Factors influencing successful outcome in the arteriovenous loop model: A retrospective study of 612 loop operations

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Elias Polykandriotis - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Dimitris Drakotos - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Andreas Arkudas - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Galyna Pryymachuk - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Subha Rath - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Justus P. Beier - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Dorothee Klumpp - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Adrian Dragu - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Raymund E. Horch - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Ulrich Kneser - , Friedrich-Alexander University Erlangen-Nürnberg (Author)

Abstract

The arteriovenous (AV) loop is a complex model and requires advanced microsurgical skills. After several years of studies including characterization of the physiological and molecular phenomena behind the process of neovascularization, we would like to evaluate our experience from a microsurgical point of view. The AV loop operation was performed in 612 male Lewis rats. Species, surgeon, previous microsurgical skills, solid or soft consistency of matrix, weeks from implantation to explantation, experience, and practice of surgeon as well length of operation and outcome (patent versus thrombosed) upon evaluation were analyzed for each loop operation. Previous microsurgical skills, matrix, and explantation interval were not significant predictors. There was a significant correlation of experience, practice, and individual performance of microsurgical technicians with the rate of thrombosis and duration of the procedure. Experimental microsurgical operations on animals are best performed by especially trained technicians, rather than microsurgeons working parallel to their clinical activities. The AV loop is an excellent model in the arena of translational technologies, but due to its complexity is unsuitable for screening purposes. Experience and practice are both significant predictors of successful outcome. Possible applications of the model for research purposes are discussed.

Details

Original languageEnglish
Pages (from-to)11-18
Number of pages8
JournalJournal of Reconstructive Microsurgery
Volume27
Issue number1
Publication statusPublished - 2011
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 20945282
ORCID /0000-0003-4633-2695/work/145698773

Keywords

ASJC Scopus subject areas

Keywords

  • arteriovenous loop, interpositional vein graft, Microsurgery, microsurgical skills