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Silicone Rubber as Aortic Grafting Material
LT. RICHARD H. EGDAHL, MC
AMA Arch Surg. 1955;71(5):694-696.
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The introduction of Vinyon-N cloth by Voorhees, Jaretzki, and Blakemore in 1952 opened a new era in vascular grafting.1 A follow-up study by the same group2 reported 18 clinical cases of arteriosclerotic aneurysm resection, with replacement by Vinyon-N cloth. The material is easy to suture, strong, readily obtainable, and relatively inexpensive. Grafts fashioned from Vinyon-N cloth maintain a patency comparable with that of aortic homografts. Other plastic cloths, such as Dacron, nylon, and Orlon,3 have been used recently, with considerable success. Much research is being done at many centers in an effort to determine the best plastic cloth and the most favorable method of application.
Despite these enthusiastic reports, there are certain inherent disadvantages of all such plastic cloths being used for vascular grafts at present. None is truly elastic, and the ultimate fate of all is to become incased in a fibrous restraining capsule. Although even
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Author Affiliations
U.S.N.R.
Naval Medical Research Institute, National Naval Medical Center, Bethesda, Md.; Dr. Egdahl's present address is University of Minnesota Hospitals, Minneapolis 14.
Footnotes
Submitted for publication May 24, 1955.
The opinions or assertions contained herein are the private ones of the writer, and are not to be construed as official or reflecting the view of the Navy Department or the Naval Service at large.
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