[Present status and the future of blood vessel transplantation].
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OBJECTIVE: To investigate the clinical application of fistulation of artery and vein with self-blood vessel transplantation. METHODS: Seven patients with renal failure were given antebrachial fistulation of artery and vein with great saphenous veins of themselves. The ortho- and pachy-great saphenous vein was chosed after it was cut. The great saphenous vein was passed bridge inside forearm in straight line or morpha-U. The method was anastomosis of the radial artery or brachial artery and cephalic vein, basilic vein or median cubital vein. RESULTS: The fistulations of artery and vein were successful and all patients were in hemodialysis regularly. CONCLUSION: The fistulation of artery and vein with self-blood vessel transplantation is a convenient, easy, cheap operation. It can coincide with the clinical demand and be used to make up the failure of fistulation or the fistulation that there is no blood vessel in the forearm.
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An experimental study of human umbilical vein in the use of femoral artery and jugular vein transplantation was carried out, and three patients suffering from superior vena caval obstruction were operated on by umbilical vein transplantation. The patients were followed up for 4-7 months with good results. It was found that the umbilical vein was a very good alternative in blood vessel transplantation for its lacking valves, its even caliber, its easiness to obtain, its length of up to 20 cm and a caliber of 0.3-1.0 cm, its ability to bear a pressure of up to 300 mmHg, and its causing no rejection after glutaraldehyde pretreatment. The processing and preserving of the umbilical vein were presented in detail, and its clinical implication was discussed.
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In dogs an artery, a vein, and a vascular bundle were transplanted into intact bone, isolated bone segments, necrotized bone, and homografts of bone. Active proliferation of new blood vessels and formation of new bone occurred in all instances where the vascular bundle was used, when the vein was implanted into the intact bone and isolated bone, and only when the artery was implanted into intact bone. As a result of these experiments, vascular bundle transplantation has been performed in patients with Kienboeck's disease, and avascular necrosis of the scaphoid, the femoral head, the talus, and other conditions.
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