First-in-human results of an in-body tissue architecture-induced tissue-engineered vascular graft “Biotube” for application in distal bypass for chronic limb-threatening ischemia

Small-diameter vascular substitutes remain necessary, especially in the absence of an available autologous vein. Using a completely autologous approach termed “in-body tissue architecture,” a small-diameter, long, tissue-engineered vascular graft, a “Biotube,” was developed. A below-the-knee distal...

Full description

Bibliographic Details
Main Authors: Ryuji Higashita, MD, PhD, Manami Miyazaki, MD, Masaya Oi, MD, PhD, Noboru Ishikawa, MD, PhD
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428722001228
_version_ 1828110436652810240
author Ryuji Higashita, MD, PhD
Manami Miyazaki, MD
Masaya Oi, MD, PhD
Noboru Ishikawa, MD, PhD
author_facet Ryuji Higashita, MD, PhD
Manami Miyazaki, MD
Masaya Oi, MD, PhD
Noboru Ishikawa, MD, PhD
author_sort Ryuji Higashita, MD, PhD
collection DOAJ
description Small-diameter vascular substitutes remain necessary, especially in the absence of an available autologous vein. Using a completely autologous approach termed “in-body tissue architecture,” a small-diameter, long, tissue-engineered vascular graft, a “Biotube,” was developed. A below-the-knee distal bypass using the Biotube as a composite with expanded polytetrafluoroethylene grafts was performed to treat a patient with chronic limb-threatening ischemia without a venous graft available. The wound on the foot had completely healed 3 months after the bypass surgery, and limb salvage and walking without claudication were achieved. At the 1-year postoperative follow-up examination, duplex ultrasound scans demonstrated graft patency without thrombus or stenosis.
first_indexed 2024-04-11T11:19:06Z
format Article
id doaj.art-31a4b4ef0c13467e84d5816f9fe82ac8
institution Directory Open Access Journal
issn 2468-4287
language English
last_indexed 2024-04-11T11:19:06Z
publishDate 2022-09-01
publisher Elsevier
record_format Article
series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj.art-31a4b4ef0c13467e84d5816f9fe82ac82022-12-22T04:27:07ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872022-09-0183488493First-in-human results of an in-body tissue architecture-induced tissue-engineered vascular graft “Biotube” for application in distal bypass for chronic limb-threatening ischemiaRyuji Higashita, MD, PhD0Manami Miyazaki, MD1Masaya Oi, MD, PhD2Noboru Ishikawa, MD, PhD3Department of Cardiovascular Surgery, Yokohama General Hospital, Yokohama, Japan; Correspondence: Ryuji Higashita, MD, PhD, Department of Cardiovascular Surgery, Yokohama General Hospital, 2201-5 Kurogane-cho, Aoba-ku, Yokohama 225-0025, JapanDepartment of Cardiovascular Surgery, Yokohama General Hospital, Yokohama, JapanDepartment of Cardiovascular Surgery, Yokohama General Hospital, Yokohama, JapanDepartment of Cardiovascular Surgery, Sanai Memorial Hospital, Chiba, JapanSmall-diameter vascular substitutes remain necessary, especially in the absence of an available autologous vein. Using a completely autologous approach termed “in-body tissue architecture,” a small-diameter, long, tissue-engineered vascular graft, a “Biotube,” was developed. A below-the-knee distal bypass using the Biotube as a composite with expanded polytetrafluoroethylene grafts was performed to treat a patient with chronic limb-threatening ischemia without a venous graft available. The wound on the foot had completely healed 3 months after the bypass surgery, and limb salvage and walking without claudication were achieved. At the 1-year postoperative follow-up examination, duplex ultrasound scans demonstrated graft patency without thrombus or stenosis.http://www.sciencedirect.com/science/article/pii/S2468428722001228Chronic limb-threatening ischemiaIn-body tissue architectureSmall diameter vascular conduitPeripheral artery bypass surgeryTissue-engineered vascular graft
spellingShingle Ryuji Higashita, MD, PhD
Manami Miyazaki, MD
Masaya Oi, MD, PhD
Noboru Ishikawa, MD, PhD
First-in-human results of an in-body tissue architecture-induced tissue-engineered vascular graft “Biotube” for application in distal bypass for chronic limb-threatening ischemia
Journal of Vascular Surgery Cases and Innovative Techniques
Chronic limb-threatening ischemia
In-body tissue architecture
Small diameter vascular conduit
Peripheral artery bypass surgery
Tissue-engineered vascular graft
title First-in-human results of an in-body tissue architecture-induced tissue-engineered vascular graft “Biotube” for application in distal bypass for chronic limb-threatening ischemia
title_full First-in-human results of an in-body tissue architecture-induced tissue-engineered vascular graft “Biotube” for application in distal bypass for chronic limb-threatening ischemia
title_fullStr First-in-human results of an in-body tissue architecture-induced tissue-engineered vascular graft “Biotube” for application in distal bypass for chronic limb-threatening ischemia
title_full_unstemmed First-in-human results of an in-body tissue architecture-induced tissue-engineered vascular graft “Biotube” for application in distal bypass for chronic limb-threatening ischemia
title_short First-in-human results of an in-body tissue architecture-induced tissue-engineered vascular graft “Biotube” for application in distal bypass for chronic limb-threatening ischemia
title_sort first in human results of an in body tissue architecture induced tissue engineered vascular graft biotube for application in distal bypass for chronic limb threatening ischemia
topic Chronic limb-threatening ischemia
In-body tissue architecture
Small diameter vascular conduit
Peripheral artery bypass surgery
Tissue-engineered vascular graft
url http://www.sciencedirect.com/science/article/pii/S2468428722001228
work_keys_str_mv AT ryujihigashitamdphd firstinhumanresultsofaninbodytissuearchitectureinducedtissueengineeredvasculargraftbiotubeforapplicationindistalbypassforchroniclimbthreateningischemia
AT manamimiyazakimd firstinhumanresultsofaninbodytissuearchitectureinducedtissueengineeredvasculargraftbiotubeforapplicationindistalbypassforchroniclimbthreateningischemia
AT masayaoimdphd firstinhumanresultsofaninbodytissuearchitectureinducedtissueengineeredvasculargraftbiotubeforapplicationindistalbypassforchroniclimbthreateningischemia
AT noboruishikawamdphd firstinhumanresultsofaninbodytissuearchitectureinducedtissueengineeredvasculargraftbiotubeforapplicationindistalbypassforchroniclimbthreateningischemia