Volume 12 Issue 2
Mar.  2021
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Liu Shiqi, Ci Hongbo, Lei Peng, et al. Rapid and sutureless anastomosis of artificial vascular replacement of abdominal aorta in dog models using magnetic compression anastomosis technique[J]. ORGAN TRANSPLANTATION, 2021, 12(2): 191-196. doi: 10.3969/j.issn.1674-7445.2021.02.009
Citation: Liu Shiqi, Ci Hongbo, Lei Peng, et al. Rapid and sutureless anastomosis of artificial vascular replacement of abdominal aorta in dog models using magnetic compression anastomosis technique[J]. ORGAN TRANSPLANTATION, 2021, 12(2): 191-196. doi: 10.3969/j.issn.1674-7445.2021.02.009
shu

Rapid and sutureless anastomosis of artificial vascular replacement of abdominal aorta in dog models using magnetic compression anastomosis technique

doi: 10.3969/j.issn.1674-7445.2021.02.009

  • Medical College of Xijing University, Xi'an 710123, China

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  • Corresponding author: Lyu Yi, Email: luyi169@126.com
  • Received Date: 2020-10-22
    Available Online: 2021-03-19
  • Publish Date: 2021-03-15
    Abstract
  •   Objective  To explore the feasibility of rapid and sutureless anastomosis of artificial vascular replacement of abdominal aorta in dog models using magnetic compression anastomosis (MCA) technique.  Methods  Twelve healthy adult crossbred dogs were evenly divided into the MCA and hand suturing (HS) groups according to the anastomosis method between abdominal aorta and artificial blood vessels. The intraoperative duration of abdominal aorta occlusion, intraoperative condition of anastomotic stoma and postoperative imaging examination of anastomotic stoma were compared between two groups.  Results  The intraoperative duration of abdominal aorta occlusion in the MCA group was significantly shorter than that in the HS group [(5.2±2.3) min vs. (24.4±4.3) min, P < 0.001]. No anastomotic leakage of blood or anastomotic stenosis occurred in the MCA group during the operation. Intraoperative anastomotic leakage of blood occurred in all of the 6 dogs in the HS group. Among them, 1 dog died of excessive blood loss, and 2 dogs experienced mild anastomotic stenosis due to repeated repair. Postoperative color Doppler ultrasound and angiography showed smooth blood flow at the anastomotic stoma without stenosis or thrombosis in the MCA group. In the HS group, 4 dogs presented with anastomotic stenosis on angiography at postoperative 4 weeks.  Conclusions  MCA technique may achieve rapid and sutureless anastomosis of artificial vascular replacement of abdominal aorta in dog models, which reduces the incidence of anastomotic complications and accelerates postoperative recovery.

     

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    • References(25)
  • [1]
    孙来龙, 杜剑平, 刘朝兵, 等. 一种新型大鼠动脉移植模型的建立[J]. 中国比较医学杂志, 2017, 27(5): 99-102. DOI: 10.3969.j.issn.1671-7856.2017.05.021.

    SUN LL, DU JP, LIU CB, et al. A new model of rat artery transplantation[J]. Chin J Comp Med, 2017, 27(5): 99-102. DOI: 10.3969.j.issn.1671-7856.2017.05.021.
    [2]
    MA GG, HAO GW, LAI H, et al. Initial clinical impact of inhaled nitric oxide therapy for refractory hypoxemia following type A acute aortic dissection surgery[J]. J Thorac Dis, 2019, 11(2): 495-504. DOI: 10.21037/jtd.2019.01.42.
    [3]
    MUKAIDA H, HAYASHIDA M, MATSUSHITA S, et al. Brain natriuretic peptide (BNP) may play a major role in risk stratification based on cerebral oxygen saturation by near-infrared spectroscopy in patients undergoing major cardiovascular surgery[J]. PLoS One, 2017, 12(7): e0181154. DOI: 10.1371/journal.pone.0181154.
    [4]
    刘仕琪, 吕毅, 严小鹏. 恒磁场技术在血管与器官移植外科应用现状与进展[J]. 中华器官移植杂志, 2018, 39(12): 761-764. DOI:10.3760/cma.j.issn.0254-1785. 2018.12.014.

    LIU SQ, LYU Y, YAN XP. Application situation and progress of constant magnetic field technique in surgery of blood vessel and organ transplantation[J]. Chin J Organ Transplant, 2018, 39(12): 761-764. DOI: 10.3760/cma.j.issn.0254-1785.2018.12.014.
    [5]
    刘仕琪, 雷鹏, 吕毅, 等. 磁压榨吻合技术快速无缝线吻合犬股动脉[J]. 中华胸心血管外科杂志, 2015, 31(1): 28-30. DOI: 10.3760/cma.j.issn.1001-4497.2015.01.008.

    LIU SQ, LEI P, LYU Y, et al. Rapid and effective sutureless anastomosis of femoral artery by magnetic compression anastomosis technique[J]. Chin J Cardiovasc Surg, 2015, 31(1): 28-30. DOI: 10.3760/cma.j.issn.1001-4497.2015.01.008.
    [6]
    BRIASOULIS A, AKINTOYE E, KUNO T, et al. Characteristics and outcomes of patients undergoing combined organ transplantation (from the United Network for Organ Sharing)[J]. Am J Cardiol, 2020, 129: 42-45. DOI: 10.1016/j.amjcard.2020.05.034.
    [7]
    BRYANT R 3RD, RIZWAN R, ZAFAR F, et al. Contemporary outcomes of combined heart-liver transplant in patients with congenital heart disease[J]. Transplantation, 2018, 102(2): e67-e73. DOI: 10.1097/TP. 0000000000001978.
    [8]
    中华医学会器官移植学分会. 上腹部多器官联合移植技术操作规范(2019版)[J]. 器官移植, 2019, 10(6): 638-652. DOI: 10.3969/j.issn.1674-7445.2019.06.003.

    Branch of Organ Transplantation of Chinese Medical Association. Technical operation specification for combined multiple organ transplantation in the upper abdomen (2019 edition)[J]. Organ Transplant, 2019, 10(6): 638-652. DOI: 10.3969/j.issn.1674-7445.2019.06.003.
    [9]
    王深明, 崔进. 我国腹主动脉瘤的治疗现状[J]. 中国普外基础与临床杂志, 2017, 24(1): 1-3. DOI: 10.7507/ 1007-9424.201612088.

    WANG SM, CUI J. Current status of treatment of abdominal aortic aneurysm in China[J]. Chin J Bases Clin Gen Surg, 2017, 24(1): 1-3. DOI: 10.7507/1007-9424.201612088.
    [10]
    SRIRANGALINGAM U, GUNGANAH K, CARPENTER R, et al. Phaeochromocytoma and paraganglioma excision involving the great vessels[J]. EJVES Short Rep, 2017, 35: 1-6. DOI: 10.1016/j.ejvssr.2017.02.002.
    [11]
    来志超, 孙晓宁, 古丽丹娜·沙艳, 等. 胸腹主动脉瘤的手术方式与外科治疗选择[J/CD]. 中国血管外科杂志(电子版), 2018, 10(4): 233-236.

    LAI ZC, SUN XN, GULIDANNA SY, et al. Options of surgical methods for thoracoabdominal aortic aneurysm[J/CD]. Chin J Vasc Surg (Electr Vers), 2018, 10(4): 233-236.
    [12]
    俞颖, 金琳, 仓静, 等. 主动脉全弓置换术后严重并发症的危险因素[J]. 中华麻醉学杂志, 2018, 38(2): 142-145. DOI: 10.3760/cma.j.issn.0254-1416.2018.02.004.

    YU Y, JIN L, CANG J, et al. Risk factors for severe complications after total aortic arch replacement[J]. Chin J Anesthesiol, 2018, 38(2): 142-145. DOI: 10.3760/cma.j.issn.0254-1416.2018.02.004.
    [13]
    LIU SQ, LEI P, CUI XH, et al. Sutureless anastomoses using magnetic rings in canine liver transplantation model[J]. J Surg Res, 2013, 185(2): 923-933. DOI: 10.1016/j.jss.2013.07.025.
    [14]
    史源, 杨涛, 张全胜, 等. 磁环法快速重建肝上下腔静脉大鼠肝移植模型[J/CD]. 实用器官移植电子杂志, 2016, 4(2): 79-82. DOI: 10.3969/j.issn.2095-5332.2016.02.005.

    SHI Y, YANG T, ZHANG QS, et al. Magnetic ring anastomosis of supra-hepatic vena cava: a novel technique for liver transplantation in rat[J/CD]. Prac J Organ Transplant(Electr Vers), 2016, 4(2): 79-82. DOI: 10.3969/j.issn.2095-5332.2016.02.005.
    [15]
    杨丽斐, 吕毅. 磁吻合技术实现无缝线肝脏快速植入的临床前研究[J]. 器官移植, 2017, 8(3): 181-185. DOI: 10.3969/j.issn.l674-7445.2017.03.001.

    YANG LF, LYU Y. Pre-clinical study of suture-free rapid liver implantation by the magnetic anastomosis technique[J]. Organ Transplant, 2017, 8(3): 181-185. DOI: 10.3969/j.issn.l674-7445.2017.03.001.
    [16]
    杨丽斐, 陆建文, 史源, 等. 磁压榨吻合技术在大鼠肝移植模型建立中的应用[J/CD]. 中华肝脏外科手术学电子杂志, 2017, 6(5): 410-414. DOI: 10.3877/cma.j.issn.2095-3232.2017.05.017.

    YANG LF, LU JW, SHI Y, et al. Application of magnetic compression anastomosis in establishment of rat models of liver transplantation[J/CD]. Chin J Hepat Surg(Electr Edit), 2017, 6(5): 410-414. DOI: 10.3877/cma.j.issn.2095-3232.2017.05.017.
    [17]
    LU Q, LIU K, ZHANG W, et al. End-to-end vascular anastomosis using a novel magnetic compression device in rabbits: a preliminary study[J]. Sci Rep, 2020, 10(1): 5981. DOI: 10.1038/s41598-020-62936-6.
    [18]
    刘仕琪, 吕毅, 赵静儒, 等. 磁吻合技术治疗先天性食管闭锁与狭窄的临床疗效[J]. 中华消化外科杂志, 2019, 18(6): 581-586. DOI:10.3760/cma.j.issn.1673-9752. 2019.06.013.

    LIU SQ, LYU Y, ZHAO JR, et al. Clinical efficacy of magnetic compression anastomosis for congenital esophageal atresia and stenosis[J]. Chin J Dig Surg, 2019, 18(6): 581-586. DOI: 10.3760/cma.j.issn.1673-9752.2019.06.013.
    [19]
    刘仕琪, 吕毅, 赵静儒, 等. 内镜下磁吻合术治疗先天性食管狭窄一例[J]. 中华消化内镜杂志, 2020, 37(8): 596-597. DOI: 10.3760/cma.j.cn321463-20191221-00341.

    LIU SQ, LYU Y, ZHAO JR, et al. A case of congenital esophageal stricture treated by magnetic anastomosis under endoscope[J]. Chin J Dig Endosc, 2020, 37(8): 596-597. DOI: 10.3760/cma.j.cn321463-20191221-00341.
    [20]
    刘仕琪, 赵静儒, 高亚, 等. 磁吻合技术在小儿外科领域中的应用[J]. 科学通报, 2020, 65(13): 1264-1273. DOI: 10.1360/TB-2019-0881.

    LIU SQ, ZHAO JR, GAO Y, et al. Application of magnetic compression anastomosis technique in pediatric surgery[J]. Chin Sci Bull, 2020, 65(13): 1264-1273. DOI: 10.1360/TB-2019-0881.
    [21]
    MARTINO CF, PEREA H, HOPFNER U, et al. Effects of weak static magnetic fields on endothelial cells[J]. Bioelectromagnetics, 2010, 31(4): 296-301. DOI: 10.1002/bem.20565.
    [22]
    NAARALA J, KESARI KK, MCCLURE I, et al. Direction-dependent effects of combined static and ELF magnetic fields on cell proliferation and superoxide radical production[J]. Biomed Res Int, 2017: 5675086. DOI: 10.1155/2017/5675086.
    [23]
    朱一鸣, 方彦雯, 杨建成, 等. 磁场与血管生成研究进展[J]. 科学通报, 2020, 65(13): 1224-1237. DOI: 10.1360/TB-2019-0883.

    ZHU YM, FANG YW, YANG JC, et al. Magnetic fields and angiogenesis[J]. Chin Sci Bull, 2020, 65(13): 1224-1237. DOI: 10.1360/TB-2019-0883.
    [24]
    LI Q, LIAO Z, GU L, et al. Moderate intensity static magnetic fields prevent thrombus formation in rats and mice[J]. Bioelectromagnetics, 2020, 41(1): 52-62. DOI: 10.1002/bem.22232.
    [25]
    张欣. 稳态磁场对血流、骨骼和疼痛的影响[J]. 物理, 2020, 49(6): 373-380. DOI: 10.7693/wl20200603.

    ZHANG X. Effects of static magnetic fields on blood flow, bone and pain[J]. Physics, 2020, 49(6): 373-380. DOI: 10.7693/wl20200603.
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