New uncoated vascular prosthesis reduces mediastinal tube drainage after thoracic aortic surgery

Minoru Tabata, Tomoki Shimokawa, Toshihiro Fukui, Susumu Manabe, Yasunori Sato, Shuichiro Takanashi

Research output: Contribution to journalArticle

6 Citations (Scopus)

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 languageEnglish
Pages (from-to)899-902
Number of pages4
JournalAnnals of Thoracic Surgery
Volume91
Issue number3
DOIs
Publication statusPublished - 2011 Mar 1
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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