Abstract
Purpose A new vascular graft (Triplex [Vascutek Terumo, Tokyo, Japan]) has a three-layer structure and no biologic coating material. We assessed inflammatory reaction and mediastinal tube drainage after thoracic aortic surgery using this graft. Description Between January 2009 and September 2009, 127 patients underwent open ascending aortic or arch repair. Triplex grafts (Vascutek Terumo) were used in 39 patients. After matching surgical procedures, 35 matched pairs (35 with Triplex, group A; 35 with coated graft, group B) were created. We compared postoperative inflammatory markers, amount, and duration of mediastinal drainage between the two groups. Evaluation There was no difference in postoperative inflammatory marker levels between the two groups. The median total amounts of mediastinal drainage were 690 mL (group A) and 1,500 mL (group B) (p < 0.001). The median durations of drainage were 67 and 128 hours, respectively (p < 0.001). Multivariate linear regression analyses showed that use of the Triplex graft is an independent predictor of the small amount and short duration of mediastinal drainage. Conclusions Triplex grafts reduce the amount and duration of mediastinal drainage after thoracic aortic surgery, which may promote early ambulation and fast postoperative recovery.
| Original language | English |
|---|---|
| Pages (from-to) | 899-902 |
| Number of pages | 4 |
| Journal | Annals of Thoracic Surgery |
| Volume | 91 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 2011 Mar 1 |
| Externally published | Yes |
Fingerprint
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
- Pulmonary and Respiratory Medicine
Cite this
New uncoated vascular prosthesis reduces mediastinal tube drainage after thoracic aortic surgery. / Tabata, Minoru; Shimokawa, Tomoki; Fukui, Toshihiro; Manabe, Susumu; Sato, Yasunori; Takanashi, Shuichiro.
In: Annals of Thoracic Surgery, Vol. 91, No. 3, 01.03.2011, p. 899-902.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - New uncoated vascular prosthesis reduces mediastinal tube drainage after thoracic aortic surgery
AU - Tabata, Minoru
AU - Shimokawa, Tomoki
AU - Fukui, Toshihiro
AU - Manabe, Susumu
AU - Sato, Yasunori
AU - Takanashi, Shuichiro
PY - 2011/3/1
Y1 - 2011/3/1
N2 - Purpose A new vascular graft (Triplex [Vascutek Terumo, Tokyo, Japan]) has a three-layer structure and no biologic coating material. We assessed inflammatory reaction and mediastinal tube drainage after thoracic aortic surgery using this graft. Description Between January 2009 and September 2009, 127 patients underwent open ascending aortic or arch repair. Triplex grafts (Vascutek Terumo) were used in 39 patients. After matching surgical procedures, 35 matched pairs (35 with Triplex, group A; 35 with coated graft, group B) were created. We compared postoperative inflammatory markers, amount, and duration of mediastinal drainage between the two groups. Evaluation There was no difference in postoperative inflammatory marker levels between the two groups. The median total amounts of mediastinal drainage were 690 mL (group A) and 1,500 mL (group B) (p < 0.001). The median durations of drainage were 67 and 128 hours, respectively (p < 0.001). Multivariate linear regression analyses showed that use of the Triplex graft is an independent predictor of the small amount and short duration of mediastinal drainage. Conclusions Triplex grafts reduce the amount and duration of mediastinal drainage after thoracic aortic surgery, which may promote early ambulation and fast postoperative recovery.
AB - Purpose A new vascular graft (Triplex [Vascutek Terumo, Tokyo, Japan]) has a three-layer structure and no biologic coating material. We assessed inflammatory reaction and mediastinal tube drainage after thoracic aortic surgery using this graft. Description Between January 2009 and September 2009, 127 patients underwent open ascending aortic or arch repair. Triplex grafts (Vascutek Terumo) were used in 39 patients. After matching surgical procedures, 35 matched pairs (35 with Triplex, group A; 35 with coated graft, group B) were created. We compared postoperative inflammatory markers, amount, and duration of mediastinal drainage between the two groups. Evaluation There was no difference in postoperative inflammatory marker levels between the two groups. The median total amounts of mediastinal drainage were 690 mL (group A) and 1,500 mL (group B) (p < 0.001). The median durations of drainage were 67 and 128 hours, respectively (p < 0.001). Multivariate linear regression analyses showed that use of the Triplex graft is an independent predictor of the small amount and short duration of mediastinal drainage. Conclusions Triplex grafts reduce the amount and duration of mediastinal drainage after thoracic aortic surgery, which may promote early ambulation and fast postoperative recovery.
UR - http://www.scopus.com/inward/record.url?scp=79951982718&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79951982718&partnerID=8YFLogxK
U2 - 10.1016/j.athoracsur.2010.11.030
DO - 10.1016/j.athoracsur.2010.11.030
M3 - Article
C2 - 21353023
AN - SCOPUS:79951982718
VL - 91
SP - 899
EP - 902
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 3
ER -