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Abstract:

Native vessels-grafts biomechanical mismatch (BM) is related to graft failure. The BM could be reduced using human cryopreserved/defrosted arteries (cryografts), but post-thaw cryografts' recovery could be associated with an impaired biomechanical behavior. In vitro, we demonstrated that our cryopreservation methods do not affect arteries' biomechanics, but only post-implant studies would allow determining the cryografts' biomechanical performance. Aim To characterize the biomechanical properties of implanted cryografts, and to compare them with cryografts pre-implant, recipients' native arteries, and arteries from subjects with characteristics similar to those of the recipients and multiorgan donors (MOD) whose arteries were cryopreserved. Methods Native femoral arteries anastomosed to cryografts, implanted cryografts, and arteries from subjects, recipient-like and MOD-like, were studied. In vitro (pre-implant cryografts) and in vivo non-invasive studies were performed. Arterial pressure, diameter, and wall thickness were obtained to quantify local and regional biomechanical parameters, and to evaluate the arterial remodeling. Conclusion Implanted cryografts were remodeled, with an increased wall thickness, wall-to-lumen ratio, and wall cross-sectional area. The proximal-distal gradual transition in stiffness remained unchanged. Implanted cryografts were stiffer than MOD-like arteries, but more compliant than recipients' arteries. The cryografts-native arteries biomechanical differences were lesser than those described for venous grafts or expanded polytetrafluoroethylene. © 2009 Biomedical Engineering Society.

Registro:

Documento: Artículo
Título:Non-invasive biomechanical evaluation of implanted human cryopreserved arterial homografts : CCCComparison with pre-implanted cryografts and arteries from human donors and recipients
Autor:Bia, D.; Zócalo, Y.; Armentano, R.; Laza, S.; Pérez, H.; Craiem, D.; Saldías, M.; Álvarez, I.
Filiación:Physiology Department, School of Medicine, Republic University, General Flores 2125, 11800 Montevideo, Uruguay
Facultad de Ingeniería y Ciencias Exactas y Naturales, Universidad Favaloro, Buenos Aires, Argentina
Instituto Nacional de Donación y Transplante (INDT), School of Medicine, Republic University and Ministry of Public Health, Montevideo, Uruguay
Anatomy Department, School of Medicine, Republic University, Montevideo, Uruguay
Idioma: Inglés
Palabras clave:Arterial remodeling; Arterial stiffness; B-mode echography; Biomechanical mismatch; Cryopreserved arterial homografts; Elasticity; Intima-media thickness; Non-invasive evaluation; Pulse wave velocity; Arterial remodeling; Arterial stiffness; B-mode echography; Biomechanical mismatch; Cryopreserved arterial homografts; Intima-media thickness; Non-invasive evaluation; Pulse wave velocity; Acoustic wave velocity; Elasticity; Grafts; Stiffness; Ultrasonic imaging; Biomechanics; aged; artery; article; biomechanics; blood vessel prosthesis; clinical trial; comparative study; computer assisted diagnosis; cryopreservation; donor; echography; elastography; equipment; female; human; male; mechanical stress; methodology; middle aged; pathophysiology; physiology; transplantation; young modulus; Aged; Arteries; Biomechanics; Blood Vessel Prosthesis; Cryopreservation; Elastic Modulus; Elasticity Imaging Techniques; Equipment Failure Analysis; Female; Humans; Image Interpretation, Computer-Assisted; Male; Middle Aged; Stress, Mechanical; Tissue Donors
Año:2009
Volumen:37
Número:7
Página de inicio:1273
Página de fin:1286
DOI: http://dx.doi.org/10.1007/s10439-009-9693-2
Título revista:Annals of Biomedical Engineering
Título revista abreviado:Ann Biomed Eng
ISSN:00906964
CODEN:ABMEC
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00906964_v37_n7_p1273_Bia

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Citas:

---------- APA ----------
Bia, D., Zócalo, Y., Armentano, R., Laza, S., Pérez, H., Craiem, D., Saldías, M.,..., Álvarez, I. (2009) . Non-invasive biomechanical evaluation of implanted human cryopreserved arterial homografts : CCCComparison with pre-implanted cryografts and arteries from human donors and recipients. Annals of Biomedical Engineering, 37(7), 1273-1286.
http://dx.doi.org/10.1007/s10439-009-9693-2
---------- CHICAGO ----------
Bia, D., Zócalo, Y., Armentano, R., Laza, S., Pérez, H., Craiem, D., et al. "Non-invasive biomechanical evaluation of implanted human cryopreserved arterial homografts : CCCComparison with pre-implanted cryografts and arteries from human donors and recipients" . Annals of Biomedical Engineering 37, no. 7 (2009) : 1273-1286.
http://dx.doi.org/10.1007/s10439-009-9693-2
---------- MLA ----------
Bia, D., Zócalo, Y., Armentano, R., Laza, S., Pérez, H., Craiem, D., et al. "Non-invasive biomechanical evaluation of implanted human cryopreserved arterial homografts : CCCComparison with pre-implanted cryografts and arteries from human donors and recipients" . Annals of Biomedical Engineering, vol. 37, no. 7, 2009, pp. 1273-1286.
http://dx.doi.org/10.1007/s10439-009-9693-2
---------- VANCOUVER ----------
Bia, D., Zócalo, Y., Armentano, R., Laza, S., Pérez, H., Craiem, D., et al. Non-invasive biomechanical evaluation of implanted human cryopreserved arterial homografts : CCCComparison with pre-implanted cryografts and arteries from human donors and recipients. Ann Biomed Eng. 2009;37(7):1273-1286.
http://dx.doi.org/10.1007/s10439-009-9693-2