“…In their report, Tautenhahn et al demonstrated that silver-coated vascular polyester grafts highly activate human neutrophils when compared with regular polyester grafts, causing the neutrophil to release high levels of elastase (a very destructive enzyme) in the absence of a bacterial trigger. 10 On the contrary, Jeanmonod et al 11 provide evidence in vivo that silver acetate (used in the Maquet graft), does not induce a leukocyte-mediated tissue inflammatory response, but in fact stimulates ingrowth of microvessels, promoting implant incorporation.…”