Intraoperatively self-made bovine pericardial graft for portomesenteric reconstruction in pancreatic surgery

Burla, Laurin; Schwegler, Igor; Weibel, Pascal; Weber, Markus; Zientara, Alicja; Attigah, Nicolas

doi:10.1007/s00423-020-01920-0

Cited by 6 publications

(2 citation statements)

References 31 publications

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“…15 Burlan et al reported 15 patients with portomesenteric reconstruction using a bovine patch, among whom one developed stenosis and one experienced graft failure (13.3% (2/15) complication rate). 16 Similar to these studies, our study showed a 13.9% rate of total thrombotic occlusion and no cases of infection. Although the thrombotic occlusion rate after BPP reconstruction seems substantial, reports on the use of other materials, such as polytetrafluoroethylene grafts or autologous vein grafts/ end-to-end vein anastomosis, showed thrombosis rates of 33.3% (6/18) and 11% (2/17), respectively.…”

Section: Discussionsupporting

confidence: 88%

Outcomes of vein reconstruction using bovine pericardial patch

Ahn

et al. 2022

Vascular

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Background The bovine pericardium is a good alternative material to the autogenous vein in vascular reconstruction. This study aimed to evaluate the results of angioplasty in venous reconstruction using bovine pericardium and identify the risk factors for significant complications. Material and Methods A retrospective review was performed of the demographic data, clinical characteristics, and complications of patients who underwent vessel repair using bovine pericardium between February 2012 and December 2020. Univariate analysis was used to compare complication frequencies within several categories. Results There were 36 cases of patch angioplasty using bovine pericardium. The median age was 65 years; 61% of them were men. Of the 36 venous repairs, 31 (86.1%) were from cancer surgery and five (13.9%) were from iatrogenic injury. Patch shape was used in 27 cases (75.0%), while tube shape was used in nine cases (25.0%). The incidence of occlusion and partial thrombus was five (13.9%) and three (8.3%) cases, respectively. Of the nine tube-shaped angioplasties, four (44.4%) required reoperation due to early thrombosis (three cases) and hematoma (one case). Conclusion The use of a bovine pericardial patch in the reconstruction of a damaged vein from tumor invasion or iatrogenic injury is feasible. However, the complication rate of vessel patency remains substantial, especially in cases of iatrogenic injury or when a tube-shaped form is used for repair.

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Section: Discussionsupporting

confidence: 88%

Outcomes of vein reconstruction using bovine pericardial patch

Ahn

et al. 2022

Vascular

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“…Beyond hemodialysis, xenografts have also been utilized for vascular repair with satisfactory patency and long-term performance, 67 , 68 even when compared with autologous grafts. 69 , 70 Not all vascular applications of xenograft ECM have shown desirable efficacy, however.…”

Section: Allogeneic and Xenogeneic Materialsmentioning

confidence: 99%

Bioengineering Human Tissues and the Future of Vascular Replacement

Naegeli

Kural

et al. 2022

Circulation Research

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Cardiovascular defects, injuries, and degenerative diseases often require surgical intervention and the use of implantable replacement material and conduits. Traditional vascular grafts made of synthetic polymers, animal and cadaveric tissues, or autologous vasculature have been utilized for almost a century with well-characterized outcomes, leaving areas of unmet need for the patients in terms of durability and long-term patency, susceptibility to infection, immunogenicity associated with the risk of rejection, and inflammation and mechanical failure. Research to address these limitations is exploring avenues as diverse as gene therapy, cell therapy, cell reprogramming, and bioengineering of human tissue and replacement organs. Tissue-engineered vascular conduits, either with viable autologous cells or decellularized, are the forefront of technology in cardiovascular reconstruction and offer many benefits over traditional graft materials, particularly in the potential for the implanted material to be adopted and remodeled into host tissue and thus offer safer, more durable performance. This review discusses the key advances and future directions in the field of surgical vascular repair, replacement, and reconstruction, with a focus on the challenges and expected benefits of bioengineering human tissues and blood vessels.

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The role of vascular resection and reconstruction in pancreaticoduodenectomy

Li,

Liu,

et al. 2024

Asian Journal of Surgery

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Intraoperatively self-made bovine pericardial graft for portomesenteric reconstruction in pancreatic surgery

Cited by 6 publications

References 31 publications

Outcomes of vein reconstruction using bovine pericardial patch

Outcomes of vein reconstruction using bovine pericardial patch

Bioengineering Human Tissues and the Future of Vascular Replacement

The role of vascular resection and reconstruction in pancreaticoduodenectomy

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