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Coating with paclitaxel improves graft survival in a porcine model of haemodialysis graft stenosis.

Coating with paclitaxel improves graft survival in a porcine model of haemodialysis graft stenosis. Research Abstract Details 

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  • Coating with paclitaxel improves graft survival in a porcine model of haemodialysis graft stenosis. Abstract Text:

    byung ha leeByung Ha Lee,jung eun leeJung Eun Lee,kwang woong leeKwang Woong Lee,hye yeong namHye Yeong Nam,hyun jung jeonHyun Jung Jeon,young ju sungYoung Ju Sung,jong sung kimJong Sung Kim,hyun jung limHyun Jung Lim,jong-sang parkJong-Sang Park,jai young koJai Young Ko,dae joong kimDae Joong Kim,byung ha leeByung Ha Lee,jung eun leeJung Eun Lee,kwang woong leeKwang Woong Lee,hye yeong namHye Yeong Nam,hyun jung jeonHyun Jung Jeon,young ju sungYoung Ju Sung,jong sung kimJong Sung Kim,hyun jung limHyun Jung Lim,jong-sang parkJong-Sang Park,jai young koJai Young Ko,dae joong kimDae Joong Kim,

    BACKGROUND: Most commonly resulting from intimal hyperplasia at the venous anastomosis, stenosis leading to thrombosis is a major cause of failure of polytetrafluoroethylene (PTFE) dialysis grafts. We recently reported that coating haemodialysis grafts with paclitaxel could reduce neointimal hyperplasia. This study tested whether paclitaxel-coating could prolong graft survival in a porcine model. METHODS: PTFE grafts were double-coated with paclitaxel. Bilateral grafts were created between the carotid arteries and the external jugular veins, and we evaluated graft survival by weekly measurements of blood flow for 12 weeks. RESULTS: We successfully implanted four pairs of paclitaxel-coated grafts and four pairs of control grafts in eight Landrace pigs. One control pig had to be euthanized at 4 weeks after graft placement. The grafts in the other three controls and four paclitaxel pigs survived until harvesting of the grafts. All paclitaxel-coated grafts remained patent for 12 weeks without decrease of blood flow. Median blood flow was 702 ml/min at three weeks and 818 ml/min at 12 weeks after placement. In contrast, the four control grafts lost luminal patency at 5, 6, 6 and 8 weeks, respectively. In Kaplan-Meier analysis, paclitaxel-coated grafts showed better survival than uncoated grafts (P = 0.011). CONCLUSIONS: Double-coating with paclitaxel improved graft survival. Coated PTFE grafts may be effective for the prevention of graft failure in patients on haemodialysis.

    Coating with paclitaxel improves graft survival in a porcine model of haemodialysis graft stenosis. Publishing Authors By Initials

    bh leeBH Lee,je leeJE Lee,kw leeKW Lee,hy namHY Nam,hj jeonHJ Jeon,yj sungYJ Sung,js kimJS Kim,hj limHJ Lim,js parkJS Park,jy koJY Ko,dj kimDJ Kim,bh leeBH Lee,je leeJE Lee,kw leeKW Lee,hy namHY Nam,hj jeonHJ Jeon,yj sungYJ Sung,js kimJS Kim,hj limHJ Lim,js parkJS Park,jy koJY Ko,dj kimDJ Kim,

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    PUBMED ID PMID:

    MEDLINE DATE:

    Coating with paclitaxel improves graft survival in a porcine model of haemodialysis graft stenosis. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Nephrology, dialysis, transplantation : official p

    VOLUME: 22

    Page Numbers: 2800-4

    Journal Abbreviation: Nephrol. Dial. Transplant.

    ISSN: 0931-0509

    DAY: 7

    MONTH: 07

    YEAR: 2007

    Coating with paclitaxel improves graft survival in a porcine model of haemodialysis graft stenosis. Information

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    LANGUAGE: eng

    NlmUniqueID: 8706402

    Coating with paclitaxel improves graft survival in a porcine model of haemodialysis graft stenosis. Keywords Mesh Terms:

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    Chemical & Substance for Abstract: Coating with paclitaxel improves graft survival in a porcine model of haemodialysis graft stenosis. Information

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    Grant and Affiliation Information for Coating with paclitaxel improves graft survival in a porcine model of haemodialysis graft stenosis.

    AFFILIATION: Division of Nephrology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul, Korea 135-710.

    Country: England

    England Research PublicationEngland Research Publication

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    MEDLINETA: Nephrol Dial Transplant

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