Vascuguard bovine pericardial patch

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A legacy of tissue innovation Edwards bovine pericardial patch. Edwards bovine pericardial patch Performance Models. Edwards bovine pericardial patch. There were no perioperative strokes, acute occlusions, bleeding episodes requiring reoperation, or deaths. The patients were followed up to 54 months postoperatively with a mean follow-up time of All required reoperation. There were no asymptomatic occlusions, infections, aneurysms, or rupture. Recurrent steno- ease included a thorough history of disease develop- sis, patch aneurysm formation, and patch infection ment, risk factors, and previous neurologic events, were also recorded.

Computed tomog- and late stroke rates and mortality, 2 postoperative raphy CT of the brain was obtained before the complications, and 3 restenosis, aneurysm forma- procedure for all patients.

Internal carotid artery tion, and infection rates. For stroke rates, any ICA stenosis according to the North American neurologic deterioration confirmed clinically and Symptomatic Carotid Endarterectomy Trial mea- radiologically as ipsilateral, contralateral, disabling, surement method was always documented by color or not stroke were considered.

For patients lost to follow-up, the latest erative stroke and major morbid risks. Antiplatelet therapy aspirin mg or clopidog- rel 75 mg daily was started, if not already pre- RESULTS scribed, at the time of the diagnosis and was not discontinued during surgery. Permanent 1 carotid artery stentings CAS were also performed during this period.

The eversion technique was used alive with patent ICA 7 years after the procedure. One including 5 cardiac 4 acute coronary syn- hundred forty-eight procedures with BP patch dromes and 1 paroxysmal atrial fibrillation , 1 pul- closure were performed between and , monary acute respiratory insufficiency , and 1 and between and The lower rate of renal acute renal failure ; 2 patients experienced CEAs after was due to parallel induction of neck hematoma, which required drainage under CAS in our practice; from , we performed CAS local anesthesia due to airway compression.

During in most patients with suitable aortic arch, carotid exploration, neither patch nor suture line defect lesion, and plaque anatomy, as well as all patients were identified. Eleven 4. Preoperative clinical consequences.

Table II lists Regarding immediate clinical outcomes, the post- the immediate clinical outcomes and postoperative operative stroke rate for the total number of proce- complications. Thirty-three patients The latest recorded data for dynamic instability. Reexploration was not attemp- these patients were used for the analysis. The patient counting for a year cumulative survival of recovered from kinetic problems but not from apha- Fifteen deaths cardiac event. The second stoke also concerned a were due to cardiac disease, 6 due to cancer, 2 symptomatic male patient with contralateral ICA resulted from contralateral strokes, 2 from pulmo- occlusion.

The operated ICA was patent and the nary disease, and 1 from severe hepatobiliary dis- CT scan negative, so it was considered a lacunar ease. Eleven patients experienced a late stroke. All stroke. The patient recovered completely and re- late strokes were contralateral to the operated ca- mains alive with patent ICA almost 11 years after rotid, and 2 were fatal.

For the whole cohort, the the procedure. The third stroke occurred in an year cumulative freedom from stroke was asymptomatic female patient and was due to acute The defect was CI Four carotid ar- repaired and the ICA successfully recanalized.

The teries 1. Annals of Vascular Surgery Fig. Kaplan-Meier analysis of follow-up data. Twelve- Fig. Twelve- year cumulative survival. CI, confidence interval; SE, year cumulative proportion of freedom from restenosis. CI, confidence interval; SE, standard error. Twelve- istics. It is also nonthrombo- remained asymptomatic.

The easily handled and tailored to the appropriate size other 2 patients are still under surveillance. It has the advantages of Twelve-year cumulative freedom from restenosis preserving the great saphenous vein, sparing the was In this series, no patient experienced any ture line bleeding compared with synthetic patches.

The BP patch seemed to be well incorpo- lower incidence of hematomas, pseudoaneurysms, rated into the carotid artery in all cases, as shown in wound and patch infections, as well as for the reduc- the duplex examination. Recently Kamenskiy et al.

We and other authors in retrospective case series analyses have reported This series shows the efficacy, safety, and durability optimal early outcomes with the use of BP.

BP combines the advantages of vein and plications have equal results to vein or synthetic synthetic patches, representing a definitely suitable patches applications.