The Influence of Elastic Components of the Venous Wall on the Biomechanical Properties of Different Veins Used for Arterial Reconstruction

Krasiński, Zbigniew; Biskupski, Piotr; Dzieciuchowicz, Łukasz; Kaczmarek, Elżbieta; Krasińska, Beata; Staniszewski, Ryszard; Pawlaczyk, Katarzyna; Stanišić, Michał; Majewski, Przemysław; Majewski, Wacław

doi:10.1016/j.ejvs.2010.04.008

Cited by 16 publications

(10 citation statements)

References 42 publications

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“…Non-linear and viscoelastic behaviour is observed with veins and, adding to venous structural complexity, the microstructure and mechanical properties of veins vary with their anatomical location, position in the vascular hierarchy and stress state (Rossmann, 2010). The composition of various elastic components such as elastin and collagen influence the biomechanical characteristics of veins (Krasi nski et al 2010). The amount of collagen I and IV present in the walls of veins differs between competent and incompetent vessels, with competent human saphenous veins showing a larger amount of collagen IV, and incompetent veins displaying a greater amount of collagen I and elastin leading to a greater stiffness (Krasi nski et al 2010).…”

Section: Three-dimensional Printing Of Skinmentioning

confidence: 99%

“…The composition of various elastic components such as elastin and collagen influence the biomechanical characteristics of veins (Krasi nski et al 2010). The amount of collagen I and IV present in the walls of veins differs between competent and incompetent vessels, with competent human saphenous veins showing a larger amount of collagen IV, and incompetent veins displaying a greater amount of collagen I and elastin leading to a greater stiffness (Krasi nski et al 2010). The challenges in replicating veins would be similar to that of arteries given their similar structure.…”

Section: Three-dimensional Printing Of Skinmentioning

confidence: 99%

“…Advances in this area require knowledge of both engineering and a familiarity with the physical and biomechanical properties of each of the various human tissues. Although the biomechanical properties of some tissues have been reported (Sunderland & Bradley, 1961a;Sunderland, 1965;Diamant et al 1972;Mozersky et al 1972;Mow et al 1984;Mosler et al 1985;McBride et al 1988;Rydevik et al 1990;Millesi et al 1995;Driscoll et al 2002;Korhonen et al 2002;Maganaris, 2002;Lieber et al 2003;Currey, 2004;Liebschner, 2004;Phillips et al 2004;Imer et al 2009;Van Loocke et al 2009;Krasi nski et al 2010;Morrow et al 2010;Rossmann, 2010;Hole cek et al 2011;Topp & Boyd, 2012;Alkhouli et al 2013;Boyer et al 2013;Matschke et al 2013;Lackey et al 2014;Matsuhashi et al 2014;Ottenio et al 2015;Ugbolue et al 2015), a gap exists between this knowledge and its relation to 3D print engineering. This review serves to help address this gap by providing a primer on biomechanical properties of various tissues, an overview of required 3D printing materials, and a summary of the current opportunities and challenges in creating dissectible anatomical prints.…”

Section: Introductionmentioning

confidence: 99%

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Challenges in creating dissectible anatomical 3D prints for surgical teaching

et al. 2019

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Three‐dimensional (3D) printing, or additive manufacturing, is now a widely used tool in pre‐operative planning, surgical teaching and simulator training. However, 3D printing technology that produces models with accurate haptic feedback, biomechanics and visuals for the training surgeon is not currently available. Challenges and opportunities in creating such surgical models will be discussed in this review paper. Surgery requires proper tissue handling as well as knowledge of relevant anatomy. To prepare doctors properly, training models need to take into account the biomechanical properties of the anatomical structures that will be manipulated in any given operation. This review summarises and evaluates the current biomechanical literature as it relates to human tissues and correlates the impact of this knowledge on developing high fidelity 3D printed surgical training models. We conclude that, currently, a printer technology has not yet been developed which can replicate many of the critical qualities of human tissue. Advances in 3D printing technology will be required to allow the printing of multi‐material products to achieve the mechanical properties required.

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Section: Three-dimensional Printing Of Skinmentioning

confidence: 99%

Section: Three-dimensional Printing Of Skinmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Challenges in creating dissectible anatomical 3D prints for surgical teaching

et al. 2019

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“…The contents of collagen I, III and IV and elastin in the human femoral vein (FV), incompetent saphenous vein (ISV) and competent saphenous vein (CSV) were measured by using computer-image-analysis system connected to a microscope based on immunohistochemically staining technique in terms of area fraction occupied by collagen or elastin in transverse sections [29].…”

Section: Histology Of Venous Wallmentioning

confidence: 99%

Biomechanical property and modelling of venous wall

2018

Progress in Biophysics and Molecular Biology

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Human saphenous vein has long been used as coronary artery bypass grafts to survive a heart arrested by blocked coronary arteries. Biomechanical properties of the saphenous vein can be critical because mismatch in the biomechanical property between a coronary artery and a graft will reduce graft patency and speed up disease development in the graft. In this paper hence the active and passive biomechanical behaviours of the human saphenous vein and other venous walls were reviewed extensively and comprehensively. The existing in vitro uniaxial, bulge, planar and tubular biaxial tensile testing methods, in vivo testing cases, property variables, various tested results, constitutive models and their mathematical modelling methods, viscoelasticity, and residual strain/stress are highlighted and summarized. It is demonstrated that the biomechanical properties of the human saphenous vein and other venous walls are not well documented, and their modelling approaches are limited and subjected to be updated in a great deal. Additionally, a few important research issues are proposed. The paper has provided a piece of useful information to investigation into coronary artery bypass grafts.

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“…The SFV is now well established as an autologous graft in reconstructive arterial and venous vascular surgery. Histomorphological investigations have shown that the collagen and elastin composition of the vein wall and its associated compliance is comparatively similar to that of an autologous artery, thereby also explaining the low tendency toward marked myointimal hyperplasia [ 8 ]. In addition to the excellent data on fully autologous reconstruction in septic vascular surgery involving the repair of infected conventional vascular grafts or mycotic aneurysms [ 6 , 7 , 9 – 16 ], results on the successful use of this approach in infected stents or stent grafts are also available [ 17 – 19 ].…”

Section: Indications For Use Of the Superficial Femoral Veinmentioning

confidence: 99%

Operative technique and morbidity of superficial femoral vein harvest

Neufang

Savvidis

2016

Gefässchirurgie

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BackgroundThe use of autologous superficial femoral veins (SFV) as an arterial or venous substitute represents a valuable technique in modern vascular surgery with versatile indications. The SFV autografts exhibit excellent control of infection and durable long-term results in terms of graft patency in prosthetic or arterial infections. In cases of elective use of the SFV, duplex ultrasound evaluation of the deep leg vein system should be implemented to confirm the patency of the profunda femoris vein.Material and methodsThe SFV can be harvested distal to the adductor hiatus with a proximal portion of the popliteal vein but should not exceed the level of the knee joint. Formation of a stump of the proximal SFV must be avoided. Simultaneous harvesting of the ipsilateral greater saphenous vein should be avoided to reduce the risk of significant chronic edema.ResultsEarly postoperative swelling of the donor leg can be expected but resolves spontaneously in most cases. Chronic mild edema of the leg with a possible indication for compression therapy may occur in up to 20 % of cases but severe complications are very rare if the anatomical borders for vein harvesting are respected. Temporary therapeutic anticoagulation after vein harvest is subject to individual decision making.ConclusionDuplex ultrasound is a reliable tool to assess the residual deep and superficial venous system in the long term. Excellent graft function and the tolerable adverse effects of vein harvest on the donor leg justify the use of the SFV in arterial and venous vascular surgery if indicated.

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The Influence of Elastic Components of the Venous Wall on the Biomechanical Properties of Different Veins Used for Arterial Reconstruction

Abstract: The histological structure directly influences the biomechanical properties of venous wall with rSV showing least compliance and cSV the greatest compliance.

Cited by 16 publications

References 42 publications

Challenges in creating dissectible anatomical 3D prints for surgical teaching

Challenges in creating dissectible anatomical 3D prints for surgical teaching

Biomechanical property and modelling of venous wall

Operative technique and morbidity of superficial femoral vein harvest

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