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Autologous pericardium may be an alternative carotid patch material in patient with undergoing simultaneous carotid endarterectomy and coronary artery bypass grafting

Yıl 2022, Cilt: 32 Sayı: 5, 554 - 558, 29.10.2022
https://doi.org/10.54005/geneltip.1147590

Öz

Backround: Dacron, polytetrafluoroethylene, great saphenous vein, and bovine pericardium are the commonly used as patch materials. However, there is no study about autologous pericardial as a patch material in carotid endarterectomy surgery. We aimed to assess the results of the use of autologous pericardial patch in patients undergoing concomitant carotid endarterectomy and coronary artery by-pass graft surgery.
Materials and Methods:: The study involved 30 patients who underwent concomitant carotid endarterectomy with patch angioplasty and coronary artery bypass grafting surgery from January 2016 to February 2020. Patchplasty is performed with autologous pericardium for 13 patients and dacron patch for 17 patients during carotid endarterectomy.
Results: No statistical difference was found between the groups in terms of reoperation, arterial occlusion, restenosis, operation time, and neurological events. In the postoperative follow-up, it was determined that the amount of drainage from the area on which the carotid surgery was applied was less in the those in whom autologous pericardium was used compared to those in whom Dacron patch was used. (p=0.001)
Conclusion: We concluded that the use of autologous pericardium as a carotid artery patch is a safe, feasible, and effective method in patients undergoing combined carotid artery and coronary bypass surgery.

Kaynakça

  • 1) Drakopoulou M, Oikonomou G, Soulaidopoulos S, Toutouzas K, Tousoulis D. Management of patients with concomitant coronary and carotid artery disease. Expert Rev Cardiovasc Ther 2019; 17:575-583.
  • 2) Kiernan TJ, Taqueti V, Crevensten G, Yan BP, Slovut DP, Jaff MR. Correlates of carotid stenosis in patients undergoing coronary artery bypass grafting- a case control study. Vasc Med 2009;14: 233-237.
  • 3) Wanamaker KM, Moraca RJ, Nitzberg D, Magovern GJ Jr. Contemporary incidence and risk factors for carotid artery disease in patients referred for coronary artery bypass surgery. J Cardiothorac Surg 2012;7:78.
  • 4) Orrapin S, Benyakorn T, Howard DP, Siribumrungwong B, Rerkasem K. Patches of different types for carotid patch angioplasty. Cochrane Database Syst Rev 2021;2:CD000071.
  • 5) Başar V, Hançer H. Usage of Autologous Pericardıum as an Alternative Carotid Patch in Concomitant Carotid Endarterectomy and Coronary Artery By-Pass Graft Surgery. Bozok Med J 2019; 9:58-63.
  • 6) Neumann FJ, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U. 2018 ESC/EACTS Guidelines on myocardial revascularization [published correction appears in Eur Heart J 2019;40:87-165.
  • 7) Naylor AR, Ricco JB, de Borst GJ, et al. Editor's Choice - Management of Atherosclerotic Carotid and Vertebral Artery Disease: 2017 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg 2018;55:3-81.
  • 8) Akay T. Karotis arter darlıkları. In: Bozkurt AK, editor. Periferik Arter ve Ven Hastalıkları. Ulusal Tedavi Kılavuzu İstanbul: Bayçınar Tıbbi Yayıncılık. 2021:100-130.
  • 9) Ozaki S, Kawase I, Yamashita H, et al. A total of 404 cases of aortic valve reconstruction with glutaraldehyde-treated autologous pericardium. J Thorac Cardiovasc Surg 2014;147:301-306.
  • 10) Illuminati G, Ricco JB, Caliò F, et al. Short-term results of a randomized trial examining timing of carotid endarterectomy in patients with severe asymptomatic unilateral carotid stenosis undergoing coronary artery bypass grafting. J Vasc Surg 2011;54:993-999.
  • 11) Chan JSK, Shafi AMA, Grafton-Clarke C, Singh S, Harky A. Concomitant severe carotid and coronary artery diseases: a separate management or concomitant approach. J Card Surg 2019;34:803-813.
  • 12) Filová E, Staňková L, Eckhardt A, et al. Modification of human pericardium by chemical crosslinking. Physiol Res. 2020;69:49-59.
  • 13) Jayakrishnan A, Jameela SR. Glutaraldehyde as a fixative in bioprostheses and drug delivery matrices. Biomaterials 1996;17:471-484.
  • 14) Lee C, Lim HG, Lee CH, Kim YJ. Effects of glutaraldehyde concentration and fixation time on material characteristics and calcification of bovine pericardium: implications for the optimal method of fixation of autologous pericardium used for cardiovascular surgery. Interact Cardiovasc Thorac Surg 2017;24:402-406.
  • 15) Kapısız NS, Kapısız HF, Doğan OV, Dolgun A, Yücel E. Glutaraldehyde fixation of autologous pericardial patches. Trakya Univ Tip Fak Derg 2008;25:124-129.
  • 16) Gaunt ME, Thompson M, White S, Naylor AR, Bell PR. Vein-patch rupture after carotid endarterectomy: an avoidable catastrophe. Br J Surg 1993;80:1490-1491.
  • 17) Oldenburg WA, Almerey T, Selim M, Farres H, Hakaim AG. Durability of Carotid Endarterectomy with Bovine Pericardial Patch. Ann Vasc Surg 2018;50:218-224.
  • 18) Texakalidis P, Giannopoulos S, Charisis N, et al. A meta-analysis of randomized trials comparing bovine pericardium and other patch materials for carotid endarterectomy. J Vasc Surg 2018;68:1241-1256.
  • 19) Muto A, Nishibe T, Dardik H, Dardik A. Patches for carotid artery endarterectomy: current materials and prospects. J VascSurg 2009;50:206-213.

Eş zamanlı karotis endarterektomi ve koroner arter baypas greftleme operasyonu yapılan hastalarda otolog perikard alternatif bir karotis yama materyali olabilir.

Yıl 2022, Cilt: 32 Sayı: 5, 554 - 558, 29.10.2022
https://doi.org/10.54005/geneltip.1147590

Öz

Amaç: Dakron, politetrafloroetilen, büyük safen damarı ve sığır perikardı yaygın olarak yama malzemeleri olarak kullanılır. Ancak karotis endarterektomi cerrahisinde yama materyali olarak otolog perikardiyal ile ilgili bir çalışma bulunmamaktadır. Eş zamanlı karotis endarterektomi ve koroner arter baypas greft cerrahisi uygulanan hastalarda otolog perikardiyal yama kullanımının sonuçlarını değerlendirmeyi amaçladık.
Gereç ve Yöntem: Çalışmaya Ocak 2016 ile Şubat 2020 arasında yama anjiyoplasti ve koroner arter baypas greftleme cerrahisi ile birlikte karotis endarterektomi uygulanan 30 hasta dahil edildi. Karotis endarterektomi sırasında 13 hastada otolog perikard ve 17 hastada dakron yama ile patchplasti yapıldı.
Bulgular: Gruplar arasında reoperasyon, arter tıkanıklığı, restenoz, operasyon süresi ve nörolojik olaylar açısından istatistiksel fark bulunmadı. Postoperatif takipte otolog perikard kullanılanlarda karotis cerrahisi uygulanan bölgeden drenaj miktarının Dacron yama uygulananlara göre daha az olduğu belirlendi. (p=0,001)
Sonuç: Karotis arter yaması olarak otolog perikardın kullanımının karotid arter ve koroner bypass cerrahisi uygulanan hastalarda güvenli, uygulanabilir ve etkili bir yöntem olduğu sonucuna vardık.

Kaynakça

  • 1) Drakopoulou M, Oikonomou G, Soulaidopoulos S, Toutouzas K, Tousoulis D. Management of patients with concomitant coronary and carotid artery disease. Expert Rev Cardiovasc Ther 2019; 17:575-583.
  • 2) Kiernan TJ, Taqueti V, Crevensten G, Yan BP, Slovut DP, Jaff MR. Correlates of carotid stenosis in patients undergoing coronary artery bypass grafting- a case control study. Vasc Med 2009;14: 233-237.
  • 3) Wanamaker KM, Moraca RJ, Nitzberg D, Magovern GJ Jr. Contemporary incidence and risk factors for carotid artery disease in patients referred for coronary artery bypass surgery. J Cardiothorac Surg 2012;7:78.
  • 4) Orrapin S, Benyakorn T, Howard DP, Siribumrungwong B, Rerkasem K. Patches of different types for carotid patch angioplasty. Cochrane Database Syst Rev 2021;2:CD000071.
  • 5) Başar V, Hançer H. Usage of Autologous Pericardıum as an Alternative Carotid Patch in Concomitant Carotid Endarterectomy and Coronary Artery By-Pass Graft Surgery. Bozok Med J 2019; 9:58-63.
  • 6) Neumann FJ, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U. 2018 ESC/EACTS Guidelines on myocardial revascularization [published correction appears in Eur Heart J 2019;40:87-165.
  • 7) Naylor AR, Ricco JB, de Borst GJ, et al. Editor's Choice - Management of Atherosclerotic Carotid and Vertebral Artery Disease: 2017 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg 2018;55:3-81.
  • 8) Akay T. Karotis arter darlıkları. In: Bozkurt AK, editor. Periferik Arter ve Ven Hastalıkları. Ulusal Tedavi Kılavuzu İstanbul: Bayçınar Tıbbi Yayıncılık. 2021:100-130.
  • 9) Ozaki S, Kawase I, Yamashita H, et al. A total of 404 cases of aortic valve reconstruction with glutaraldehyde-treated autologous pericardium. J Thorac Cardiovasc Surg 2014;147:301-306.
  • 10) Illuminati G, Ricco JB, Caliò F, et al. Short-term results of a randomized trial examining timing of carotid endarterectomy in patients with severe asymptomatic unilateral carotid stenosis undergoing coronary artery bypass grafting. J Vasc Surg 2011;54:993-999.
  • 11) Chan JSK, Shafi AMA, Grafton-Clarke C, Singh S, Harky A. Concomitant severe carotid and coronary artery diseases: a separate management or concomitant approach. J Card Surg 2019;34:803-813.
  • 12) Filová E, Staňková L, Eckhardt A, et al. Modification of human pericardium by chemical crosslinking. Physiol Res. 2020;69:49-59.
  • 13) Jayakrishnan A, Jameela SR. Glutaraldehyde as a fixative in bioprostheses and drug delivery matrices. Biomaterials 1996;17:471-484.
  • 14) Lee C, Lim HG, Lee CH, Kim YJ. Effects of glutaraldehyde concentration and fixation time on material characteristics and calcification of bovine pericardium: implications for the optimal method of fixation of autologous pericardium used for cardiovascular surgery. Interact Cardiovasc Thorac Surg 2017;24:402-406.
  • 15) Kapısız NS, Kapısız HF, Doğan OV, Dolgun A, Yücel E. Glutaraldehyde fixation of autologous pericardial patches. Trakya Univ Tip Fak Derg 2008;25:124-129.
  • 16) Gaunt ME, Thompson M, White S, Naylor AR, Bell PR. Vein-patch rupture after carotid endarterectomy: an avoidable catastrophe. Br J Surg 1993;80:1490-1491.
  • 17) Oldenburg WA, Almerey T, Selim M, Farres H, Hakaim AG. Durability of Carotid Endarterectomy with Bovine Pericardial Patch. Ann Vasc Surg 2018;50:218-224.
  • 18) Texakalidis P, Giannopoulos S, Charisis N, et al. A meta-analysis of randomized trials comparing bovine pericardium and other patch materials for carotid endarterectomy. J Vasc Surg 2018;68:1241-1256.
  • 19) Muto A, Nishibe T, Dardik H, Dardik A. Patches for carotid artery endarterectomy: current materials and prospects. J VascSurg 2009;50:206-213.
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Original Article
Yazarlar

Veysel Başar 0000-0001-5478-0266

Emre Kubat 0000-0002-9884-8565

Ferit Cicekcioglu 0000-0002-4809-0100

Mehmed Yanartaş 0000-0001-7780-3950

Hasan Sunar 0000-0002-1276-8549

Erken Görünüm Tarihi 24 Ekim 2022
Yayımlanma Tarihi 29 Ekim 2022
Gönderilme Tarihi 4 Ağustos 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 32 Sayı: 5

Kaynak Göster

Vancouver Başar V, Kubat E, Cicekcioglu F, Yanartaş M, Sunar H. Autologous pericardium may be an alternative carotid patch material in patient with undergoing simultaneous carotid endarterectomy and coronary artery bypass grafting. Genel Tıp Derg. 2022;32(5):554-8.