In vivo evaluation of polyester arterial grafts coated with albumin: the role and importance of cross-linking agents.
Previous in vitro studies have predicted that the type of chemical used to cross-link albumin-coated polyester arterial prostheses may influence the rate of bioerosion of the albumin layer in vivo. This study has confirmed that the healing process of this type of compound prosthesis does indeed depend on the nature and concentration of the cross-linking agent used. Four series of implantations in the thoracic aorta of dogs for scheduled periods for 4 h up to 6 months were conducted using 1.6% glutaraldehyde, 2.5% glutaraldehyde and 0.2 M carbodiimide as the alternative cross-linking agents plus a nonalbuminated preclotted polyester prosthesis which served as the control. The pathology of the explanted grafts revealed that in the short and medium term the rate of healing and the extent of tissue ingrowth was dependent initially on the presence of and later on the rate of bioerosion of the albumin layer. After 3 months in situ, the prostheses coated with albumin cross-linked with 1.6% glutaraldehyde and carbodiimide had healed more rapidly and were invaded by more extensive tissue ingrowth than the one cross-linked with 2.5% glutaraldehyde or the preclotted control. Moreover, the migration of cells over the carbodiimide-treated surface was the most fully developed and most regularly organized of all four series. Immunostaining revealed that the presence of glutaraldehyde induced an inflammatory response which failed to support the growth of normal luminal cells with the endothelial phenotype.
D000447:Aldehydes / Q000494:pharmacology*; D000818:Animals; D001807:Blood Vessel Prosthesis; D002234:Carbodiimides / Q000494:pharmacology*; D002455:Cell Division; D003432:Cross-Linking Reagents / Q000494:pharmacology*; D004730:Endothelium, Vascular / Q000473:pathology; D005022:Ethyldimethylaminopropyl Carbodiimide / Q000494:pharmacology*; D005976:Glutaral / Q000494:pharmacology*; D008855:Microscopy, Electron, Scanning; D011091:Polyesters; D012709:Serum Albumin; D014945:Wound Healing
D000447:Aldehydes; D002234:Carbodiimides; D003432:Cross-Linking Reagents; D011091:Polyesters; D012709:Serum Albumin; D005022:Ethyldimethylaminopropyl Carbodiimide; D005976:Glutaral