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0.1 mm ePTFE versus autologous pericardium for hand-sewn trileaflet valved conduit: a comparative study

A hand-sewn trileaflet valved conduit is reportedly better than a bovine jugular graft. However, the comparative efficacy and safety between 0.1 mm ePTFE and autologous pericardium in this surgical procedure remained undetermined. This single-center cohort study included 46 patients aged 3–146 month...

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Autores principales: Zhang, Huifeng, Ye, Ming, Chen, Gang, Jia, Bing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Japan 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6685934/
https://www.ncbi.nlm.nih.gov/pubmed/31154552
http://dx.doi.org/10.1007/s10047-019-01107-5
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author Zhang, Huifeng
Ye, Ming
Chen, Gang
Jia, Bing
author_facet Zhang, Huifeng
Ye, Ming
Chen, Gang
Jia, Bing
author_sort Zhang, Huifeng
collection PubMed
description A hand-sewn trileaflet valved conduit is reportedly better than a bovine jugular graft. However, the comparative efficacy and safety between 0.1 mm ePTFE and autologous pericardium in this surgical procedure remained undetermined. This single-center cohort study included 46 patients aged 3–146 months who received implanted simplified hand-sewn trileaflet valved conduits: 31 patients (Group A) received 0.1 mm ePTFE valved conduits and 15 patients (Group B) received autologous pericardium valved conduits. Perioperative and follow-up outcomes up to 3 years after the surgeries were evaluated. No perioperative complications or early mortality were observed in either group, while one Group A patient aged 46 months died 6 months after surgery due to residual ventricular septal defect. No patients in Group A developed severe regurgitation or stenosis in valves of the conduits, but two moderate stenosis by echocardiography, and seven patients in group B were deemed to be conduit dysfunction (two stenosis, three stenosis plus regurgitation, and the remaining two regurgitation). No conduits failure was detected in group A, while two patients in group B (one for severe stenosis and the other one for severe regurgitation). After 6, 12, and 36 months, 95.2%, 88.9%, and 88.9% of Group A patients and 92.3%, 68.4%, and 42.7% of Group B patients were free from valved conduit dysfunction. After the same follow-up periods, all Group A patients had no conduit failure and 92.3%, 80.8%, and 80.8% of Group B patients were free from valved conduit failure. Within the 3-year follow-up period, 0.1 mm ePTFE novel simplified hand-sewn trileaflet valved conduits appear to be associated with a lower incidence of graft failure than autologous pericardium valved conduits.
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spelling pubmed-66859342019-08-23 0.1 mm ePTFE versus autologous pericardium for hand-sewn trileaflet valved conduit: a comparative study Zhang, Huifeng Ye, Ming Chen, Gang Jia, Bing J Artif Organs Original Article A hand-sewn trileaflet valved conduit is reportedly better than a bovine jugular graft. However, the comparative efficacy and safety between 0.1 mm ePTFE and autologous pericardium in this surgical procedure remained undetermined. This single-center cohort study included 46 patients aged 3–146 months who received implanted simplified hand-sewn trileaflet valved conduits: 31 patients (Group A) received 0.1 mm ePTFE valved conduits and 15 patients (Group B) received autologous pericardium valved conduits. Perioperative and follow-up outcomes up to 3 years after the surgeries were evaluated. No perioperative complications or early mortality were observed in either group, while one Group A patient aged 46 months died 6 months after surgery due to residual ventricular septal defect. No patients in Group A developed severe regurgitation or stenosis in valves of the conduits, but two moderate stenosis by echocardiography, and seven patients in group B were deemed to be conduit dysfunction (two stenosis, three stenosis plus regurgitation, and the remaining two regurgitation). No conduits failure was detected in group A, while two patients in group B (one for severe stenosis and the other one for severe regurgitation). After 6, 12, and 36 months, 95.2%, 88.9%, and 88.9% of Group A patients and 92.3%, 68.4%, and 42.7% of Group B patients were free from valved conduit dysfunction. After the same follow-up periods, all Group A patients had no conduit failure and 92.3%, 80.8%, and 80.8% of Group B patients were free from valved conduit failure. Within the 3-year follow-up period, 0.1 mm ePTFE novel simplified hand-sewn trileaflet valved conduits appear to be associated with a lower incidence of graft failure than autologous pericardium valved conduits. Springer Japan 2019-06-01 2019 /pmc/articles/PMC6685934/ /pubmed/31154552 http://dx.doi.org/10.1007/s10047-019-01107-5 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Zhang, Huifeng
Ye, Ming
Chen, Gang
Jia, Bing
0.1 mm ePTFE versus autologous pericardium for hand-sewn trileaflet valved conduit: a comparative study
title 0.1 mm ePTFE versus autologous pericardium for hand-sewn trileaflet valved conduit: a comparative study
title_full 0.1 mm ePTFE versus autologous pericardium for hand-sewn trileaflet valved conduit: a comparative study
title_fullStr 0.1 mm ePTFE versus autologous pericardium for hand-sewn trileaflet valved conduit: a comparative study
title_full_unstemmed 0.1 mm ePTFE versus autologous pericardium for hand-sewn trileaflet valved conduit: a comparative study
title_short 0.1 mm ePTFE versus autologous pericardium for hand-sewn trileaflet valved conduit: a comparative study
title_sort 0.1 mm eptfe versus autologous pericardium for hand-sewn trileaflet valved conduit: a comparative study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6685934/
https://www.ncbi.nlm.nih.gov/pubmed/31154552
http://dx.doi.org/10.1007/s10047-019-01107-5
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