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Right arrow Trachea and bronchi

J Thorac Cardiovasc Surg 2009;138:1222-1226
© 2009 The American Association for Thoracic Surgery

Evolving Technology/Basic Science

Animal models of tracheal allotransplantation using vitrified cryopreservation

Hongcan Shi, MD, PhD*, Hong Xu, MD, Dan Lu, MD, Jun Wu, MD

Department of Cardiothoracic Surgery, Clinical College, Yangzhou University, Yangzhou, Jiangsu Province, China

Received for publication September 1, 2008; revisions received May 1, 2009; accepted for publication May 31, 2009.

* Address for reprints: Hongcan Shi, MD, PhD, 11 Huaihai Road, Department of Cardiothoracic Surgery, Clinical College, Yangzhou University, Yangzhou 225001, Jiangsu Province, PR China. (Email: shihongcan{at}gmail.com).

Objective: Tracheal reconstruction continues to pose a significant challenge in thoracic surgery. The study objective was to develop a novel method to eliminate the antigenicity of tracheal allografts by using vitrified cryopreservation and present the experimental results after cervical tracheal replacement in rabbits.

Methods: Fifteen New Zealand rabbits, irrespective of gender, weighing 2.5 to 3.0 kg, were randomly divided into 3 groups: (A), the experimental group (n = 5), tracheal allotransplantation after 4 weeks of vitrified cryopreservation; (B), the negative control group (n = 5), fresh tracheal autotransplantation; and (C), the positive control group (n = 5), fresh tracheal segments implanted as allografts. The patency of implanted grafts, lymphocytic infiltrate, cartilage scores, and ink perfusion to evaluate revascularization were used to investigate the impact of vitrified cryopreservation on the antigenicity of tracheal grafts and vascular regeneration.

Results: Rabbits in groups A and B all had uneventful postoperative courses with patent lumens and structural integrity, with obvious vascular regeneration and less lymphocytic infiltrate. Although in excellent condition, animals were sacrificed after a short-term follow-up of 4 weeks for further examination as scheduled. In group C, massive lymphocytic infiltrate and inflammatory cells without noticeable revascularization were observed, and rabbits died within 2 weeks after surgery for airway stenosis or severe obstruction.

Conclusion: The antigenicity of tracheal allografts was significantly decreased by using the vitrified cryopreservation method, which would be a novel alternative method to store donor trachea to make tracheal banking possible.

Abbreviation and Acronym CSA = cross-sectional area






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