Inhibition of vein graft intimal hyperplasia by periadventitial application of hyaluronic acid–carboxymethyl cellulose: an experimental study

M Bahcivan, S Yucel, M Kefeli, M Kamil gol… - Scandinavian …, 2008 - Taylor & Francis
M Bahcivan, S Yucel, M Kefeli, M Kamil gol, B Can, H Tahsin keceligil
Scandinavian Cardiovascular Journal, 2008Taylor & Francis
Objective. Placement of an external support has been reported to prevent intimal
hyperplasia of vein grafts. In this study, we investigated the effect of HA/CMC on intimal
hyperplasia in a rabbit model. Design. Right jugular vein to common carotid artery bypass
grafting was performed in 24 female New Zealand white rabbits (2.5–3.0 kg). Animals were
divided into two groups: control group (n= 12) and HA/CMC group (n= 12). Absorbable
membrane barrier was wrapped around vein grafts in HA/CMC group. In control group, no …
Objective
Placement of an external support has been reported to prevent intimal hyperplasia of vein grafts. In this study, we investigated the effect of HA/CMC on intimal hyperplasia in a rabbit model.
Design
Right jugular vein to common carotid artery bypass grafting was performed in 24 female New Zealand white rabbits (2.5–3.0 kg). Animals were divided into two groups: control group (n=12) and HA/CMC group (n=12). Absorbable membrane barrier was wrapped around vein grafts in HA/CMC group. In control group, no material was applied following venous graft bypass.
Results
At 1 month, in the vein grafts supported with the HA/CMC membrane neointimal thickening was significantly less (109 µm [IQR, 78–166]) compared to the unsupported control grafts (220 µm [IQR; 101–312]; p<0.001). Medial thickening in the HA/CMC group (128 µm [IQR, 101–181]) compared to unsheathed control grafts (182 µm [IQR, 131–255] p<0.001) was also significantly less.
Conclusion
Periadventitial placement of HA/CMC as an absorbable membrane inhibits intimal hyperplasia of vein bypass grafts in a rabbit model.
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