Alicja Zientara1, Igor Schwegler2, Omer Dzemali1, Hans Bruijnen3, Andreas Sebastian Peters4, Nicolas Attigah5. 1. Department of Cardiac Surgery, Triemli Hospital, Zürich, Switzerland. 2. Department of Vascular Surgery, Triemli Hospital, Zürich, Switzerland. 3. Department of Vascular Surgery, Augsburg City Hospital, Augsburg, Germany. 4. Department of Vascular and Endovascular Surgery, University of Heidelberg, Heidelberg, Germany. 5. Department of Vascular Surgery, Triemli Hospital, Zürich, Switzerland nicolas.attigah@triemli.zuerich.ch.
Abstract
PURPOSE: Infections are a major setback of vascular reconstruction and associated with considerable morbidity and mortality. We evaluated retrospectively our results with self-made bovine pericardial grafts in infected vessel revascularization versus standard graft material. BASIC METHODS: Retrospective analysis of 9 patients with bovine reconstruction and 10 patients with miscellaneous grafts (vein, homograft) for vascular infections. PRINCIPAL FINDINGS: Infection-free rate of the pericardial group was 100% in 17 months. For patients after reconstructions with miscellaneous grafts, the infection-free rate was 82% in 45 months. Overall in-hospital mortality was 10.5%. There were no in-hospital deaths in the pericardial group. Graft patency of the whole cohort was 100%. The median follow up was 11.74 months. CONCLUSION: Self-made bovine pericardial tube grafts can be crafted to almost any size and adjusted to complex anatomic requirements. The use was feasible in various situations and was associated with good preliminary results concerning patency and reinfection.
PURPOSE: Infections are a major setback of vascular reconstruction and associated with considerable morbidity and mortality. We evaluated retrospectively our results with self-made bovine pericardial grafts in infected vessel revascularization versus standard graft material. BASIC METHODS: Retrospective analysis of 9 patients with bovine reconstruction and 10 patients with miscellaneous grafts (vein, homograft) for vascular infections. PRINCIPAL FINDINGS: Infection-free rate of the pericardial group was 100% in 17 months. For patients after reconstructions with miscellaneous grafts, the infection-free rate was 82% in 45 months. Overall in-hospital mortality was 10.5%. There were no in-hospital deaths in the pericardial group. Graft patency of the whole cohort was 100%. The median follow up was 11.74 months. CONCLUSION: Self-made bovine pericardial tube grafts can be crafted to almost any size and adjusted to complex anatomic requirements. The use was feasible in various situations and was associated with good preliminary results concerning patency and reinfection.
Authors: Paula R Keschenau; Alexander Gombert; Mohammed E Barbati; Houman Jalaie; Johannes Kalder; Michael J Jacobs; Drosos Kotelis Journal: J Thorac Dis Date: 2021-05 Impact factor: 2.895