Unusual Dilatation of Gelatin-Impregnated Knitted Dacron Prostheses after Abdominal Aortic Aneurysm Surgery.
10.4326/jjcvs.24.363
- VernacularTitle:腹部大動脈りゅう術後の人工血管の検討 とくにゼラチン被覆knitted Dacron人工血管の拡大について
- Author:
Takaaki Sugita
;
Shoji Watarida
;
Masahiko Onoe
;
Takehisa Nojima
;
Kazuhiko Katsuyama
;
Yasuhiko Nakajima
;
Rie Yamamoto
;
Ryoko Tabata
;
Shuichi Matsuno
;
Atsumi Mori
- Publication Type:Journal Article
- Keywords:
knitted Dacron
- From:Japanese Journal of Cardiovascular Surgery
1995;24(6):363-367
- CountryJapan
- Language:Japanese
-
Abstract:
We experienced unusual dilatation of gelatin-impregnated knitted Dacron prostheses after abdominal aortic aneurysm surgery. Therefore, we investigated dilatation of gelatin impregnated knitted Dacron grafts compared with other types of Dacron grafts after abdominal aortic aneurysm surgery. Eighteen grafts inserted after abdominal aortic aneurysm surgery were studied for to evaluate dilatation. Enhance CT was used to determine the external diameter of the most dilated portion of the abdominal aortic grafts and high speed plain CT was used to determine the most dilated internal diameter. The gelatin-impregnated knitted Dacron grafts dilated from 25% to 43.8% (mean 31.8±7.2%), significantly more than collagen impregnated woven Dacron grafts (p=0.0003). Moreover, high fever was frequently noticed after these grafts implantation (66.7%). Therefore, caution must be used concerning these implantation in aortic lesions and careful follow-up study should be performed after implantation.