In vivo biostability of four types of arterial grafts with impervious walls; their haemodynamic and pathological characteristics

We describe the haemodynamic and pathological characteristics of four types of impervious arterial prostheses, two alloplastic (Milrathane^® and Gore-Tex^®), and two chemically processed bovine heterografts (Solcograft^® and Solco P^®). They were implanted in the thoracic aortae of dogs for durations of 24 hours, 48 hours, one weeks, two weeks, one month, three months and six months. Haemodynamic analyses showed no relation between the shear rate index, I·_Y, and compliance, C_D. The observed shear rates are 6.5 times lower than those likely to damage the endothelial cell layer. Macroscopic and microscopic observations of explanted grafts showed the presence of obstructive thrombi at the anastomoses of Mitrathane^® grafts as early as one week. Gore-Tex^® grafts develop in the area of anastomoses parietal-thrombi which reorganize and become covered with pseudo-endothelial cells. The bovine heterografts show a similar behaviour. However, whereas Solcograft^® has an irregular thin wall, Solco P^® had improved characteristics except in the graft implanted for three months which demonstrated some manufacturing weaknesses. Both types showed the development of anastomotic pannus covered with endothelial-like cells. All grafts, whether alloplastic or chemically processed, suffered from an absence of healing of the middle part of the prosthesis. The cause of this problem will be found in the analysis of the biochemical and enzymatic reactations between the material used and its physiological surrounding.