Effect of cryopreservation on patency and histological changes of arterial isogeneic and allogeneic grafts in the rat model.

Abstract

Vascular grafting is used frequently in the management of length discrepancies between blood vessels. Cryopreservation permits vascular graft storage and aids availability; however, long-term patency of cryopreserved arterial allografts is not well established. Fifty Fisher and 55 Wistar rats were used in the study. Thirty-eight cryopreserved Fisher femoral arterial grafts were transplanted into the femoral arteries of 15 Fisher (cryoisografts) and 23 Wistar rats (cryoallografts). Thirty-two fresh Fisher arterial grafts were implanted into 32 Wistar femoral arteries (fresh allografts). The animals were killed at 1, 4, and 8 months in each group, and graft patency was assessed. One-month graft patency was 100% in all groups. At 4 months, graft patencies were 86%, 100%, and 75% in the cryoisografts, cryoallografts, and fresh allografts respectively. All cryoisografts and fresh allografts were patent, whereas all the cryoallografts were occluded at 8 months ( < 0.01). Cryopreserved rat arterial allografts offered satisfactory graft patency up to 4 months after implantation and may therefore be applicable clinically in selected cases.