Cryopreserved Allogenic Vascular Graft in Free-flap Reconstructive Microsurgery: Case Report

Overview

Journal J Surg Case Rep

Publisher Oxford University Press

Specialty General Surgery

Date 2021 Aug 30

PMID 34457239

Authors

Chih-Hsun Lin

Kai Hsia

Jen-Her Lu

Hsu Ma

Affiliations

Soon will be listed here.

Abstract

The use of cryopreserved allogenic vascular graft in reconstructive microsurgery has rarely been reported. Here, we report a case of lower extremity reconstruction using cryopreserved hepatic artery as the vein conduit. Postoperative flap perfusion was uneventful with satisfactory wound healing, and graft patency was observed on follow-up color Doppler. Thus, cryopreserved allogenic vascular graft could be a source of vascular conduit in microsurgery.

References

Lee K, Lee D, Lee H, Joh J, Choi S, Heo J . Interpostion vein graft in living donor liver transplantation. Transplant Proc. 2004; 36(8):2261-2. DOI: 10.1016/j.transproceed.2004.08.079. View

Motomura N, Imakita M, Yutani C, Kitoh Y, Kawashima Y, Oka T . Histological change in cryopreserved rat aortic allograft. J Cardiovasc Surg (Torino). 1995; 36(1):53-60. View

Cheng H, Lin F, Chang S . Evidence-based analysis of vein graft interposition in head and neck free flap reconstruction. Plast Reconstr Surg. 2012; 129(5):853e-854e. DOI: 10.1097/PRS.0b013e31824a6313. View

Vlastou C, EARLE A, Jordan R . Vein grafts in reconstructive microsurgery of the lower extremity. Microsurgery. 1992; 13(5):234-5. DOI: 10.1002/micr.1920130505. View

Sugawara Y, Makuuchi M, Akamatsu N, Kishi Y, Niiya T, Kaneko J . Refinement of venous reconstruction using cryopreserved veins in right liver grafts. Liver Transpl. 2004; 10(4):541-7. DOI: 10.1002/lt.20129. View

Hsia K, Yang M, Chen W, Yao C, Lin C, Loong C . Sphingosine-1-phosphate improves endothelialization with reduction of thrombosis in recellularized human umbilical vein graft by inhibiting syndecan-1 shedding in vitro. Acta Biomater. 2017; 51:341-350. DOI: 10.1016/j.actbio.2017.01.050. View

Muller-Schweinitzer E . Cryopreservation of vascular tissues. Organogenesis. 2010; 5(3):97-104. PMC: 2781088. DOI: 10.4161/org.5.3.9495. View

Liang M, Narayanan K, Ramasastry S, Stofman G . Lower extremity reconstruction using a long-cryopreserved venous allograft for free flap venous outflow. Microsurgery. 1992; 13(2):59-61. DOI: 10.1002/micr.1920130202. View

Germann G, Steinau H . The clinical reliability of vein grafts in free-flap transfer. J Reconstr Microsurg. 1996; 12(1):11-7. DOI: 10.1055/s-2007-1006446. View

10.

Watson J . Experimental microvascular anastomoses in radiated vessels: a study of the patency rate and the histopathology of healing. Plast Reconstr Surg. 1979; 63(4):525-33. DOI: 10.1097/00006534-197904000-00014. View

11.

Takeishi M, Hirase Y, Kojima T . Experimental study of cryopreserved allogeneic transfer of vessel: preliminary report. Microsurgery. 1994; 15(1):55-62. DOI: 10.1002/micr.1920150114. View

12.

Gauvin R, Guillemette M, Galbraith T, Bourget J, Larouche D, Marcoux H . Mechanical properties of tissue-engineered vascular constructs produced using arterial or venous cells. Tissue Eng Part A. 2011; 17(15-16):2049-59. DOI: 10.1089/ten.TEA.2010.0613. View

13.

Inbal A, Silva A, Humphries L, Teven C, Gottlieb L . Bridging the Gap: A 20-Year Experience with Vein Grafts for Free Flap Reconstruction. The Odds for Success. Plast Reconstr Surg. 2018; 142(3):786-794. DOI: 10.1097/PRS.0000000000004697. View

14.

Hsia K, Yao C, Chen W, Chen J, Lee H, Lu J . Scaffolds and Cell-Based Tissue Engineering for Blood Vessel Therapy. Cells Tissues Organs. 2016; 202(5-6):281-295. DOI: 10.1159/000448169. View

15.

Mesa F, Serra J, Herreros J . Vascular cryopreservation in microsurgery. J Reconstr Microsurg. 1997; 13(4):245-50. DOI: 10.1055/s-2007-1000231. View

16.

Miller M, Schusterman M, Reece G, Kroll S . Interposition vein grafting in head and neck reconstructive microsurgery. J Reconstr Microsurg. 1993; 9(3):245-51; discussion 251-2. DOI: 10.1055/s-2007-1006652. View

17.

Jashari R, Van Hoeck B, Ngakam R, Goffin Y, Fan Y . Banking of cryopreserved arterial allografts in Europe: 20 years of operation in the European Homograft Bank (EHB) in Brussels. Cell Tissue Bank. 2013; 14(4):589-99. DOI: 10.1007/s10561-012-9359-4. View

18.

Kieffer E, Gomes D, Chiche L, Fleron M, Koskas F, Bahnini A . Allograft replacement for infrarenal aortic graft infection: early and late results in 179 patients. J Vasc Surg. 2004; 39(5):1009-17. DOI: 10.1016/j.jvs.2003.12.040. View

19.

Bourget A, Chang J, Wu D, Chang C, Wei F . Free flap reconstruction in the head and neck region following radiotherapy: a cohort study identifying negative outcome predictors. Plast Reconstr Surg. 2011; 127(5):1901-1908. DOI: 10.1097/PRS.0b013e31820cf216. View

20.

Baraldi A, Manenti A, Di Felice A, Grosoli M, Furci L, Leonelli M . Absence of rejection in cryopreserved saphenous vein allografts for hemodialysis. ASAIO Trans. 1989; 35(3):196-9. DOI: 10.1097/00002480-198907000-00006. View