title: Does Triplex Vascular Prosthesis Contribute to Reducing the Inflammatory Reaction after Surgical Repair of Abdominal Aortic Aneurysms?
abstract: Our aim was to evaluate whether a Triplex vascular prosthesis could contribute to reducing postoperative inflammation after surgical abdominal aortic aneurysm (AAA) repair retrospectively. Between July 2011 and December 2013, a Triplex vascular prosthesis was used in 22 patients (group T) and a coated vascular prosthesis in 18 patients (group H) during AAA repair surgery. Body temperature (BT), white blood cell (WBC) count, and C-reactive protein (CRP) level for 5 days were assessed. There was no hospital death in both groups. During the first 2 days after surgery the BT was higher in group T than in group H reaching its maximum on POD 2. On POD 5, it was similar (p = 0.4850). The postoperative WBC count was higher in group H than in group T. It reached its maximum on POD 1 and it was similar in both groups on POD 5 (p = 0.1870). The CRP value increased postoperatively in both groups, peaking during PODs 2 or 3. On POD 5, it was lower in group H than in group T (p = 0.0415). We could not confirm the superiority of Triplex vascular prostheses to other coated vascular prostheses in inflammatory reactions.
authors.affiliation: Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.
authors.forename: Naoto
authors.initials: N
authors.lastname: Fukunaga
authors.affiliation: Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.
authors.forename: Takehiko
authors.initials: T
authors.lastname: Matsuo
authors.affiliation: Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.
authors.forename: Tadaaki
authors.initials: T
authors.lastname: Koyama
keywords: Triplex vascular prosthesis; abdominal aortic aneurysms; inflammatory reaction