Zientara Alicja, Schwegler Igor, Dzemali Omer, Bruijnen Hans, Peters Andreas Sebastian, Attigah Nicolas
Department of Cardiac Surgery, Triemli Hospital, Zürich, Switzerland.
Department of Vascular Surgery, Triemli Hospital, Zürich, Switzerland.
Vascular. 2016 Dec;24(6):621-627. doi: 10.1177/1708538116644361. Epub 2016 Apr 7.
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.
Retrospective analysis of 9 patients with bovine reconstruction and 10 patients with miscellaneous grafts (vein, homograft) for vascular infections.
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.
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.
感染是血管重建的主要挫折，与相当高的发病率和死亡率相关。我们回顾性评估了自制牛心包移植物在感染血管再血管化中的效果，并与标准移植物材料进行了比较。
对9例采用牛心包重建的患者和10例采用其他移植物（静脉、同种异体移植物）治疗血管感染的患者进行回顾性分析。
心包组在17个月时的无感染率为100%。采用其他移植物重建的患者在45个月时的无感染率为82%。总体院内死亡率为10.5%。心包组无院内死亡病例。整个队列的移植物通畅率为100%。中位随访时间为11.74个月。
自制牛心包管移植物可制作成几乎任何尺寸，并可根据复杂的解剖要求进行调整。其使用在各种情况下都是可行的，并且在通畅性和再感染方面取得了良好的初步结果。
