова Е.В. Резекция и пластика нижней полой вены при опухолях забрюшинной локализации. Анналы хирургии. 2011; 6: 36–43.
  3. Малашенков А.И., Русанов Н.И., Рычин C.B., Терещенко В.И., Мовсесян P.A., Фунг З.Х.Ш. и др. Отдаленные результаты имплантации ксеноперикардиальных кондуитов при хирургической коррекции аневризм восходящей аорты. Грудная и сердечно-сосудистая хирургия. 2010; 1: 29–30.
  4. Покровский А.В., Игнатьев И.М., Градусов Е.Г. Реконструктивные и эндоваскулярные операции на глубоких венах при посттромботической болезни: Учебное пособие. М.; 2017.
  5. Бокерия Л.А., Бокерия О.Л., Аракелян В.С., Коасари А.К. Случай успешного протезирования дуги аорты у пациента с врожденной деформацией дуги аорты в условиях глубокой гипотермии и циркуляторного ареста. Саратовский научно-медицинский журнал. 2014; 10 (3): 414–8.
  6. Клиническая ангиология: Руководство. В 2-х т. Под ред. А.В. Покровского. М.: Медицина; 2004; 806–22.
  7. Кохан Е.П., Заварина И.К. Избранные лекции по ангиологии. М.: Наука; 2006.
  8. Савельев В.С. Флебология: Руководство для врачей. М.: Медицина; 2001.
  9. Maletti O., Lugly M., Perrin M. Operative treatment in postthrombotic syndrome: an update. Phlebolymphology. 2014; 21 (3): 131–7.
  10. Khanna A.K., Singh S. Postthrombotic syndrome: surgical possibilities. Thrombosis. 2012; 2012: 1–7.
  11. Российские клинические рекомендации по диагностике и лечению хронических заболеваний вен. Флебология. 2013; 7 (2): 14–32.
  12. Клецкин А.Э. Реконструктивная хирургия посттромбофлебитической болезни нижних конечностей. Новости хирургии. 2010; 18 (2): 64–6.
  13. Бураковский В.И., Бокерия Л.А. (ред.) Сердечнососудистая хирургия: Руководство. М.: Медицина; 1996.
  14. Garg N., Gloviczki P., Karimi K.M., Duncan A.A., Bjarnason H., Kalra M. et al. Factors affecting outcome of open and hybrid reconstructions for nonmalignant obstruction of iliofemoral veins and inferior vena cava. J. Vasc. Surg. 2011; 53: 383–93.
  15. Хубулава Г.Г., Гаврилов Е.К., Вержак И.В., Ларин И.А. Успешное бедренно-подвздошное шунтирование синтетическим протезом при правосторонней окклюзии подвздошной вены у больной с посттромботической болезнью и длительно незаживающей трофической язвой. Вестник хирургии им. И.И. Грекова. 2013; 172 (6): 86–8.
  16. Jost C.J., Gloviczki P., Cherry K.J. Jr., McKusick M.A., Harmsen W.S., Jenkins G.D. et al. Surgical reconstruction of iliofemoral veins and the inferior vena cava for nonmalignant occlusive disease. J. Vasc. Surg. 2001; 33 (2): 320–8.
  17. Веденский А.Н. Пластические и реконструктивные операции на магистральных венах. М.: Медицина; 1979.
  18. Crawford M., Ho P., Gallagher J., Joseph D., Stephen M., Sandroussi C. The use of biological grafts for reconstruction of the inferior vena cava is a safe and valid alternative: results in 32 patients in a single institution. HPB. 2013; 15 (8): 628–32.
  19. Щерба А.Е., Ефимов Д.Ю., Руммо О.О. Комбинированная резекция печени и нижней полой вены. Хирургия. Журнал им. Н.И. Пирогова. 2014; 10: 39–44. Gallagher T.-K., Venkatesh K.U., Geoghegan J.G., Maguire D., Traynor O.J., Hoti E. Techniques and outcomes of combined inferior vena cava and visceral resection for benign and malignant disease. Intern. J. Surg. 2014; 12 (8): 864–7.
  20. Баешко A.A., Климович В.В., Орловский Ю.Н., Воевода М.Т., Горностай П.В., Юшкевич В.А. Ранения нижней полой вены. Ангиология и сосудистая хирургия. 2006; 12 (1): 86–96.
  21. Баешко А.А., Богоджян С., Улезко Е.А., Горецкая И.В., Клюй Е.А. Симптоматика и диагностика дисплазий нижней полой вены. Ангиология и сосудистая хирургия. 2013; 19 (3): 84–91.
  22. Ruggeri M., Tosetto A., Castaman G., Rodeghiero F. Congenital absence of the inferior vena cava: a rare risk factor for idiopathic deep vein thrombosis. Lancet. 2001; 357: 1711.
  23. Cekirdekci A., Bayar M.K., Yilmaz S., Cihangiroglu M., Ayan E., Duran M. Reconstruction of the Vena Cava with the Peritoneum: the effect of temporary distal arteriovenous fistula on patency (an experimental study). Eur. J. Vasc. Endovasc. Surg. 2004; 27 (1): 84–8.
  24. Латыпов В.Р., Дамбаев Г.Ц., Попов О.С. Радикальная нефрэктомия по поводу почечно-клеточного рака и замещение сегмента нижней полой вены ксеноперикардиальным трансплантатом. Онкоурология. 2015; 11: 50–4. Deutsch M., Meinhart J., Zilla P., Howanietz N., Gorlitzer M., Froeschl A. et al. Long-term experience in autologous in vitro endothelialization of infrainguinal ePTFE grafts. J. Vasc. Surg. 2009; 49 (2): 352–62.
  25. Тищенко И.С., Золкин В.Н., Максимов Н.В., Коротков И.Н., Демидов И.Ю., Барзаева М.А. Двухлетние результаты инфраингвинальных реконструкций с использованием аутовенозных шунтов и ксенопротезов. Ангиология и сосудистая хирургия. 2016; 22 (4): 130–4.
  26. Guerrero M.A., Cross C.A., Lin P.H., Keane T.E., Lumsden A.B. Inferior vena cava reconstruction using fresh inferior vena cava allograft following caval resection for leiomyosarcoma: midterm results. J. Vasc. Surg. 2007; 46 (1): 140–3.
  27. Барбараш Л.С., Бурков Н.Н., Кудрявцева Ю.А., Ануфриев А.И., Журавлева И.Ю. Сравнительный анализ применения биопротезов артерий с различной антитромботической модификацией. Ангиология и сосудистая хирургия. 2012; 18 (2): 21–5.
  28. Покровский А.В., Дан В.Н., Зотиков А.Е., Чупин А.В., Шубин А.А., Богатов Ю.П., Тедеев А.К. Бедренно-подколенное шунтирование выше щели коленного сустава протезом из ПТФЭ: какой диаметр протеза лучше? Ангиология и сосудистая хирургия. 2008; 14 (4): 105–8.
  29. Eklof B., Albrechtson U., Einarsson E., Plate G. The temporary arteriovenous fistula in venous reconstructive surgery. Int. Angiol. 1985; 4 (4): 455–62.
  30. Бокерия Л.А., Новикова С.П. Протезы кровеносных сосудов и кардиохирургические заплаты с тромборезистентными, антимикробными свойствами и нулевой хирургической пористостью. Бюллетень НЦССХ им. А.Н. Бакулева РАМН. 2008; 9 (4): 5–20.
  31. Насрединов А.С., Лаврешин А.В., Анисимов С.В., Вавилов В.Н., Курапеев Д.И. Децеллюляризованные артерии пуповины человека как основа тканеинженерных кровеносных сосудов малого калибра. Клеточная трансплантология и тканевая инженерия. 2013; 8 (1): 66–71.
  32. Сергеевичев Д.С., Сергеевичева В.В., Субботовская А.И., Васильева М.Б., Докучаева А.А. Децеллюляризация как способ предотвращения активации иммунного ответа на аллогенные легочные клапаны сердца. Гены & Клетки. 2013; 8 (4): 55–60.
  33. Quint C., Arief M., Muto A., Dardik A., Niklason L.E. Allogeneic human tissue-engineered blood vessel. J. Vasc. Surg. 2012; 55 (3): 790–8. Fiore A., Ruzmetov M., Huynh D., Hanley S., Rodefeld M. Comprasion of bovine jugular vein with pulmonary homografts conduits in children less than 2 yers of age. Eur. Cardiothorac. Surg. 2010; 38: 318–25.
  34. Prior N., Alphonso N., Arnold P., Peart L., Thorburn K., Venugopal P. et al. Bovine jugular vein valved conduit: up to 10 years follow-up. J. Thorac. Cardiovasc. Surg. 2011; 141: 983–7. Göber V., Berdat P., Pavlovic M., Pfammatter J.-P., Carrel T.P. Adverse mid-term outcome following RVOT reconstruction using the contegra valved bovine jugular vein. Ann. Thorac. Surg. 2005; 79 (2): 625–31.

References

  1. Sukovatykh B.S., Belikov L.N., Sukovatykh M.B., Sidorov D.V., Inokhodova E.B. Femoropopliteal bypass free autovenous graft below the slit of the knee joint in the treatment of critical ischemia of lower extremities. Novosti Khirurgii (News Surgery, Russian journal). 2015; 23 (6): 637–43 (in Russ.).
  2. Stilidi I.S., Gubina G.I., Bokhyan V.R., Tsvelodub S.V., Nazliev P.B., Ogorodnikova E.V. Resection and reconstruction of inferior Vena cava for retroperitoneal tumors. Annaly Khirurgii (Annals of Surgery, Russian journal). 2011; 6: 36–43 (in Russ.).
  3. Malashenkov A.I., Rusanov N.I., Rychin S.V., Tereshchenko V.I., Movsesyan R.A., Fung Z.Kh.Sh. et al. Long-term results of implantation of xenopericardial grafts during surgical correction of aneurysms of the ascending aorta. Grudnaya i Serdechno-Sosudistaya Khirurgiya (Russian Journal of Thoracic and Cardiovascular Diseases). 2010; 1: 29–30 (in Russ.).
  4. Pokrovskiy A.V., Ignat'ev I.M., Gradusov E.G. Reconstructive and endovascular interventions on deep veins in post-thrombotic diseases: Тutorial. Moscow; 2017 (in Russ.).
  5. Bockeria L.A., Bockeria O.L., Arakelyan V.S., Koasari A.K. A case of successful prosthetic repair of the aortic arch in a patient with congenital deformation of the aortic arch under conditions of deep hypothermia and circulatory arrest. Saratovskiy Nauchno-Meditsinskiy Zhurnal (Saratov Journal of Medical Scientific, Russian journal). 2014; 10 (3): 414–8 (in Russ.).
  6. Pokrovskiy A.V. (ed.) Clinical Angiology: Guideline. In 2nd vol. Moscow: Meditsina; 2004: 806–22 (in Russ.).
  7. Kokhan E.P., Zavarina I.K. Selected lectures in angiology. Moscow: Nauka; 2006 (in Russ.).
  8. Savel'ev V.S. Phlebology: Guidelines for physicians. Moscow: Meditsina; 2001 (in Russ.).
  9. Maletti O., Lugly M., Perrin M. Operative treatment in postthrombotic syndrome: an update. Phlebolymphology. 2014; 21 (3): 131–7.
  10. Khanna A.K., Singh S. Postthrombotic syndrome: surgical possibilities. Thrombosis. 2012; 2012: 1–7.
  11. Russian clinical guidelines the diagnosis and treatment of vein chronic diseases. Flebologiya (Phlebology, Russian journal). 2013; 7 (2): 14–32 (in Russ.).
  12. Kletskin A.E. Reconstructive surgery postthrombotic disease of the lower extremities. Novosti Khirurgii (News Surgery, Russian journal). 2010; 18 (2): 64–6 (in Russ.).
  13. Burakovsky V.I., Bockeria L.A. (eds) Cardiovascular surgery: Guidance. Moscow: Meditsina; 1996 (in Russ.).
  14. Garg N., Gloviczki P., Karimi K.M., Duncan A.A., Bjarnason H., Kalra M. et al. Factors affecting outcome of open and hybrid reconstructions for nonmalignant obstruction of iliofemoral veins and inferior vena cava. J. Vasc. Surg. 2011; 53: 383–93.
  15. Khubulava G.G., Gavrilov E.K., Verzhak I.V., Larin I.A. Successful femoral-iliac artery bypass with synthetic graft for right-sided occlusion of iliac vein in patient with post-thrombotic disease and the long-term non-healing trophic ulcer. Vestnik Khirurgii imeni I.I. Grekova (Vestnik of Surgery named after I.I. Grekov, Russian journal). 2013; 172 (6): 86–8 (in Russ.).
  16. Jost C.J., Gloviczki P., Cherry K.J. Jr., McKusick M.A., Harmsen W.S., Jenkins G.D. et al. Surgical reconstruction of iliofemoral veins and the inferior vena cava for nonmalignant occlusive disease. J. Vasc. Surg. 2001; 33 (2): 320–8.
  17. Vedenskiy A.N. Plastic and reconstructive operations on the main veins. Moscow: Meditsina; 1979 (in Russ.).
  18. Crawford M., Ho P., Gallagher J., Joseph D., Stephen M., Sandroussi C. The use of biological grafts for reconstruction of the inferior vena cava is a safe and valid alternative: results in 32 patients in a single institution. HPB. 2013; 15 (8): 628–32.
  19. Shcherba A.E., Efimov D.Yu., Rummo O.O. Combined resection of liver and inferior Vena cava. Khirurgiya. Zhurnal imeni N.I. Pirogova (Surgery. Journal named after N.I. Pirogov, Russian journal). 2014; 10: 39–44 (in Russ.).
  20. Gallagher T.K., Venkatesh K.U., Geoghegan J.G., Maguire D., Traynor O.J., Hoti E. Techniques and outcomes of combined inferior vena cava and visceral resection for benign and malignant disease. Intern. J. Surg. 2014; 12 (8): 864–7.
  21. Baeshko A.A., Klimovich V.V., Orlovskiy Yu.N., Voevoda M.T., Gornostay P.V., Yushkevich V.A. Wounds of the inferior Vena cava. Angiologiya i Sosudistaya Khirurgiya (Angiology and Vascular Surgery, Russian journal). 2006; 12 (1): 86–96 (in Russ.).
  22. Baeshko A.A., Bogodzhyan S., Ulezko E.A., Goretskaya I.V., Klyuy E.A. Symptoms and diagnosis of dysplasia of the inferior Vena cava. Angiologiya i Sosudistaya Khirurgiya (Angiology and Vascular Surgery, Russian journal). 2013; 19 (3): 84–91 (in Russ.).
  23. Ruggeri M., Tosetto A., Castaman G., Rodeghiero F. Congenital absence of the inferior vena cava: a rare risk factor for idiopathic deep vein thrombosis. Lancet. 2001; 357: 1711.
  24. Cekirdekci A., Bayar M.K., Yilmaz S., Cihangiroglu M., Ayan E., Duran M. Reconstruction of the Vena Cava with the Peritoneum: the effect of temporary distal arteriovenous fistula on patency (an experimental study). Eur. J. Vasc. Endovasc. Surg. 2004; 27 (1): 84–8.
  25. Latypov V.R., Dambaev G.Ts., Popov O.S. Radical nephrectomy for renal cell carcinoma and replacement segment of the inferior Vena cava xenopericardial graft. Onkourologiya (Oncourology, Russian journal). 2015; 11: 50–4 (in Russ.).
  26. Deutsch M., Meinhart J., Zilla P., Howanietz N., Gorlitzer M., Froeschl A. et al. Long-term experience in autologous in vitro endothelialization of infrainguinal ePTFE grafts. J. Vasc. Surg. 2009; 49 (2): 352–62.
  27. Tishchenko I.S., Zolkin V.N., Maksimov N.V., Korotkov I.N., Demidov I.Yu., Barzaeva M.A. Twoyear results infrainguinal reconstructions using autovenous shunts and kinoprocess. Angiologiya i Sosudistaya Khirurgiya (Angiology and Vascular Surgery, Russian journal). 2016; 22 (4): 130–4 (in Russ.).
  28. Guerrero M.A., Cross C.A., Lin P.H., Keane T.E., Lumsden A.B. Inferior vena cava reconstruction using fresh inferior vena cava allograft following caval resection for leiomyosarcoma: midterm results. J. Vasc. Surg. 2007; 46 (1): 140–3.
  29. Barbarash L.S., Burkov N.N., Kudryavtseva Yu.A., Anufriev A.I., Zhuravleva I.Yu. Comparative analysis of the use of arterial bioprostheses with various antithrombotic modification. Angiologiya i Sosudistaya Khirurgiya (Angiology and Vascular Surgery, Russian journal). 2012; 18 (2): 21–5 (in Russ.).
  30. Pokrovskiy A.V., Dan V.N., Zotikov A.E., Chupin A.V., Shubin A.A., Bogatov Yu.P., Tedeev A.K. Femoropopliteal bypass above the slit of the knee joint prosthesis of PTFE: what is the diameter of the prosthesis better? Angiologiya i Sosudistaya Khirurgiya (Angiology and Vascular Surgery, Russian journal). 2008. 14 (4): 105–8 (in Russ.).
  31. Eklof B., Albrechtson U., Einarsson E., Plate G. The temporary arteriovenous fistula in venous reconstructive surgery. Int. Angiol. 1985; 4 (4): 455–62.
  32. Bockeria L.A., Novikova S.P. The artificial blood vessels and cardiac patches with thromboresistance, antimicrobial properties and zero-porosity. Serdechno-Sosudistye Zabolevaniya. Byulleten' Nauchnogo Tsentra Serdechno-Sosudistoy Khirurgii imeni A.N. Bakuleva RAMN (Bulletin of Bakoulev Center for Cardiovascular Diseases, Russian journal). 2008; 9 (4): 5–20 (in Russ.).
  33. Nasredinov A.S., Lavreshin A.V., Anisimov S.V., Vavilov V.N., Kurapeev D.I. Decellularization umbilical artery of man as the basis of tissue-engineered blood vessels of small caliber. Kletochnaya Transplantologiya i Tkanevaya Inzheneriya (Cellular Transplantology and Tissue Engineering, Russian journal). 2013; 8 (1): 66–71 (in Russ.).
  34. Sergeevichev D.S., Sergeevicheva V.V., Subbotovskaya A.I., Vasil'eva M.B., Dokuchaeva A.A. Decellularization as a prevention of immune response activation to allogeneic pulmonary valves. Geny & Kletki (Genes & Cells, Russian journal). 2013; 8 (4): 55–60 (in Russ.).
  35. Quint C., Arief M., Muto A., Dardik A., Niklason L.E. Allogeneic human tissue-engineered blood vessel. J. Vasc. Surg. 2012; 55 (3): 790–8.
  36. Fiore A., Ruzmetov M., Huynh D., Hanley S., Rodefeld M. Comprasion of bovine jugular vein with pulmonary homografts conduits in children less than 2 yers of age. Eur. Cardiothorac. Surg. 2010; 38: 318–25.
  37. Prior N., Alphonso N., Arnold P., Peart L., Thorburn K., Venugopal P. et al. Bovine jugular vein valved conduit: up to 10 yers follow-up. J. Thorac. Cardiovasc. Surg. 2011; 141: 983–7.
  38. Göber V., Berdat P., Pavlovic M., Pfammatter J.-P., Carrel T.P. Adverse mid-term outcome following RVOT reconstruction using the contegra valved bovine jugular vein. Ann. Thorac. Surg. 2005; 79 (2): 625–31.

About Authors

Pryadko Sergey Ivanovich, Cand. Med. Sc., Head of Department of Venous Pathology and Microvascular Surgery; orcid.org/ 0000-0001-9478-8414
Atuev Sup'yan Salmanovich, Postgraduate; orcid.org/ 0000-0003-2390-8962
Malinin Aleksandr Aleksandrovich, Dr. Med. Sc., Chief Researcher; orcid.org/0000-0003-4652-4590

 If you found mistakes, select text and press Alt+A