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Basic and Clinical study on Percutaneous Endovascular Surgery With Ultrathin-wall Vascular Grafts

Research Project

Project/Area Number 09557107
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section展開研究
Research Field Thoracic surgery
Research InstitutionUniversity of Tokyo

Principal Investigator

KOTSUKA Yutaka  University of Tokyo, Cardiothorathic Surgery, Associate Prof., 医学部・附属病院, 助教授 (10126055)

Co-Investigator(Kenkyū-buntansha) IKEDA Hiroyuki  Ube Industry Ltd, Polymer Laboratory, Chief Stuff of Research, 高分子研究所, 主席研究員
ONO Minoru  University of Tokyo, Cardiothorathic Surgery, Assistant, 医学部・附属病院, 助手 (40270871)
EZURE Masahiko  University of Tokyo, Cardiothorathic Surgery, Assistant, 医学部・附属病院, 助手 (20282642)
Project Period (FY) 1997 – 1998
Project Status Completed (Fiscal Year 1998)
Budget Amount *help
¥11,900,000 (Direct Cost: ¥11,900,000)
Fiscal Year 1998: ¥3,900,000 (Direct Cost: ¥3,900,000)
Fiscal Year 1997: ¥8,000,000 (Direct Cost: ¥8,000,000)
Keywordsstentgraft repair / endovascular surgery / aortic aneurysm / ultrathin-wall vascular graft / wall thickness of vascular graft / tensile strength / water permeability / ステント・グラフト
Research Abstract

OBJECTIVES : It is sometimes impossible to perform endovascular stent-graft repair through the peripheral artery because of the mismatch in size between the introducer and the peripheral artery. The purpose of this study is to develop ultrathin-wall grafts suitable for stent-graft procedures performed through the peripheral artery. METHODS : We fabricated ultrathin-wall grafts with a wall thickness of 42 to 137mum, using 50 denier polyester threads consisting of 72 polyester monofilaments. We studied the physical properties of the ultrathin-wall grafts in in vitro experiments. 1) The surface structure of the grafts was examined by electron microscopy. The planimetric porosity of the grafts was determined through measuring the areas of voids from electrophotomicrographs. 2) The longitudinal tensile strength of the grafts was determined with a tensile strength machine. 3) The water permeability of the grafts was measured. 4) We examined the size of introducers through which stent-grafts assembled with a Gianturco Z-stents and the ultrathin-wall grafts could pass. RESULTS : 1) In ultrathin-wall grafts with a wall thickness of 75mum or more, a regular surface structure with zero planimetric porosity was recognized. In those with a thickness less than 64mum, the porosity increased as the wall thickness decreased. 2) The longitudinal tensile strengths of the 75mum and 64mum grafts were 13.1*0.9 Kg and 9.5*0.9 Kg, respectively. 3) The water permeability of the 75mum grafts was 380 ml/min, and that of the thinner grafts increased rapidly as the wall thickness decreased. 4) Stents covered with the ultrathin-wall grafts could pass through introducers with a diameter of 18 French. CONCLUSIONS : We conclude that the newly developed ultrathin-wall grafts are suitable for endovascular surgery.

Report

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

    (28 results)

All Other

All Publications (28 results)

  • [Publications] Ezure,M.,Kotsuka,Y et al: "Repair of ruptured anastomotic aneurysm - Elephant trunk technique after endovascular stent grafting." Ann Thorac Surg. 65. 241-243 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 小塚 裕,ほか: "高吸水性ポリマーを用いた血管内手術用自己膨潤型人工血管の開発:血管内リーク防止を目的として." 脈管学. (in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 小塚 裕,ほか: "血管内手術(ステントグラフト)のための超薄型人工血管の開発" 日胸外会誌. 45. 1392 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 江連雅彦,小塚 裕,他: "超薄型人工血管を用いたstent graftの実験的検討" 日胸外会誌. 45. 1392 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 江連雅彦,小塚 裕,稲葉博隆 他: "超薄型人工血管を用いたstent graftの胸部大動脈における内挿術の実験的検討" 日外会誌. 99. 458 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Y.Kotsuka,et al.: "Newly Developed Auto-awelling Vascular Grafts for Endovascular Repair." 18th Annual Congress,International Union of Angiology.(abstract). 32

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 小塚 裕,高本眞一: "血管疾患のインターベンション心臓病診療プラクティス 18インターベンションを活かす(土師一夫編)" 文光堂, 278 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 小塚 裕,高本眞一: "大動脈解離. 外来診療のすべて. 第3章 主要疾患のプライマリケア." メジカルビュー社, 909 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Yutaka Kotsuka, et al.: "Newly developed ultrathin-wall vascular grafts for endovascular surgery." Jpn J Thoracic Cardiovasc Surg. 45. 1392 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Masahiko Ezure, et al.: "Experimental study on stentgraft using ultrathin-wall vascular grafts." Jpn J Thoracic Cardiovasc Surg. 45. 1392 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ezure, M., Kotsuka, Y et al.: "Repair of ruptured anastomotic aneurysm - Elephant trunk technique after endovascular stent grafting." Ann Thorac Surg. 65. 241-243 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Masahiko Ezure, et al.: "Experimental study on stentgraft procedure for the thoracic aorta using ultrathin-wall vascular grafts." Jpn J Surg. 99. 458 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Y.Kotsuka, et al.: "Newly developed auto-awelling vascular grafts Repair" 18th Annual Congress, International Union of Angiology (abstract). 32

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Y.Kotsuka, et al.: "Newly developed auto-awelling vascular grafts with superabsorbent polymer for Endovascular Surgery." Jpn J Thoracic Cardiovasc Surg. 46. 158 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Kotsuka, Y,et al.: "Newly developed auto-swelling vascular grafts with superabsorbent polymer for endovascular surgery." Jpn J Angiology. (in press). (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Kotsuka, Y et al.: Practice for Cardiac Disease, Ed Doshi K,"Intervention in vascular disease". Bunnkoudo, Tokyo, 254-255 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Kotsuka, Y et al.: All of The Outpatients Clinic, "Aortic dissection". Medical View, 312-313 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] Ezure,M.,Kotsuka,Y et al: "Repair of ruptured anastomotic aneurysm -Elephant trunk technique after endovascular stent grafting." Ann Thorac Surg. 65. 241-243 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 小塚 裕、ほか: "高吸水性ポリマーを用いた血管内手術用自己膨潤型人口血管の開発:血管内リーク防止を目的として" 脈管学. (in press).

    • Related Report
      1998 Annual Research Report
  • [Publications] 小塚 裕,ほか: "血管内手術(ステントグラフト)のための超薄型人工血管の開発" 日胸外会誌. 46. 1392 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 江連雅彦,小塚 裕,他: "超薄型人工血管を用いたstent graftの実験的検討" 日胸外会誌. 45. 1392 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 江連雅彦,小塚 裕,稲葉博隆 他: "超薄型人工血管を用いたstent graftの胸部大動脈における内挿術の実験的検討" 日外会誌. 99. 458 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Y.Kotsuka,et al.: "Newly Developed Auto-awelling Vascular Grafts for Endovascular Repair." 18th Annual congress,International Union of Angiology.32(abstract) (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 小塚 裕,高本眞一: "血管疾患のインターベンション 心臓病診療プラクティス 18インターベンションを活かす(土師一夫編)" 文光堂, 278 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 小塚 裕,高本眞一: "大動脈解離.外来診療のすべて.第3章 主要疾患のプライマリケア." メジカルビュー社, 909 (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] Ezure,M.et al: "Repair of ruptured anastomotic aneurysm-Elephant trunk technique after endovascular stent grafting." Ann.Thorac.Surg.(in press).

    • Related Report
      1997 Annual Research Report
  • [Publications] 小塚 裕 ほか: "血管内手術(ステント・グラフト)のための超薄型人工血管の開発" 日胸外会誌. 45・Suppl. 1392-1392 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 江連雅彦 ほか: "超薄型人工血管を用いたstent graftの実験的検討" 日胸外会誌. 45・Suppl. 1392-1392 (1997)

    • Related Report
      1997 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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