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. 2018 Oct 17;301(10):1657–1667. doi: 10.1002/ar.23919

Table 1.

Summary of the approaches to generate vascularized nerve grafts/conduits and some example studies.

Method Nerve type and its source of vascularization Species Nerve gap Time point Outcomes compared with controls Reference
Vascularized nerve grafts Vascularized sural nerve graft Human 50–80 mm 2–41 months
  • No control

  • Sensitivity was recovered in a satisfactory manner

  • The patients were satisfied with their treatment outcomes

(Rose and Kowalski, 1985)
Sciatic nerve graft with proximal preserved pedicle Rabbit 45 mm 5–15 weeks
  • Conventional nonvascularized sciatic nerve graft as a control

  • Improved remyelination

  • Increased number of axonal fibers

(Restrepo et al., 1985)
Rabbit median nerve graft with brachial vessels Rabbit 30 mm 10 and 24 weeks
  • Conventional nonvascularized median nerve graft as a control

  • Greater muscle contraction force and number of axons

  • No statistical difference in CMAP area and muscle weight

(Shibata et al., 1988)
Rat sciatic nerve with caudal femoral vessels Rat 15 mm 1–24 weeks
  • Free sciatic nerve graft as a control

  • Faster motor nerve conduction velocity

  • Greater density of regenerated axons

(Koshima and Harii, 1985)
Vascularized grafts by vascular implantation Implanting an arteriovenous fistula into the sciatic nerve Rat N/A N/A N/A (Cavadas and Vera‐Sempere, 1994)
Peripheral nerve graft was placed into the groove between the femoral artery and vein for 14 days Rabbit N/A N/A N/A (Saray et al., 2002)
PGA nerve conduit vascularized by host superficial inferior epigastric (SIE) for 14 days Rat 15 mm 1–18 weeks
  • Nonvascularized conduit graft and an autograft as controls

  • Better functional outcomes andmore myelinated axons than that of the novascularized conduit group

  • Did not achieve the level of reinnervation of autograft

(Iijima et al., 2016)
Amnion tube placed in contact with the femoral artery and vein for 3 weeks Rat 10 mm 3 months
  • Nonvascularized amnion tube as a control

  • Higher number of axons

  • Larger axon diameters

  • Thicker myelin sheath

(Ozcan et al., 1993)
Blood vessels‐including tubulation Insertion of a subcutaneous artery and sciatic nerve in a silicone tube Rat 5 mm 4, 8, and 15 weeks
  • Silicone tube only as a control

  • Contain more capillaries than the control

  • More functional and morphological recovery of regenerating nerve

(Kosaka, 1990)
Silicone tube containing sural vessels Rat 25 mm 12 and 24 weeks
  • No control

  • Axons able to regenerate across the gap

  • Reinnervate the tibialis anterior muscle 6 months after operation

(Kakinoki et al., 1997)
Silicone tube with a subcutaneous artery adjacent to the injured nerve Human 30–50 mm 6–9 months
  • No control

  • Out of nine nerves, with a follow‐up of 6–9 months, the results were excellent in five nerves, good in two and poor in two

(Yong‐xiang and Ti‐pei, 1992)
Vascularized biogenic conduits Silicone rod placed near a sciatic nerve for 8 weeks Rat 15 mm 8 weeks
  • Nonvascularized biological conduit as a control

  • Vascularized conduit had significantly improved mean peak amplitudes of the CMAPs

  • No statistical difference between the groups in terms of latencies

  • The myelinated axonal counts was significantly higher

(Yapici et al., 2017)
In vivo formation of biogenic conduit after 4 weeks of implantation parallel to the sciatic nerve Rat 15 mm 1, 2, 3, and 4 weeks
  • Autologous nerve graft as a control

  • All groups showed an increase of SFI after 4 weeks with no significant difference

  • Significant higher intraneural amount of fibrous tissue in biogenic conduit

  • Myelin sheaths were thicker

(Penna et al., 2011)
Silicone rubber rod left in situ for at least 3 weeks Rat 10–12 mm 3 months
  • No control

  • Good functional recovery of motor fibers

(Lundborg and Hansson, 1980)
Pseudosheath formed around the silicone tube during the first stage is used as a tunnel to envelope the median nerve graft segment in the second stage Rat 15 mm 3, 6, and 15 weeks
  • Conventional median nerve graft as a control

  • Reflex latency was significantly lower than the conventional nerve graft

  • Higher vascularity

(Zadegan et al., 2015)

“N/A” indicates that there is no results of an in vivo assessment of the construct.

Abbreviations: CMAP, compound muscle action potential; SFI, sciatic functional index.