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Published in: BMC Surgery 1/2011

Open Access 01-12-2011 | Research article

Bovine pericardium retail preserved in glutaraldehyde and used as a vascular patch

Authors: Wladimir F Saporito, Adílson C Pires, Sérgio H Cardoso, João A Correa, Luiz Carlos de Abreu, Vitor E Valenti, Luciano MR Miller, Eduardo Colombari

Published in: BMC Surgery | Issue 1/2011

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Abstract

Background

In this study we evaluated the performance of bovine pericardium preserved in glutaraldehyde used as a vascular patch.

Methods

Fourteen young pigs, six females and eight males, weighting 10.3 - 18.4 kg were used in our study. We implanted three remnants in each pig, two in the abdominal aorta and one was juxtaposed to the peritoneum. The smooth face (SF) and rough face (RF) of each remnant were implanted turned to the vessel inner portion and one remnant was juxtaposed to the peritoneum. The animals were sacrificed in 4.5 - 8 months after surgery (75 - 109 kg). The remnants were assessed for aorta wall, fibroses formation in inner apposition and calcification related to the face turned to the vessel inner portion.

Results

The rough face showed a lower dilatation level compared to the face implanted in adjacent aorta. There was no difference between intensity and/or incidence of graft calcification when the superficies were compared. The bovine pericardium preserved in glutaraldehyde did not show alterations in its structure when implanted with different faces turned to the inner portion of vessel.

Conclusion

When turned to the inner portion of the vessel, the rough face of the remnant presented a lower dilatation in relation to the adjacent aorta and a better quality of endothelium layer and did not show a difference between intensity and/or incidence of graft calcification.
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Literature
1.
go back to reference Nina VJ, Assef MA, Rodrigues RR, Mendes VG, Lages JS, Amorim AM, Salgado Filho N, Nina RV: Reconstruction of the chest wall with external metal brace: alternative technique in poststernotomy mediastinitis. Rev Bras Cir Cardiovasc. 2008, 23 (4): 507-11. 10.1590/S0102-76382008000400009.CrossRefPubMed Nina VJ, Assef MA, Rodrigues RR, Mendes VG, Lages JS, Amorim AM, Salgado Filho N, Nina RV: Reconstruction of the chest wall with external metal brace: alternative technique in poststernotomy mediastinitis. Rev Bras Cir Cardiovasc. 2008, 23 (4): 507-11. 10.1590/S0102-76382008000400009.CrossRefPubMed
2.
go back to reference Carpentier A, Lemaigre G, Robert L, Carpentier S, Dubost C: Biological factors affecting long-term results of valvular heterografts. J Thorac Cardiovasc Surg. 1969, 58 (4): 467-PubMed Carpentier A, Lemaigre G, Robert L, Carpentier S, Dubost C: Biological factors affecting long-term results of valvular heterografts. J Thorac Cardiovasc Surg. 1969, 58 (4): 467-PubMed
3.
go back to reference Ionescu MI, Smith DR, Sutherland TW, Wooler GH: Heart valve replacemt with aortic heterografts. The Ann of Thorac Surg. 1972, 13 (1): 1-4. 10.1016/S0003-4975(10)64806-0.CrossRef Ionescu MI, Smith DR, Sutherland TW, Wooler GH: Heart valve replacemt with aortic heterografts. The Ann of Thorac Surg. 1972, 13 (1): 1-4. 10.1016/S0003-4975(10)64806-0.CrossRef
4.
go back to reference Ionescu MI, Tandon AP, Mary DA, Abid A: Heart valve replacemt with Ionescu - Shiley pericardial xenograft. J Thorac Cardiovasc Surg. 1977, 73 (1): 31-5.PubMed Ionescu MI, Tandon AP, Mary DA, Abid A: Heart valve replacemt with Ionescu - Shiley pericardial xenograft. J Thorac Cardiovasc Surg. 1977, 73 (1): 31-5.PubMed
5.
go back to reference Braile DM, Bilaqui A, Ardito RV: Prótese de pericárdio bovino- 44 meses em 164 pacientes. Anais do nono congresso nacional de cirurgia cardíaca. 1981, 4-5: 44- Braile DM, Bilaqui A, Ardito RV: Prótese de pericárdio bovino- 44 meses em 164 pacientes. Anais do nono congresso nacional de cirurgia cardíaca. 1981, 4-5: 44-
6.
go back to reference Schoen FJ, Levy RJ, Nelson AC: Onset and progression of experimental bioprosthetic heart valve calcification. Lab Invest. 1985, 52 (5): 523-32.PubMed Schoen FJ, Levy RJ, Nelson AC: Onset and progression of experimental bioprosthetic heart valve calcification. Lab Invest. 1985, 52 (5): 523-32.PubMed
7.
go back to reference Schoen FJ, Tsao JW, Levy RJ: Calcification of bovine pericardium used in cardiac valve bioprostheses. Am J Pathol. 1986, 123 (1): 134-145.PubMedPubMedCentral Schoen FJ, Tsao JW, Levy RJ: Calcification of bovine pericardium used in cardiac valve bioprostheses. Am J Pathol. 1986, 123 (1): 134-145.PubMedPubMedCentral
8.
go back to reference Schoen FJ, Harasaki H, Kim KM, Anderson HC, Levy RJ: Biomaterial-associated calcification: Pathology, mechanisms, and strategies for prevention. J Biomed Mater Re: Appl Boimater. 1988, 22 (A1): 11-36. Schoen FJ, Harasaki H, Kim KM, Anderson HC, Levy RJ: Biomaterial-associated calcification: Pathology, mechanisms, and strategies for prevention. J Biomed Mater Re: Appl Boimater. 1988, 22 (A1): 11-36.
9.
go back to reference Pires AC, Saporito WF, Leão LEV, Forte V, Cardoso SH: Bovine pericardium as a vascular patch. Rev Bras Cir Cardiovasc. 1997, 4 (3): 190-4. Pires AC, Saporito WF, Leão LEV, Forte V, Cardoso SH: Bovine pericardium as a vascular patch. Rev Bras Cir Cardiovasc. 1997, 4 (3): 190-4.
10.
go back to reference Pires A, Saporito WF, Leão LEV, Forte V, Cardoso SH: Bovine Pericardium used as a Cardiovascular Patch. The Heart Forun Surgery. 1999, 2 (1): 16830-4. Pires A, Saporito WF, Leão LEV, Forte V, Cardoso SH: Bovine Pericardium used as a Cardiovascular Patch. The Heart Forun Surgery. 1999, 2 (1): 16830-4.
11.
go back to reference Ishihara T, Ferrans VJ, Jones M, Boyce SW, Roberts WC: Structure and classification of cuspal tears and perforations in porcine bioprosthetic cardiac valves implanted in patients. J Thorac Cardiovasc Surg. 1981, 48 (3): 747-57. Ishihara T, Ferrans VJ, Jones M, Boyce SW, Roberts WC: Structure and classification of cuspal tears and perforations in porcine bioprosthetic cardiac valves implanted in patients. J Thorac Cardiovasc Surg. 1981, 48 (3): 747-57.
12.
go back to reference Braile DB, Bilaqui A, Ardito RV: Alargamento da raiz da aorta com "patch" de pericardio bovino preservado em glutaraldeído. Arq Bras Cardiol. 1983, 41 (4): 289-296.PubMed Braile DB, Bilaqui A, Ardito RV: Alargamento da raiz da aorta com "patch" de pericardio bovino preservado em glutaraldeído. Arq Bras Cardiol. 1983, 41 (4): 289-296.PubMed
13.
go back to reference Tzimas GN, Afshar M, Chevet E, Emadali A, Vali H, Metrakos PP: Graft calcifications and dysfunction following liver transplantation. BMC Surg. 2004, 4: 9-10.1186/1471-2482-4-9.CrossRefPubMedPubMedCentral Tzimas GN, Afshar M, Chevet E, Emadali A, Vali H, Metrakos PP: Graft calcifications and dysfunction following liver transplantation. BMC Surg. 2004, 4: 9-10.1186/1471-2482-4-9.CrossRefPubMedPubMedCentral
14.
go back to reference Neethling WM, Hodge AJ, Clode P, Glancy R: A multi-step approach in anti-calcification of glutaraldehyde-preserved bovine pericardium. J Cardiovasc Surg. 2006, 47: 711-8. Neethling WM, Hodge AJ, Clode P, Glancy R: A multi-step approach in anti-calcification of glutaraldehyde-preserved bovine pericardium. J Cardiovasc Surg. 2006, 47: 711-8.
15.
go back to reference Kouvelos GN, Papas NK, Arnaoutoglou EM, Papadopoulos GS, Matsagkas MI: Endovascular repair of profunda femoral artery false aneurysms using covered stents. Vascular. 2011, 19: 51-4. 10.1258/vasc.2010.cr0224.CrossRefPubMed Kouvelos GN, Papas NK, Arnaoutoglou EM, Papadopoulos GS, Matsagkas MI: Endovascular repair of profunda femoral artery false aneurysms using covered stents. Vascular. 2011, 19: 51-4. 10.1258/vasc.2010.cr0224.CrossRefPubMed
16.
go back to reference Krones CJ, Klosterhalfen B, Anurov M, Stumpf M, Klinge U, Oettinger AP, Schumpelick V: Missing effects of zinc in a porcine model of recurrent endotoxemia. BMC Surg. 2005, 5: 22-10.1186/1471-2482-5-22.CrossRefPubMedPubMedCentral Krones CJ, Klosterhalfen B, Anurov M, Stumpf M, Klinge U, Oettinger AP, Schumpelick V: Missing effects of zinc in a porcine model of recurrent endotoxemia. BMC Surg. 2005, 5: 22-10.1186/1471-2482-5-22.CrossRefPubMedPubMedCentral
17.
go back to reference Hirsch T, Spielmann M, Zuhaili B, Koehler T, Fossum M, Steinau HU, Yao F, Steinstraesser L, Onderdonk AB, Eriksson E: Enhanced susceptibility to infections in a diabetic wound healing model. BMC Surg. 2008, 8: 5-10.1186/1471-2482-8-5.CrossRefPubMedPubMedCentral Hirsch T, Spielmann M, Zuhaili B, Koehler T, Fossum M, Steinau HU, Yao F, Steinstraesser L, Onderdonk AB, Eriksson E: Enhanced susceptibility to infections in a diabetic wound healing model. BMC Surg. 2008, 8: 5-10.1186/1471-2482-8-5.CrossRefPubMedPubMedCentral
18.
go back to reference Crane NJ, Pinto PA, Hale D, Gage FA, Tadaki D, Kirk AD, Levin IW, Elster EA: Non-invasive monitoring of tissue oxygenation during laparoscopic donor nephrectomy. BMC Surg. 2008, 8: 8-10.1186/1471-2482-8-8.CrossRefPubMedPubMedCentral Crane NJ, Pinto PA, Hale D, Gage FA, Tadaki D, Kirk AD, Levin IW, Elster EA: Non-invasive monitoring of tissue oxygenation during laparoscopic donor nephrectomy. BMC Surg. 2008, 8: 8-10.1186/1471-2482-8-8.CrossRefPubMedPubMedCentral
19.
go back to reference Bonduki CE, Lourenço DM, Motta EL, Soares JM, Haidar MA, Baracat EC: Effect of estrogen-progestin hormonal replacement therapy on blood coagulation and fibrinolysis in postmenopausal women. Clinics. 2007, 62 (5): 553-60. 10.1590/S1807-59322007000500004.CrossRefPubMed Bonduki CE, Lourenço DM, Motta EL, Soares JM, Haidar MA, Baracat EC: Effect of estrogen-progestin hormonal replacement therapy on blood coagulation and fibrinolysis in postmenopausal women. Clinics. 2007, 62 (5): 553-60. 10.1590/S1807-59322007000500004.CrossRefPubMed
20.
go back to reference Sucu N, Tamer L, Dondas HA, Polat A, Aytacoglu B, Cimen MY: The effect of ethyenediaminetetraacetic acid on calcific degeneration in pericardium. Heart Vessels. 2004, 19 (2): 89-96. 10.1007/s00380-003-0734-8.CrossRefPubMed Sucu N, Tamer L, Dondas HA, Polat A, Aytacoglu B, Cimen MY: The effect of ethyenediaminetetraacetic acid on calcific degeneration in pericardium. Heart Vessels. 2004, 19 (2): 89-96. 10.1007/s00380-003-0734-8.CrossRefPubMed
21.
go back to reference Chanda J, Rao SB, Mohanty M: Prevention of calcification of tissue valves. Artificial Organs. 1994, 18 (10): 752-7. 10.1111/j.1525-1594.1994.tb03314.x.CrossRefPubMed Chanda J, Rao SB, Mohanty M: Prevention of calcification of tissue valves. Artificial Organs. 1994, 18 (10): 752-7. 10.1111/j.1525-1594.1994.tb03314.x.CrossRefPubMed
22.
go back to reference Vasudev SC, Chandy T, Sharma CP: Glutaraldehyde treated bovine pericardium changes in calcification due to vitamins and platelet inhibitors. Artificial Organs. 1997, 21 (9): 1007-1013.CrossRefPubMed Vasudev SC, Chandy T, Sharma CP: Glutaraldehyde treated bovine pericardium changes in calcification due to vitamins and platelet inhibitors. Artificial Organs. 1997, 21 (9): 1007-1013.CrossRefPubMed
23.
go back to reference Rossi MA, Braile DM, Teixeira MDR, Carillo SV: Calcific degeneration of pericardial valvular xenografts implanted subcutaneously in rats. Int J Cardiol. 1986, 12 (1): 331-9.CrossRefPubMed Rossi MA, Braile DM, Teixeira MDR, Carillo SV: Calcific degeneration of pericardial valvular xenografts implanted subcutaneously in rats. Int J Cardiol. 1986, 12 (1): 331-9.CrossRefPubMed
24.
go back to reference Gabbay S, Bortolotti U, Factor S, Shore DF, Frater RWM: Calcification of implanted xenograft pericardium. Influence of site and function. J Thorac Cardiovasc Surg. 1984, 87 (5): 782-7.PubMed Gabbay S, Bortolotti U, Factor S, Shore DF, Frater RWM: Calcification of implanted xenograft pericardium. Influence of site and function. J Thorac Cardiovasc Surg. 1984, 87 (5): 782-7.PubMed
25.
go back to reference Bortolotti U, Zussa C, Factor S, Frater RWM: Glutaraldehyde treated auto, homo and xenograft pericardium in atrial, mitral, aortic and pericardial applications. Life Support Syst. 1986, 4 (2): 148-50. Bortolotti U, Zussa C, Factor S, Frater RWM: Glutaraldehyde treated auto, homo and xenograft pericardium in atrial, mitral, aortic and pericardial applications. Life Support Syst. 1986, 4 (2): 148-50.
26.
go back to reference Ladowski JM, Ladowski JS: Retrospective analysis of bovine pericardium (vascu-guard) for patch closure in carotid endarterectomies. Ann Vasc Surg. 2011, 25 (5): 646-50.CrossRefPubMed Ladowski JM, Ladowski JS: Retrospective analysis of bovine pericardium (vascu-guard) for patch closure in carotid endarterectomies. Ann Vasc Surg. 2011, 25 (5): 646-50.CrossRefPubMed
27.
go back to reference Dejima K, Mitsuhashi H, Yasuda G, Hirawa N, Ikeda Y, Umemura S: Localization and extent of peritoneal calcification in three uremic patients on continuous ambulatory peritoneal dialysis. Ther Apher Dial. 2008, 12: 413-6. 10.1111/j.1744-9987.2008.00620.x.CrossRefPubMed Dejima K, Mitsuhashi H, Yasuda G, Hirawa N, Ikeda Y, Umemura S: Localization and extent of peritoneal calcification in three uremic patients on continuous ambulatory peritoneal dialysis. Ther Apher Dial. 2008, 12: 413-6. 10.1111/j.1744-9987.2008.00620.x.CrossRefPubMed
28.
go back to reference Bisdas T, Pichlmaier M, Bisdas S, Haverich A, Teebken OE: Early neurologic outcome after bovine pericardium versus venous patch angioplasty in 599 patients undergoing carotid endarterectomy. Vascular. 2010, 18 (3): 147-53. 10.2310/6670.2010.00022.CrossRefPubMed Bisdas T, Pichlmaier M, Bisdas S, Haverich A, Teebken OE: Early neurologic outcome after bovine pericardium versus venous patch angioplasty in 599 patients undergoing carotid endarterectomy. Vascular. 2010, 18 (3): 147-53. 10.2310/6670.2010.00022.CrossRefPubMed
29.
go back to reference Limpert JN, Desai AR, Kumpf AL, Fallucco MA, Aridge DL: Repair of abdominal wall defects with bovine pericardium. Am J Surg. 2009, 198 (5): e60-5. 10.1016/j.amjsurg.2009.01.027.CrossRefPubMed Limpert JN, Desai AR, Kumpf AL, Fallucco MA, Aridge DL: Repair of abdominal wall defects with bovine pericardium. Am J Surg. 2009, 198 (5): e60-5. 10.1016/j.amjsurg.2009.01.027.CrossRefPubMed
30.
go back to reference Jung TE, Baek JH, Lee DH: Pulmonary valve leaflet extension with bovine pericardium: for treatment of pulmonary insufficiency. Tex Heart Inst J. 2011, 38 (1): 68-70.PubMedPubMedCentral Jung TE, Baek JH, Lee DH: Pulmonary valve leaflet extension with bovine pericardium: for treatment of pulmonary insufficiency. Tex Heart Inst J. 2011, 38 (1): 68-70.PubMedPubMedCentral
Metadata
Title
Bovine pericardium retail preserved in glutaraldehyde and used as a vascular patch
Authors
Wladimir F Saporito
Adílson C Pires
Sérgio H Cardoso
João A Correa
Luiz Carlos de Abreu
Vitor E Valenti
Luciano MR Miller
Eduardo Colombari
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2011
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/1471-2482-11-37

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