Autologous vein grafts are employed extensively to bypass stenoses
in
the arterial circulation. More recently
arterial segments have been used for such bypass surgery. In this study
the adaptation of regenerating
vascular tissues in experimental autologous artery grafts (4 mm long and
1 mm in diameter) in 20 adult male
Wistar rats was analysed. At 1, 2, 4, 8 and 16 wk after insertion, 4 grafts
per time interval were removed,
processed for high resolution light microscopy and the thicknesses of the
media and neointima, as well as
the area fractions of smooth muscle cells, were analysed morphometrically.
All grafts were reendothelialised
by 2 wk. Neointimal hyperplasia (a subendothelial layer of smooth muscle
cells) developed in all grafts and
reached its maximal thickness (40.4±4.7 μm) at 2 wk. The area
fraction of smooth muscle cells in the
neointima of the artery grafts did not change significantly at any time
from 2 to 16 wk. The media
underlying the neointima of the artery grafts remained relatively constant
throughout the 16 wk duration of
the experiment. Whilst the total wall thickness of the grafts reduced
significantly between 2 and 4 wk after
insertion, at all times the grafts were thicker than the host artery.