Morphology and function of preserved microvascular arterial grafts: an experimental study in rats.
The aim of this study is to examine the morphology and function and small-caliber, arterial grafts after preservation in the University of Wisconsin solution (UW). Rat carotid arteries were stored in UW (n = 10) or in phosphate-buffered saline (PBS) (n = 10) for 1, 3, 7, and 14 days and were examined with light microscopy (LM) and scanning electron microscopy (SEM). Rat aortic preparations were stored in UW or PBS for 1 hour, 24 hours, 72 hours, 7 days, and 14 days and assessed for functional responses (stimulated contraction and endothelium-dependent relaxation). Segments (5 mm) of rat carotid arteries were stored in UW or PBS for 3 days, 7 days, and 14 days and orthotopically implanted as autografts and allografts. No immunosuppressive or anticoagulant agents were used. After 28 days of implantation, the grafts were assessed for patency and excised for LM and SEM. In UW, the endothelial layer remained intact up to 9 days of storage. In PBS, the endothelial layer showed deterioration after 1 day and was completely lost after 3 days. Functional responses were demonstrated to exist for as long as 7 days storage in UW. In PBS, no responses could be evoked after 24 hours storage. Autografts preserved in UW for 3 days (n = 6), 7 days (n = 6), and 14 days (n = 6) showed patency rates of 83.3%, 66.6%, and 66.6%, respectively, whereas patency rates of allografts were 66.6%, 33.3%, and 33.3%, respectively. Autografts stored in PBS for 3 days (n = 6), 7 days (n = 6), and 14 days (n = 6) showed patency rates of 33.3%, 33.3%, and 50%, respectively, whereas patency rates of allografts were 16.7%, 0%, and 33.3%, respectively. The UW preserved autografts showed normal morphology. All other groups showed vessel wall degeneration which in the allograft groups, were accompanied by lymphocellular infiltration. In conclusion, the endothelial layer and vessel wall of arteries are adequately preserved in UW. Functional responses are retained up to 14 days storage in UW, but, are lost after 24 hours storage in PBS. Autograft implantation studies accordingly show good performance of arterial segments preserved in UW, whereas allografts are subject to degradation as a result of rejection.
Vischjager
M
M
Department of Surgery, Academic Medical Centre, University of Amsterdam, The Netherlands.
Van Gulik
T M
TM
Kromhout
J G
JG
Van Marle
J
J
Pfaffendorf
M
M
Klopper
P J
PJ
Jacobs
M J
MJ
D000241:Adenosine; D000316:Adrenergic alpha-Agonists / Q000494:pharmacology; D000493:Allopurinol; D000818:Animals; D001011:Aorta / Q000473:pathology / Q000503:physiopathology / Q000637:transplantation; D001158:Arteries / Q000473:pathology / Q000503:physiopathology / Q000637:transplantation*; D017536:Carotid Artery, Common / Q000601:surgery; D004730:Endothelium, Vascular / Q000473:pathology / Q000502:physiology / Q000648:ultrastructure; D005260:Female; D005978:Glutathione; D066298:In Vitro Techniques; D007328:Insulin; D008297:Male; D016210:Methacholine Chloride / Q000494:pharmacology; D008866:Microsurgery; D018721:Muscarinic Agonists / Q000494:pharmacology; D009119:Muscle Contraction / Q000187:drug effects; D009131:Muscle, Smooth, Vascular / Q000503:physiopathology; D009926:Organ Preservation; D019188:Organ Preservation Solutions; D010656:Phenylephrine / Q000494:pharmacology; D011189:Potassium Chloride / Q000494:pharmacology; D011887:Raffinose; D051381:Rats; D011914:Rats, Inbred BN; D017208:Rats, Wistar; D013997:Time Factors; D014182:Transplantation, Autologous; D014184:Transplantation, Homologous; D014185:Transplantation, Isogeneic; D014654:Vascular Patency
D000316:Adrenergic alpha-Agonists; D007328:Insulin; D018721:Muscarinic Agonists; D019188:Organ Preservation Solutions; C055206:University of Wisconsin-lactobionate solution; D016210:Methacholine Chloride; D010656:Phenylephrine; D000493:Allopurinol; D011189:Potassium Chloride; D005978:Glutathione; D000241:Adenosine; D011887:Raffinose