Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Antithrombotic effect of epigallocatechin gallate on the patency of arterial microvascular anastomoses

  • Igde, Murat (Department of Plastic, Aesthetic, and Reconstructive Surgery, Ankara Numune Training and Research Hospital) ;
  • Ozturk, Mehmet Onur (Department of Plastic, Aesthetic, and Reconstructive Surgery, Izmir Cigli Training and Research Hospital) ;
  • Yasar, Burak (Department of Plastic, Aesthetic, and Reconstructive Surgery, Ankara Numune Training and Research Hospital) ;
  • Bulam, Mehmet Hakan (Department of Plastic, Aesthetic, and Reconstructive Surgery, Ankara Kecioren Training and Research Hospital) ;
  • Ergani, Hasan Murat (Department of Plastic, Aesthetic, and Reconstructive Surgery, Ankara Numune Training and Research Hospital) ;
  • Unlu, Ramazan Erkin (Department of Plastic, Aesthetic, and Reconstructive Surgery, Ankara Numune Training and Research Hospital)
  • Received : 2018.02.19
  • Accepted : 2019.03.09
  • Published : 2019.05.15
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Abstract

Background Microvascular anastomosis patency is adversely affected by local and systemic factors. Impaired intimal recovery and endothelial mechanisms promoting thrombus formation at the anastomotic site are common etiological factors of reduced anastomosis patency. Epigallocatechin gallate (EGCG) is a catechin derivative belonging to the flavonoid subgroup and is present in green tea (Camellia sinensis). This study investigated the effects of EGCG on the structure of vessel tips used in microvascular anastomoses and evaluated its effects on thrombus formation at an anastomotic site. Methods Thirty-six adult male Wistar albino rats were used in the study. The right femoral artery was cut and reanastomosed. The rats were divided into two groups (18 per group) and were systemically administered either EGCG or saline. Each group were then subdivided into three groups, each with six rats. Axial histological sections were taken from segments 1 cm proximal and 1 cm distal to the microvascular anastomosis site on days 5, 10, and 14. Results Thrombus formation was significantly different between the EGCG and control groups on day 5 (P=0.015) but not on days 10 or 14. The mean luminal diameter was significantly greater in the EGCG group on days 5 (P=0.002), 10 (P=0.026), and 14 (P=0.002). Intimal thickening was significantly higher on days 5 (P=0.041) and 10 (P=0.02). Conclusions EGCG showed vasodilatory effects and led to reduced early thrombus formation after microvascular repair. Similar studies on venous anastomoses and random or axial pedunculated skin flaps would also contribute valuable findings relevant to this topic.

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References

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