Changes in Vascular Anatomy Following Reconstructive Surgery: An In Vivo Angiographic Demonstration of the Delay Phenomenon and Venous Recanalization

2016 ◽  
pp. 1077-1083
Author(s):  
Judith Hunter ◽  
Warren Rozen ◽  
Damien Grinsell
2021 ◽  
pp. neurintsurg-2020-016798
Author(s):  
Maksim Shapiro ◽  
Melanie Walker ◽  
Kate T Carroll ◽  
Michael R Levitt ◽  
Eytan Raz ◽  
...  

Adoption of middle meningeal artery embolization in the management of chronic subdural hematomas has led to a renewed interest in dural vascular anatomy. The readily identifiable major dural arteries and potential hazards associated with their embolization are well described. Less emphasized are several levels of intrinsic dural angioarchitecture, despite their more direct relationship to dural based diseases, such as subdural hematoma and dural fistula. Fortunately, microvascular aspects of dural anatomy, previously limited to ex vivo investigations, are becoming increasingly accessible to in vivo visualization, setting the stage for synthesis of the old and the new, and providing a rationale for the endovascular approach to subdural collections in particular. In contrast with traditional anatomical didactics, where descriptions advance from larger trunks to smaller pedicles, we present a strategic approach that proceeds from a fundamental understanding of the dural microvasculature and its relationship to larger vessels.


2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Erfan Dashtimoghadam ◽  
Farahnaz Fahimipour ◽  
Andrew N. Keith ◽  
Foad Vashahi ◽  
Pavel Popryadukhin ◽  
...  

AbstractCurrent materials used in biomedical devices do not match tissue’s mechanical properties and leach various chemicals into the body. These deficiencies pose significant health risks that are further exacerbated by invasive implantation procedures. Herein, we leverage the brush-like polymer architecture to design and administer minimally invasive injectable elastomers that cure in vivo into leachable-free implants with mechanical properties matching the surrounding tissue. This strategy allows tuning curing time from minutes to hours, which empowers a broad range of biomedical applications from rapid wound sealing to time-intensive reconstructive surgery. These injectable elastomers support in vitro cell proliferation, while also demonstrating in vivo implant integrity with a mild inflammatory response and minimal fibrotic encapsulation.


Nanomaterials ◽  
2020 ◽  
Vol 11 (1) ◽  
pp. 22
Author(s):  
Huy Xuan Ngo ◽  
Quang Ngoc Dong ◽  
Yunpeng Bai ◽  
Jingjing Sha ◽  
Shinji Ishizuka ◽  
...  

Uncalcined/unsintered hydroxyapatite and poly-l-lactide-co-glycolide (u-HA/PLLA/PGA) is a new bioresorbable nanomaterial with superior characteristics compared with current bioresorbable materials, including appropriate mechanical properties, outstanding bioactive/osteoconductive features, and remarkably shorter resorption time. Nevertheless, the bone regeneration characteristics of this nanomaterial have not been evaluated in maxillofacial reconstructive surgery. In this study, we used a rat mandible model to assess the bone regeneration ability of u-HA/PLLA/PGA material, compared with uncalcined/unsintered hydroxyapatite and poly-l-lactide acid (u-HA/PLLA) material, which has demonstrated excellent bone regenerative ability. A 4-mm-diameter defect was created at the mandibular angle area in 28 Sprague Dawley male rats. The rats were divided into three groups: u-HA/PLLA/PGA (u-HA/PLLA/PGA graft + defect), u-HA/PLLA (u-HA/PLLA graft + defect), and sham control (defect alone). At 1, 3, 8, and 16 weeks after surgeries, the rats were sacrificed and assessed by micro-computed tomography, histological analysis with hematoxylin and eosin staining, and immunohistochemical analyses. The results confirmed that the accelerated bone bioactive/regenerative osteoconduction of u-HA/PLLA/PGA was comparable with that of u-HA/PLLA in the rat mandible model. Furthermore, this new regenerative nanomaterial was able to more rapidly induce bone formation in the early stage and had great potential for further clinical applications in maxillofacial reconstructive surgery.


2020 ◽  
Author(s):  
Erfan Dashtimoghadam ◽  
Farahnaz Fahimipour ◽  
Andrew Keith ◽  
Foad Vashahi ◽  
Pavel Popryadukhin ◽  
...  

Abstract Current materials used in biomedical devices do not match tissue’s mechanical properties and leach various chemicals into the body. These deficiencies pose significant health risks that are further exacerbated by invasive implantation procedures. Herein, we leverage the brush-like polymer architecture to design and administer minimally invasive injectable elastomers that cure in vivo into leachable-free implants with mechanical properties matching the surrounding tissue. This strategy allows tuning curing time from minutes to hours, which empowers a broad range of biomedical applications from rapid wound sealing to time-intensive reconstructive surgery. These injectable elastomers support in vitro cell proliferation, while also demonstrating in vivo implant integrity with a mild inflammatory response and minimal fibrotic encapsulation.


2016 ◽  
Vol 2 (1) ◽  
pp. 31-37
Author(s):  
Daniel A. Wolff ◽  
Gustavo J. Armand Ugón ◽  
Jesús R. Manzani

Introducción: El éxito de éste colgajo depende de la anatomía vascular de su pedículo y de la existencia de anastomosis con pedículos proximales. Los estudios vasculares anatómicos en cadáveres fundan las bases para la realización de colgajos musculares. El cirujano debe conocer cuales de los resultados de un estudio cadavérico son aplicables al paciente. Objetivos: Estudiar en cadáveres el número de pedículos distales, su topografía y la existencia de anastomosis con vasos proximales. Luego comparar estos datos con los hallados en pacientes. Material y Métodos: En 9 piernas cadavéricas se estudió la anatomía de los pedículos distales. En 5 pacientes se realizó colgajo de hemisóleo a pedículo distal y se verificó la correspondencia de los datos cadavéricos con los hallados en el vivo. Resultados: En el grupo cadavérico los pedículos distales para el músculo sóleo se originaron tanto de la arteria tibial posterior como de la peronea. El vaso mas distal se encontró en promedio a 6,32 cm de la línea intermaleolar y su origen mas frecuente fue la arteria tibial posterior. La presencia de anastomosis no fue demostrable en las disecciones cadavéricas pero si en el vivo.       Conclusiones: Los resultados cadavéricos fueron comparables con los hallazgos del modelo vivo, salvo en la identificación de anastomosis, sólo evidenciables en éstos últimos. Esta información es útil para el abordaje y localización del pedículo distal que nutre el colgajo, pero no para definir el territorio anatómico del vaso. Por lo tanto, debe conocerse que datos originados de estudios cadavéricos pueden aplicarse al vivo. Introduction: The success of this flap depends on the vascular anatomy of its pedicle and on the existence of anastomosis with proximal pedicles. The anatomic cadaveric vascular studies set the foundation for muscle flap designs. Surgeons should know which results of cadaveric studies are applicable to the patient. Our objective was to study, in cadavers, the number and situation of distal pedicles to the soleous muscle and the existence of anastomosis between them and proximal dominant vessels for this muscle, and to compare this data with those found in patients. Material and Methods: The anatomy of distal pedicles was studied in nine cadaveric legs. Distally based hemisoleus flap was performed in five patients. The correspondence between cadaveric and patients data was verified. Results: Cadaveric group distal pedicles for soleus muscle were originated from the posterior tibial artery and also from the fibular artery. The most distal vessel was found at an average of 6.32 cm from the intermaleolar line. Its most frequent origin was the posterior tibial artery. The presence of anastomosis was demonstrated in patients but not in cadaveric dissections. Conclusions: Cadaveric results were comparable with those found in patients, except for the identification of the anastomosis. This information is useful for the localization and surgical approach of the distal pedicle that nourish the flap, but not to define the anatomical territory of the vessel. Therefore, it should be known which cadaveric data can be applied to the patients.   


1985 ◽  
Vol 53 (2) ◽  
pp. 311-322 ◽  
Author(s):  
F. J. Lozeman ◽  
L. P. Milligan

1. The vascular anatomy of the bovine omasal lamina permitted perfusion of a discrete area of the tissue. As occurs in vivo, oxygen was provided through the vascular system, while the luminal sides of the tissue could be kept in an anaerobic environment, thus allowing study of foregut tissue metabolism under physiologically realistic conditions.2. O2consumption of perfused leaves in the presence of anaerobic buffer was 64.9 and 73.5 nmol O2/mg dry weight per h in Expts 1 and 2 respectively, and was elevated (P< 0.05) when the lumen side of the tissue was exposed to an atmosphere of nitrogen gas.3. In Expt 1, the rate of O2consumption was increased (P< 0.01) by 35% as a result of suspension of a boiled preparation of rumen micro-organisms and particles (< 1 mm) in the anaerobic lumen buffer. Replacement of the boiled preparation with an unboiled suspension increased O2consumption further by 11 %, but this was not statistically significant (P> 0.05).4. In Expt 2, sequential addition of the following substrates or preparations to the lumen chambers all resulted in stepwise increases (P< 0.05) in O2consumption; 8 mM-butyrate, boiled rumen micro-organisms and particles and, finally, unboiled rumen micro-organisms and particles.5. Identities of the heat-labile and heat-stable components of the microbial and particle suspensions that caused enhancement of O2removal across the perfused tissue are discussed.


Author(s):  
Samuel A. Mihelic ◽  
William A. Sikora ◽  
Ahmed M. Hassan ◽  
Michael R. Williamson ◽  
Theresa A. Jones ◽  
...  

AbstractRecent advances in two-photon microscopy (2PM) have allowed large scale imaging and analysis of cortical blood vessel networks in living mice. However, extracting a network graph and vector representations for vessels remain bottlenecks in many applications. Vascular vectorization is algorithmically difficult because blood vessels have many shapes and sizes, the samples are often unevenly illuminated, and large image volumes are required to achieve good statistical power. State-of-the-art, three-dimensional, vascular vectorization approaches require a segmented/binary image, relying on manual or supervised-machine annotation. Therefore, voxel-by-voxel image segmentation is biased by the human annotator/trainer. Furthermore, segmented images oftentimes require remedial morphological filtering before skeletonization/vectorization. To address these limitations, we propose a vectorization method to extract vascular objects directly from unsegmented images. The Segmentation-Less, Automated, Vascular Vectorization (SLAVV) source code in MATLAB is openly available on GitHub. This novel method uses simple models of vascular anatomy, efficient linear filtering, and low-complexity vector extraction algorithms to remove the image segmentation requirement, replacing it with manual or automated vector classification. SLAVV is demonstrated on three in vivo 2PM image volumes of microvascular networks (capillaries, arterioles and venules) in the mouse cortex. Vectorization performance is proven robust to the choice of plasma- or endothelial-labeled contrast, and processing costs are shown to scale with input image volume. Fully-automated SLAVV performance is evaluated on various, simulated 2PM images based on the large, [1.4, 0.9, 0.6] mm input image, and performance metrics show greater robustness to image quality than an intensity-based thresholding approach.


Development ◽  
2022 ◽  
Author(s):  
E. C. Kugler ◽  
J. Frost ◽  
V. Silva ◽  
K. Plant ◽  
K. Chhabria ◽  
...  

Zebrafish transgenic lines and light sheet fluorescence microscopy allow in-depth insights into three-dimensional vascular development in vivo. However, quantification of the zebrafish cerebral vasculature in 3D remains highly challenging. Here, we describe and test an image analysis workflow for 3D quantification of the total or regional zebrafish brain vasculature, called zebrafish vasculature quantification “ZVQ”. It provides the first landmark- or object-based vascular inter-sample registration of the zebrafish cerebral vasculature, producing Population Average Maps allowing rapid assessment of intra- and inter-group vascular anatomy. ZVQ also extracts a range of quantitative vascular parameters from a user-specified Region of Interest including volume, surface area, density, branching points, length, radius, and complexity. Application of ZVQ to thirteen experimental conditions, including embryonic development, pharmacological manipulations and morpholino induced gene knockdown, shows ZVQ is robust, allows extraction of biologically relevant information and quantification of vascular alteration, and can provide novel insights into vascular biology. To allow dissemination, the code for quantification, a graphical user interface, and workflow documentation are provided. Together, ZVQ provides the first open-source quantitative approach to assess the 3D cerebrovascular architecture in zebrafish.


Author(s):  
Luigi Gambarotta ◽  
Roberta Massabo ◽  
Renata Morbiducci

A comprehensive experimental/numerical procedure is presented for the in vivo characterization of the mechanical properties of human skin and the simulation of reconstructive surgery. The procedure uses in vivo experimental tests, which can be performed during surgery, a numerical model formulated within the framework of nonlinear finite strain elasticity and a nonlinear parameter identification technique for the calibration of the model. The skin is treated as a time independent and hyperelastic membrane and the problem is solved through a finite element discretization. The procedure is applied to characterize the scalp skin tested by Raposio and Nordstro¨m, 1998, and to simulate a simple surgical procedure of excision and closure. The application highlights the validity of the proposed approach.


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