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The report by Cooke et al (see page 101) of three failures of synthetic replacements in the abdominal aorta serves to remind us that when using manufactured devices for human spare parts, one must commit himself to a follow-up of such a patient for his remaining life. Not only is important information obtained regarding the performance of the particular prosthesis, but additional data are provided about the natural history of the atherosclerotic process and about the late complications deriving from this aging process.
We began our evaluation of synthetic materials used for biological purposes shortly after the notable report in 1951 by Voorhees and associates which established the capability of such materials for arterial replacement. Within a very few years, it became evident that virtually every established vascular surgeon was utilizing a variety of synthetic materials for this purpose, derived from an equal variety of sources—ranging from sophisticated textile manufacturing
DETERLING RA. Failure of Dacron Arterial Prostheses. Arch Surg. 1974;108(1):13. doi:10.1001/archsurg.1974.01350250007001