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September 1977, Vol 112, No. 9 >
ARTICLE | September 1977

Patency of Venous Grafts in Small Veins: Title and subTitle BreakInfluence of Aspirin and Warfarin Sodium FREE

Edward W. Friedman, MD; Howard A. Frank, MD; Ronald Ponn, MD
[+] Author Affiliations

Accepted for publication April 14, 1977.

Reprint requests to 330 Brookline Ave, Boston, MA 02215 (Dr Friedman).


Arch Surg. 1977;112(9):1072-1074. doi:10.1001/archsurg.1977.01370090054010
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• Venous autografts were prepared in jugular veins of rabbits as a test model to determine the usefulness of antiplatelet and anticoagulant agents (aspirin and warfarin sodium) alone or in combination for maintaining patency in the reconstruction of small veins. Graft patency was determined by periodic venography and postmortem examination. The grafts clotted in all of the untreated controls, five of six animals receiving aspirin, and three of four receiving warfarin, but in none of the animals receiving the combination of aspirin and warfarin.

(Arch Surg 112:1072-1074, 1977)

REFERENCES

1 +
Baird RJ, Lipton IH, Miyagishima RT, et al:  Replacement of the deep veins of the leg . Arch Surg 89:797-805, 1964;.
2 +
Hobson RW, Croom RD, Rich NM:  Influence of heparin and low molecular weight dextran on the patency of autogenous vein grafts in the venous system . Ann Surg 178:773-776, 1973;.
3 +
Dale WA, Scott HW:  Grafts in the venous system . Surgery 53:52-74, 1963;.
4 +
Boyd SJ, Dennis MD, Nogami RT, et al:  Prophylactic coumadin and A-V cannula function . J Appl Physiol 37:6-7, 1974;.
5 +
Clagett GP, Zelenock GB, Stanley JC, et al:  Prevention of early venous graft thrombosis by drugs altering platelet function . Surg Forum 24:253-254, 1973;.
6 +
Elcock HW, Fredrickson JM:  The effect of acetylsalicylic acid on thrombosis at microvenous anastomotic sites . J Laryngol Otol 86:839-845, 1972;.
7 +
Elcock HW, Fredrickson JM:  The effect of heparin on thrombosis at microvenous anastomotic sites . Arch Otolaryngol 95:68-71, 1972;.
8 +
Haimovici H, Hoffert PW, Zinicola N, et al:  An experimental and clinical evaluation of grafts in the venous system . Surg Gynecol Obstet 131:1173-1186, 1970;.
9 +
Kluge TH, Johs SR, Bjorne F, et al:  Thrombosis prophylaxis with dextran and warfarin in vascular operations . Surg Gynecol Obstet 135:941-944, 1972;.
10 +
Hasegawa T, Matsumoto H, Yamamoto M, et al:  Prosthetic replacement of superior vena cava-antiplatelet-adhesive drug influence . Arch Surg 106:848-850, 1973;.
11 +
Peterson J, Zucker MB:  The effect of adenosine monophosphate, arcaine and antiinflammatory agents on thrombosis and platelet function in rabbits . Thromb Diath Haemorrh 23:148-158, 1960;.
12 +
Born GVR:  Effect of adenosine triphosphate (ADP) and related substances on the adhesiveness of platelets in vivo and in vitro . Br J Haematol 12:37-43, 1966;.
13 +
Quick AJ, Stanley-Brown M, Bancroft W:  A study of the coagulation defect in hemophelia and in jaundice . Am J Med Sci 190:50, 1935;.
14 +
Weiss HJ, Tschopp TB, Baumgartner HR:  Impaired interaction (adhesion-aggregation) of platelets with the subendothelium in storage-pool disease and after aspirin ingestion . N Engl J Med 293:619-623, 1975;.
15 +
O'Brien JR:  Effects of salcylates on human platelets . Lancet 1:779-783, 1968;.
16 +
Hynes KM, Gau GT, Rutherford BD, et al:  Effect of aspirin on brachial artery occlusion following brachial arteriotomy for coronary arteriography . Circulation 47:554-557, 1973;.
17 +
Sullivan JM, Harken DE, Gorlin R:  Pharmacologic control of thrombotic complications of cardiac-valve replacement . N Engl J Med 284:1391-1394, 1971;.
18 +
Jacobson JH II, Katsumura T:  Small vein reconstruction . J Cardiovasc Surg 6:157-159, 1965;.
19 +
DeWeese JA, Niguidula F:  The replacement of short segments of veins with functional autogenous venous grafts . Surg Gynecol Obstet 110:303-307, 1960;.
20 +
Goodman LS, Gilman A: The Pharmacological Basis of Therapeutics . New York, Macmillan Co, 1975;, p 1358.

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1 +
Baird RJ, Lipton IH, Miyagishima RT, et al:  Replacement of the deep veins of the leg . Arch Surg 89:797-805, 1964;.
2 +
Hobson RW, Croom RD, Rich NM:  Influence of heparin and low molecular weight dextran on the patency of autogenous vein grafts in the venous system . Ann Surg 178:773-776, 1973;.
3 +
Dale WA, Scott HW:  Grafts in the venous system . Surgery 53:52-74, 1963;.
4 +
Boyd SJ, Dennis MD, Nogami RT, et al:  Prophylactic coumadin and A-V cannula function . J Appl Physiol 37:6-7, 1974;.
5 +
Clagett GP, Zelenock GB, Stanley JC, et al:  Prevention of early venous graft thrombosis by drugs altering platelet function . Surg Forum 24:253-254, 1973;.
6 +
Elcock HW, Fredrickson JM:  The effect of acetylsalicylic acid on thrombosis at microvenous anastomotic sites . J Laryngol Otol 86:839-845, 1972;.
7 +
Elcock HW, Fredrickson JM:  The effect of heparin on thrombosis at microvenous anastomotic sites . Arch Otolaryngol 95:68-71, 1972;.
8 +
Haimovici H, Hoffert PW, Zinicola N, et al:  An experimental and clinical evaluation of grafts in the venous system . Surg Gynecol Obstet 131:1173-1186, 1970;.
9 +
Kluge TH, Johs SR, Bjorne F, et al:  Thrombosis prophylaxis with dextran and warfarin in vascular operations . Surg Gynecol Obstet 135:941-944, 1972;.
10 +
Hasegawa T, Matsumoto H, Yamamoto M, et al:  Prosthetic replacement of superior vena cava-antiplatelet-adhesive drug influence . Arch Surg 106:848-850, 1973;.
11 +
Peterson J, Zucker MB:  The effect of adenosine monophosphate, arcaine and antiinflammatory agents on thrombosis and platelet function in rabbits . Thromb Diath Haemorrh 23:148-158, 1960;.
12 +
Born GVR:  Effect of adenosine triphosphate (ADP) and related substances on the adhesiveness of platelets in vivo and in vitro . Br J Haematol 12:37-43, 1966;.
13 +
Quick AJ, Stanley-Brown M, Bancroft W:  A study of the coagulation defect in hemophelia and in jaundice . Am J Med Sci 190:50, 1935;.
14 +
Weiss HJ, Tschopp TB, Baumgartner HR:  Impaired interaction (adhesion-aggregation) of platelets with the subendothelium in storage-pool disease and after aspirin ingestion . N Engl J Med 293:619-623, 1975;.
15 +
O'Brien JR:  Effects of salcylates on human platelets . Lancet 1:779-783, 1968;.
16 +
Hynes KM, Gau GT, Rutherford BD, et al:  Effect of aspirin on brachial artery occlusion following brachial arteriotomy for coronary arteriography . Circulation 47:554-557, 1973;.
17 +
Sullivan JM, Harken DE, Gorlin R:  Pharmacologic control of thrombotic complications of cardiac-valve replacement . N Engl J Med 284:1391-1394, 1971;.
18 +
Jacobson JH II, Katsumura T:  Small vein reconstruction . J Cardiovasc Surg 6:157-159, 1965;.
19 +
DeWeese JA, Niguidula F:  The replacement of short segments of veins with functional autogenous venous grafts . Surg Gynecol Obstet 110:303-307, 1960;.
20 +
Goodman LS, Gilman A: The Pharmacological Basis of Therapeutics . New York, Macmillan Co, 1975;, p 1358.

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