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Elsevier, Journal of Vascular Surgery, 3(43), p. 587-591, 2006

DOI: 10.1016/j.jvs.2005.10.038

Elsevier, Year Book of Vascular Surgery, (2008), p. 115-117

DOI: 10.1016/s0749-4041(08)70732-2

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Heparin immobilization reduces thrombogenicity of small-caliber expanded polytetrafluoroethylene grafts

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

In a newly developed ex vivo model, nonanticoagulated blood was drawn from the antecubital veins of 10 healthy donors with a 19-gauge needle. A 60-cm vascular graft with a diameter of 3 mm was directly connected to the needle (Fig 1). During 6 minutes, the blood was aspirated with a constant flow rate of 20 mL/min by using a syringe pump (Harvard Apparatus, South Natick, Mass). This flow rate and graft diameter result in a shear rate of 74/s, which reflects venous flow conditions and favors fibrin-rich clot formation. A cuff was wrapped around the upper arm to ensure a constant pressure of 45 mm Hg, resulting in a continuous blood flow through the graft during the experiment. Volunteers denied taking any medication 2 weeks before the experiment and gave informed consent.