• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Prevention of anastomotic stenosis and graft occlusion after small caliber prosthesis implantation.-The utility of a new anastomotic device and Hepatocyte Growth Factor(HGF).

Research Project

Project/Area Number 09470251
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field General surgery
Research InstitutionYamaguchi University

Principal Investigator

ESATO Kensuke  Yamaguchi University School of Medicine, Professor, 医学部, 教授 (10034943)

Co-Investigator(Kenkyū-buntansha) TAKENAKA Hiroaki  Yamaguchi University Hospital, Instructor, 医学部・附属病院, 助手 (00314807)
FUJIOKA Kentarou  Yamaguchi University Hospital, Assistant Professor, 医学部・附属病院, 講師 (80238542)
NOBUYA Zempo  Yamaguchi University School of Medicine, Associate Professor, 医学部, 助教授 (00206666)
Project Period (FY) 1997 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥3,700,000 (Direct Cost: ¥3,700,000)
Fiscal Year 1999: ¥2,000,000 (Direct Cost: ¥2,000,000)
Fiscal Year 1998: ¥1,700,000 (Direct Cost: ¥1,700,000)
KeywordsVCS CLIP / Hepatocyte Growth Factor(HGF) / Arterial reconstruction / small caliber prosthesis / anastomotic hyperplasia / Patency Rate / endothelial cells / smooth muscle cells / VCS clip / 仮性内膜肥厚 / Hepatocyte Growth Factor / 血管吻合 / 人工血管 / 動脈血行再建 / 縫合糸 / VCSクリップ / ビ-グル犬
Research Abstract

In 1997, we investigated the utility of the VCS clip. A beagle underwent aortobifemoral bypass with ePTFE graft 6mm in diameter. Specimens were taken 12 weeks after surgery. Time for anastomosis was reduced by use of the VCS clip. However, L size VCS clip required large attachment site between ePTFE and host artery, resulted in anastomotic stenosis and patency rate was inferior to that of M size, combination of L and M size, and the control group. Anastmotic intimal thickness was less in the VCS clip treated group. Anastomotic intimal thickness was less in the VCS clip treated group 12 weeks after surgery than in the control group.
In 1998, we investigated the utility of Hepatocyte Growth Factor. Japanese white rabbit were used. Lt. commom carotid artery was interposed with a ePTFE graft(30mm in lengh and 2mm in internal diameter). Specimens were taken 12 weeks after surgery. In the HGF treated group, anastomotic line was covered with momolayer of endothelial-like cells. The HGF treated group showed less anastomotic neointimal thickness and higher patency rate compared to the Control group. The mechanism of this phenomenon may be due to early coverage of anastomotic line in the HGF treated group lead to the suppresion of vascular smooth muscle proliferation and migration.
In 1999, we investigated the utility of VCS clip and HGF in the Japanese white rabbit carotid arterial bypass model using ePTFE graft(10mm in lengh and 2mm in internal diameter). The study group consisted of the Control group, The HGF treated group, and the VCS + HGF group. In the VCS group, time for anastomosis was reduced, however, anastomotic neointimal thickness was more promuneant and patency rate was inferior compared to the rest of two groups. Application of VCS clip to small caliber vacular anastomosis brought sever anastomotic stenosis and deformation.

Report

(4 results)
  • 1999 Annual Research Report   Final Research Report Summary
  • 1998 Annual Research Report
  • 1997 Annual Research Report
  • Research Products

    (38 results)

All Other

All Publications (38 results)

  • [Publications] Nobuya Zempo,et al: "Regulation of Vascular Smooth Muscle Cell Migration and Proliferation ln Vitro and in lnjured Rat Arteries by a Synthetic Matrix Metalloproteinase lnhibilor"Arteriosclerosis,Thrombosis,and Vascular Biology. 16-(1). 28-33 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kentaro Fujioka,et al: "Effect of EIaslase on Primary Graft Patency after Femoralpopliteal Arterial Bypass for Arteriosclerosis ObliteraIns:A Randormized,Controlled Study"Inteenalional Surgery. 82-(1). 94-97 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kensuke Esato,et al.: "Satigrel,a New Antiplatelet Agent,Inhibits Platelet Accumulation in Prosthelic Arterial Grafts"American J Surgery. 175-(1). 56-60 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Hiroaki Takenaka,et al: "Microvascular Transport ls Associated with Tumor Necrosis Factor Plasma Levels and Protein Synthesis in postischemic Muscle"American Journal of Physiology. 274 Heart Circ Phsiol 43. H1914-H1919 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kentaro Fujioka,et al.: "AneriaI Reconstruction:Justified for Patients with lntermittemt Claudication?"World Joumal of Surgery. 22-(10). 1039-1042 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kensuke Esato.et al.: "Strategy of the Suppression of lnterna Hyperplasia in Peripheral Arterial Reconstruction"Asian Joumal of Surgery. 22-(2). 156-160 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 江里健輔: "循環系治療薬の作用メカニズム"戸田 昇、安孫子 保編 南江堂. 6 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 江里健輔: "心臓病診療プラクティス 血管疾患を診る"高本眞一、松尾 汎 編集 文光堂. 4 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] ZEMPO, Nobuya, et al: "Regulation of Vascular Smooth Muscle Cell Migration and Proliferation In Vitro and in Injured Rat Arteries by a Synthetic Matrix Metalloproteinase Inhibitor"Arteriossclerosis, Thrombosis, and Vascular Biology. 16-(1). 28-33 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] FUJIOKA, Kentaro, et al: "Effect of Elastase on Primary Graft Patency after Femoralpopliteal Arterial Bypass for Arteriosclerosis Obliterans : A Randomized, Controlled Study"International Surgery. 82-(1). 94-97 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] ESATO, Kensuke, et al.: "Satigrel, a New Antiplatelet Agent, Inhibits Platelet Accumulation in Prosthetic Arterial Grafts"American J Surgery. 175-(1). 56-60 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] TAKENAKA, Hiroaki, et al.: "Microvascular Transport Is Associated with Tumor Necrosis Factor Plasma Levels and Protein Synthesis in Postischemic Muscle."American Journal of Physiology. 43. H1914-H1919 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] FUJIOKA, Kentaro, et al: "Arterial Reconstruction : Justified for Patients with Intermittent Claudication?"World Journal of Surgery. 22-(10). 1039-1042 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] ESATO, Kensuke, et al.: "Strategy of the Suppression of Intimal Hyperplasia in Peripheral Arterial Reconstruction"Asian Journal of Surgery. 22-(2). 156-160 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] ESATO, Kensuke, et al.: "Thrombosis of Peripheral Artery Mechanism of Drugs for Cardiovascular System"NANKODO (In Japanese),. 6 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] ESATO, Kensuke, et al.: "Surgical Indication for Peripheral Arterial Occlusive Disease Diagnosis and Treatment for Vascular Disease"BUNKODO (In Japanese),. 4 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Nobuya Zempo,et al: "Regulation of Vascular Smooth Muscle Cell Migration and Proliferation In Vitro and in Injured Rat Arteries by a Synthetic Matrix Metalloproteinase Inhibitor"Arteriosclerosis,Thrombosis,and Vascular Biology. 16-(1). 28-33 (1996)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kentaro Fujioka,et al: "Effect of Elastase on Primary Graft Patency after Femoralpopliteal Arterial Bypass for Arteriosclerosis Obliterans:A Randomized,Controlled Study"International Surgery. 82-(1). 94-97 (1997)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kensuke Esato,et al.: "Satigrel,a New Antiplatelet Agent,Inhibits Platelet Accumulation in Prosthetic Arterial Grafts"American J Surgery. 175-(1). 56-60 (1998)

    • Related Report
      1999 Annual Research Report
  • [Publications] Hiroaki Takenaka,et al: "Microvascular Transport Is Associated with Tumor Necrosis Factor Plasma Levels and Protein Synthesis in Postischemic Muscle."American Journal of Physiology. 274Heart Circ Phsiol 43. H1914-H1919 (1998)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kentaro Fujioka,et al.: "Arterial Reconstruction:Justified for Patients with Intermittent Claudication?"World Journal of Surgery. 22-(10). 1039-1042 (1998)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kensuke Esato,et al.: "Strategy of the Suppression of Intimal Hyperplasia in Peripheral Arterial Reconstruction"Asian Journal of Surgery. 22-(2). 156-160 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 江里健輔: "循環系治療薬の作用メカニズム"戸田昇、安孫子保編 南江堂. 6 (1998)

    • Related Report
      1999 Annual Research Report
  • [Publications] 江里健輔: "心臓病診療プラクティス 血管疾患を診る"高本眞一、松尾汎編集 分光堂. 4 (1998)

    • Related Report
      1999 Annual Research Report
  • [Publications] Nobuya Zempo,et al: "Regulation of Vascular Smooth Muscle Cell Migration and Proliferation In Vitro and in Injured Rat Arteries by a Synthetic Matrix Metalloproteinase Inhibitor" Arteriosclerosis,Thrombosis,and Vascular Biology. 16-(1). 28-33 (1996)

    • Related Report
      1998 Annual Research Report
  • [Publications] K.Fujioka,et al: "Effect of E5510 on Anastomotic Intimal Hyperplasia and Platelet Aggregation in Dogs" Journal of Cardiovascular Pharmacology. 27-(6). 824-830 (1996)

    • Related Report
      1998 Annual Research Report
  • [Publications] 江里健輔、他: "下肢動脈再建路に対する再手術-閉塞原因から みた適応と術式-" 脈管学. 37-(1). 3-4 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 善甫宣哉、他: "閉塞性動脈硬化症のバイパスグラフト閉塞に対する治療戦略" 治療学. 31-(3). 383-386 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kentaro Fujioka,et al: "Effect of Elastase on Primary Graft Patency after Femoralpopliteal Arterial Bypass for Arteriosclerosis Obliterans : A Randomized,Controlled Study" International Surgery. 82-(1). 94-97 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] Hiroaki Takenaka,et al: "Microvascular Transport Is Associated with Tumor Necrosis Factor Plasma Levels and Protein Synthesis in Postischemic Muscle." American Journal of Physiology. 274 Heart Circ Phsiol 43. H1914-H1919 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 江里健輔: "循環系治療薬の作用メカニズム" 戸田 昇、安孫子 保 編 南江堂, 6 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 江里健輔: "心臓病診察プラクティス 血管疾患を診る" 高本眞一、松尾 汎 編集 文光堂, 4 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Nobuya Zempo, et al: "Regulation of Vascular Smooth Muscle Cell Migration and Proliferation In Vitro and in Injured Rat Arteries by Synthetic Matrix Metalloproteinase Inhibitor" Arteriosclerosis, Thrombosis, and Vascular Biology. 16-(1). 28-33 (1996)

    • Related Report
      1997 Annual Research Report
  • [Publications] K.Fujioka, et al: "Effect of F5510 on Anastomotic Intimal Hyperplasia and Platelet Aggregation in Dogs" Journal of Cardiovascular Pharmacology. 27-(6). 824-830 (1996)

    • Related Report
      1997 Annual Research Report
  • [Publications] 江里健輔、他: "下肢動脈再建路に対する再手術-閉塞原因から みた適応と術式-" 脈管学. 37-(1). 3-4 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 善甫宣哉、他: "閉塞性動脈硬化症のバイパスグラフト閉塞に対する治療戦略" 治療学. 31-(3). 383-386 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Kentaro Fujioka, et al: "Effect of Elastase on Primary Graft Patency after Femoralpopliteal Arterial Bypass for Arteriosclerosis Obliterans : A Randomized, Controlled Study" International Surgery. 82-(1). 94-97 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Kensuke Esato: "Advances in Prostaglandin, Thromboxane, and Leukotriene Research 23" Raven Press, Ltd.,3 (1995)

    • Related Report
      1997 Annual Research Report

URL: 

Published: 1998-04-01   Modified: 2016-04-21  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi