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Ann Thorac Surg 1998;66:449-454
© 1998 The Society of Thoracic Surgeons
a Department of Cardiovascular Surgery, Akita University School of Medicine, Akita, Japan
Accepted for publication March 16, 1998.
Address reprint requests to Dr Chanda, Bejpara, Sreedhar Tank Rd, Jessore 7400, Bangladesh
e-mail: (eximpak{at}bdmail.net [Attention: Dr J Chanda])
Background. The inhibitory effect of short-term photooxidation on medial and neointimal proliferation of human saphenous vein was investigated.
Methods. Culture mediumfilled surgically prepared saphenous vein segments were photooxidized in 0.01% methylene blue solution for 5 minutes. Photooxidized and nonphotooxidized saphenous veins were checked for viability of endothelial cells by culturing vein segments for 21 days followed by histologic and immunohistochemical studies.
Results. Endothelial cells of saphenous vein segments remained unaffected after photooxidation. Both the intima and media of nonphotooxidized veins became highly cellular and thickened because of the proliferation and migration of smooth muscle cells. Like precultured fresh saphenous vein, intimal (0.031 ± 0.017 mm; p = 0.0067) and medial thicknesses (0.702 ± 0.123 mm; p < 0.0001) and proliferating cell nuclear antigenpositive cell count (14 ± 8/mm2; p = 0.0005) of cultured photooxidized veins were significantly less than those of cultured nonphotooxidized veins (intimal thickness, 0.059 ± 0.041 mm; medial thickness, 0.997 ± 0.228 mm; proliferating cell nuclear antigen positive cell count, 34 ± 16/mm2.
Conclusions. Methylene blueinduced short-term photooxidation is effective in inhibition of intimal and medial thickening of saphenous vein.
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