Division of Vascular Surgery, Department of Surgery, 58927Seoul National University College of Medicined, Jongno-gu, South Korea.
Department of Surgery, Seoul Metropolitan Government - 58927Seoul National University Boramae Medical Center, Seoul, South Korea.
Vascular. 2023 Apr;31(2):292-297. doi: 10.1177/17085381211063035. Epub 2022 Apr 10.
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.
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.
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).
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.
牛心包是血管重建中自体静脉的良好替代品。本研究旨在评估使用牛心包进行静脉重建后血管成形术的结果，并确定发生重大并发症的风险因素。
回顾性分析了 2012 年 2 月至 2020 年 12 月期间接受牛心包血管修复的患者的人口统计学数据、临床特征和并发症。采用单因素分析比较了几个类别中并发症的发生频率。
有 36 例使用牛心包进行补片血管成形术。中位年龄为 65 岁；其中 61%为男性。在 36 例静脉修复中，31 例（86.1%）来自癌症手术，5 例（13.9%）来自医源性损伤。27 例（75.0%）采用补片形状，9 例（25.0%）采用管状形状。闭塞和部分血栓形成的发生率分别为 5 例（13.9%）和 3 例（8.3%）。在 9 例管状血管成形术中，4 例（44.4%）因早期血栓形成（3 例）和血肿（1 例）需要再次手术。
在肿瘤侵犯或医源性损伤导致的受损静脉重建中使用牛心包补片是可行的。然而，血管通畅率的并发症发生率仍然很高，尤其是在医源性损伤或使用管状形式进行修复的情况下。
