دورية أكاديمية
Bovine jugular vein valved xenograft for extracardiac total cavo-pulmonary connection: The risk of thrombosis and the potential liver protection effect.
| العنوان: | Bovine jugular vein valved xenograft for extracardiac total cavo-pulmonary connection: The risk of thrombosis and the potential liver protection effect. |
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| المؤلفون: | Ismail MF; Department of Cardiothoracic Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Department of Cardiothoracic Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt., Elmahrouk AF; Department of Cardiothoracic Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Department of Cardiothoracic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt., Arafat AA; Department of Cardiothoracic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt., Hamouda TE; Department of Cardiothoracic Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Department of Cardiothoracic Surgery, Faculty of Medicine, Benha University, Benha, Egypt., Edrees A; Department of Cardiothoracic Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Bogis A; Department of Cardiothoracic Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Arfi AM; Section of Pediatric Cardiology, Department of Pediatrics, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Dohain AM; Division of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine Cairo University, Cairo, Egypt.; Section of Pediatric Cardiology, Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia., Alkhattabi A; Section of Gastroenterology, Department of Internal Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Alharbi AW; Section of Gastroenterology, Department of Internal Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Shihata MS; Department of Cardiothoracic Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Al-Radi OO; Department of Cardiothoracic Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Section of Cardiothoracic Surgery, Department of Surgery, King Abdulaziz University, Jeddah, Saudi Arabia., Al-Ata JA; Section of Pediatric Cardiology, Department of Pediatrics, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Section of Pediatric Cardiology, Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia., Jamjoom AA; Department of Cardiothoracic Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia. |
| المصدر: | Journal of cardiac surgery [J Card Surg] 2020 Apr; Vol. 35 (4), pp. 845-853. Date of Electronic Publication: 2020 Feb 29. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8908809 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8191 (Electronic) Linking ISSN: 08860440 NLM ISO Abbreviation: J Card Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hoboken, NJ : Wiley-Blackwell Original Publication: Mount Kisco, N.Y. : Futura Pub. Co., Inc., [c1986- |
| مواضيع طبية MeSH: | Bioprosthesis*/adverse effects, Fontan Procedure/*methods , Heart Defects, Congenital/*surgery , Jugular Veins/*transplantation , Liver Cirrhosis/*prevention & control , Postoperative Complications/*prevention & control , Pulmonary Artery/*abnormalities , Pulmonary Artery/*surgery , Thrombosis/*prevention & control , Transplantation, Heterologous/*adverse effects , Vena Cava, Inferior/*abnormalities , Vena Cava, Inferior/*surgery, Animals ; Cattle ; Child ; Child, Preschool ; Female ; Humans ; Liver Cirrhosis/etiology ; Male ; Polytetrafluoroethylene ; Postoperative Complications/etiology ; Thrombosis/etiology ; Treatment Outcome |
| مستخلص: | Background: Currently, non-valved conduits are preferred for extracardiac total cavo-pulmonary connection (TCPC). However, previous work has failed to provide objective data comparing the postoperative outcome between non-valved TCPCs and bovine jugular vein valved xenograft (BJV) TCPCs. Hence, the objective of this study is to compare the postoperative outcomes in extracardiac TCPC patients who received BJV vs synthetic non-valved conduits and evaluate the effect of BJV on liver fibrosis. Methods: Of 206 patients who had extracardiac TCPC from 2002 to 2017 were divided into three groups. Group A (n = 66) received BJV, group B (n = 37) received PET conduits and group C (n = 103) received polytetrafluoroethylene (PTFE) tube. Study endpoints were hospital outcomes, conduits thrombosis, reinterventions, and survival. Liver stiffness and fibrosis were assessed in eight patients with BJV. Results: Preoperative parameters were comparable among groups. Thrombosis was significantly lower in group C (P < .0003) but no difference between groups A and B (P = .951). Reinterventions did not differ significantly among groups (Log-rank P = .598). Hospital deaths occurred in seven patients (3.4%). There was no difference in survival between groups (Log-rank P = .221). The median liver stiffness score was 18.65 kPa and the eight patients had advanced liver fibrosis (grade F3-4) in group A. Conclusion: PTFE is the recommended conduit for TCPC with a lower risk of thrombosis compared to BJV and PET. BJV conduits in TCPC circuits may not protect against liver fibrosis. BJV should not be considered as an option for TCPC. (© 2020 Wiley Periodicals, Inc.) |
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| فهرسة مساهمة: | Keywords: Fontan procedure; bovine jugular valved xenografts; synthetic non-valved conduits; total cavo-pulmonary connection |
| المشرفين على المادة: | 9002-84-0 (Polytetrafluoroethylene) |
| تواريخ الأحداث: | Date Created: 20200301 Date Completed: 20200928 Latest Revision: 20200928 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1111/jocs.14484 |
| PMID: | 32112668 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1540-8191 |
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| DOI: | 10.1111/jocs.14484 |