Stewart RB, Bass LS, Thompson JK, Nikoi ND, Becker G, Kung RTV. Improved microvessel repair: laser welding with an anti-thrombotic solder.
Lasers Surg Med 2003;
31:36-40. [PMID:
12124713 DOI:
10.1002/lsm.10071]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND AND OBJECTIVES
Concentrated protein solutions can be used as thermally polymerized solders in laser welding. Solders supplemented with biologically active chemicals may provide in situ drug delivery for localized therapeutics. These studies characterize a serum albumin (SA) solder containing heparin, designed to reduce microvascular thrombosis rates.
STUDY DESIGN/MATERIALS AND METHODS
Samples of heparin added to 30% SA to obtain heparin-to-albumin molar ratios (HAMR) of 4:1 and 2:1 were thermally polymerized, and heparin release into saline was measured. Using a rat thrombosis model, patency was determined for suture, and 0 U/ml (control), 2.5 U/ml, 50 U/ml heparin solder repairs.
RESULTS
Heparin release was five times higher for 4:1 than 2:1 HAMR solder acutely, but was equivalent after 2 days. Animal patency rates were: 50% suture, 0% control, 50% low heparin, 66% high heparin (P < 0.05 vs. control).
CONCLUSIONS
Solders incorporating heparin should provide in situ anti-thrombotic therapy reducing the risk of microvascular thromboses.
Collapse