A BIODEGRADABLE PATCH USED AS A PERICARDIAL SUBSTITUTE AFTER CARDIAC-SURGERY - 6-MONTH AND 24-MONTH EVALUATION WITH CT

被引:54
作者
DUVERNOY, O
MALM, T
RAMSTROM, J
BOWALD, S
机构
[1] UNIV UPPSALA HOSP,DEPT DIAGNOST RADIOL,S-75185 UPPSALA,SWEDEN
[2] UNIV UPPSALA HOSP,DEPT SURG,S-75185 UPPSALA,SWEDEN
[3] UNIV UPPSALA HOSP,DEPT THORAC & CARDIOVASC SURG,S-75185 UPPSALA,SWEDEN
关键词
BIODEGRADABLE PERICARDIAL PATCH; POLYHYDROXYBUTYRATE; PERICARDIAL SUBSTITUTE; COMPUTERIZED TOMOGRAPHY;
D O I
10.1055/s-2007-1013226
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Biodegradable patches made of polyhydroxybutyrate (PHB) were recently shown to limit postoperative pericardial adhesions when inserted into the pericardium in sheep. The present study was carried out to evaluate the presence of postoperative retrosternal adhesions after cardiac surgery in patients operated on with the PHB patch compared with those operated on without the insertion of such a patch. 50 patients admitted for CABG and/or valvular replacement were randomised to treatment either with pericardial closure with a patch or with the pericardium left open. In 39 of these (19 with and 20 without a PWB patch) computerised tomography was carried out six and twenty-four months postoperatively. Computerised tomography indicated a lower incidence (p < 0.05) of postoperative adhesions between the patch and the cardiac surface in the patch group, compared with the corresponding area in the non-patch group. A reduction of patch size in 27 % (p = 0.003) was also seen.
引用
收藏
页码:271 / 274
页数:4
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