title: Impact of collagen-coated and gelatine-impregnated woven Dacron branched grafts on the early postoperative period.
abstract: To investigate the impact of two different sealed Dacron vascular branched prostheses on the early postoperative period, 30 patients whose aortic arch was replaced by either a collagen-coated (n=18) or a gelatine-impregnated (n=12) branched prosthesis were retrospectively studied. The patients who received a collagen-coated branched prosthesis required longer chest drainage (11.9+/-5.2 vs. 7.9+/-4.6 days, p<0.05). On the other hand, higher white cell count on 7th postoperative day (9,406+/-3,485 vs. 11,810+/-4,378/microL, p<0.05) was observed in the patients with a gelatine-impregnated branched prosthesis. Biocompatibility of the prostheses could affect the early postoperative course, therefore these specific impacts should be considered to manage the patients with these prostheses.
authors.affiliation: Department of Cardiovascular Surgery, Sakakibara Hospital Cardiovascular Center, Okayama, Japan.
authors.forename: Kotaro
authors.initials: K
authors.lastname: Suehiro
authors.forename: Takato
authors.initials: T
authors.lastname: Hata
authors.forename: Hidenori
authors.initials: H
authors.lastname: Yoshitaka
authors.forename: Yoshimasa
authors.initials: Y
authors.lastname: Tsushima
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Matsumoto
authors.forename: Satoru
authors.initials: S
authors.lastname: Ohtani
authors.forename: Atsuki
authors.initials: A
authors.lastname: Nagao
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Miyahara
authors.forename: Daisuke
authors.initials: D
authors.lastname: Satoh
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000097:blood / Q000601:surgery; D001014:Aortic Aneurysm / Q000097:blood / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D002097:C-Reactive Protein / Q000378:metabolism; D020099:Coated Materials, Biocompatible / Q000627:therapeutic use*; D003094:Collagen / Q000627:therapeutic use*; D004322:Drainage; D005260:Female; D005780:Gelatin / Q000627:therapeutic use*; D006801:Humans; D007564:Japan; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates / Q000627:therapeutic use*; D011183:Postoperative Complications / Q000097:blood / Q000209:etiology / Q000401:mortality; D011184:Postoperative Period; D012189:Retrospective Studies
chemical_list: D020099:Coated Materials, Biocompatible; D011093:Polyethylene Terephthalates; D005780:Gelatin; D003094:Collagen; D002097:C-Reactive Protein