VASCULAR ALLOGRAFTS CLASSIFICATION

The article presents the clinical anatomical classification of vascular allografts developed by the authors. The increasing demand for reconstructive vascular operations using arterial and venous allografts in almost all anatomical basins is sure to lead to increasing of the number of explants of arteries and veins with different parametric characteristics. In turn, this causes certain difficulties and misunderstandings among transplant doctors, specialists from medical laboratories and tissue banks, employees of commercial medical companies, and finally, surgeons using vascular allografts.

Objective. To evaluate the existing nomenclature lists and experience of using vascular allografts and to develop their clinical and anatomical classification.

Materials and methods. Literature sources were analyzed using the electronic databases: MEDLINE (PubMed), HighWire Press, The Cochrane Library, Google Scholar, and own databases of the Republican Scientific Medical Library State Institution for 1902—2019. The experience of creating and functioning of the vascular allografts bank based at Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology is summarized.

Results. The authors propose to use a classification of vascular allografts including 15 types: including arterial allografts represented by 10 types and venous allografts — by 5 types. Each of the vascular allographs types is described in accordance with the terminology of the International Anatomical Nomenclature.

Conclusion. The development and implementation of the vascular allografts classification taking into account their possible anatomical features can improve the quality of interaction between transplant coordinators, transplant doctors, laboratory staff, and surgeons performing reconstructive operations using vascular allographs.

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Автор(ы): A. A. Chisty, I. I. Pikirenia, A. E. Shcherba, O. O. Rummo