Outcomes of Right Ventricular Outflow Tract Reconstruction in Children: Retrospective Comparison Between Bovine Jugular Vein and Expanded Polytetrafluoroethylene Conduits
Bovine jugular vein (BJV) and expanded polytetrafluoroethylene (ePTFE) conduits have been described as alternatives to the homograft for right ventricular outflow tract (RVOT) reconstruction. This study compared RVOT reconstructions using BJV and ePTFE conduits performed in a single institution. The...
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Veröffentlicht in: | Pediatric cardiology 2021-01, Vol.42 (1), p.100-108 |
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creator | Hirai, Kenta Baba, Kenji Goto, Takuya Ousaka, Daiki Kondo, Maiko Eitoku, Takahiro Kotani, Yasuhiro Kasahara, Shingo Ohtsuki, Shinichi Tsukahara, Hirokazu |
description | Bovine jugular vein (BJV) and expanded polytetrafluoroethylene (ePTFE) conduits have been described as alternatives to the homograft for right ventricular outflow tract (RVOT) reconstruction. This study compared RVOT reconstructions using BJV and ePTFE conduits performed in a single institution. The valve functions and outcomes of patients aged |
doi_str_mv | 10.1007/s00246-020-02458-0 |
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P
= 0.27), branch pulmonary stenosis (
P
= 0.50), or pulmonary regurgitation (
P
= 0.44) were found between the BJV and ePTFE conduit groups, respectively. Aneurysmal dilatation of the conduit was observed in 25.0% of the patients in the BJV conduit group but not in the ePTFE conduit group (
P
= 0.011). All the cases with aneurysmal dilatation of the BJV conduit were complicated with branch pulmonary stenosis up to 3.0 m/s (
P
= 0.004). No conduit infections occurred during the follow-up period, and no significant difference in conduit replacement (20.0% vs 8.3%,
P
= 0.43) was found between the BJV and ePTFE conduit groups, respectively. The outcomes of the RVOT reconstructions with BJV and ePTFE conduits were clinically satisfactory. Aneurysmal dilatation was found in the BJV conduit cases, with branch pulmonary stenosis as the risk factor.</description><identifier>ISSN: 0172-0643</identifier><identifier>EISSN: 1432-1971</identifier><identifier>DOI: 10.1007/s00246-020-02458-0</identifier><identifier>PMID: 32968822</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Animals ; Bioprosthesis - adverse effects ; Cardiac Surgery ; Cardiology ; Cattle ; Child ; Child, Preschool ; Children's furniture ; Comparative analysis ; Female ; Fluorine compounds ; Heart Valve Prosthesis - adverse effects ; Heart Valve Prosthesis Implantation - adverse effects ; Heart Valve Prosthesis Implantation - instrumentation ; Heart Valve Prosthesis Implantation - methods ; Heart Ventricles - surgery ; Humans ; Infant ; Jugular Veins - transplantation ; Male ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Original Article ; Polytetrafluoroethylene ; Polytetrafluoroethylene - therapeutic use ; Prosthesis Design ; Pulmonary Valve Insufficiency - epidemiology ; Pulmonary Valve Stenosis - epidemiology ; Reconstructive Surgical Procedures - methods ; Retrospective Studies ; Time Factors ; Treatment Outcome ; Vascular Surgery ; Ventricular Outflow Obstruction - surgery</subject><ispartof>Pediatric cardiology, 2021-01, Vol.42 (1), p.100-108</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>COPYRIGHT 2021 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-ec4d9b97838d7449e4280cb75803ed5ec36c8ca45daf607311c4b56a8cd01ed13</citedby><cites>FETCH-LOGICAL-c480t-ec4d9b97838d7449e4280cb75803ed5ec36c8ca45daf607311c4b56a8cd01ed13</cites><orcidid>0000-0002-2716-5185</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00246-020-02458-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00246-020-02458-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32968822$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hirai, Kenta</creatorcontrib><creatorcontrib>Baba, Kenji</creatorcontrib><creatorcontrib>Goto, Takuya</creatorcontrib><creatorcontrib>Ousaka, Daiki</creatorcontrib><creatorcontrib>Kondo, Maiko</creatorcontrib><creatorcontrib>Eitoku, Takahiro</creatorcontrib><creatorcontrib>Kotani, Yasuhiro</creatorcontrib><creatorcontrib>Kasahara, Shingo</creatorcontrib><creatorcontrib>Ohtsuki, Shinichi</creatorcontrib><creatorcontrib>Tsukahara, Hirokazu</creatorcontrib><title>Outcomes of Right Ventricular Outflow Tract Reconstruction in Children: Retrospective Comparison Between Bovine Jugular Vein and Expanded Polytetrafluoroethylene Conduits</title><title>Pediatric cardiology</title><addtitle>Pediatr Cardiol</addtitle><addtitle>Pediatr Cardiol</addtitle><description>Bovine jugular vein (BJV) and expanded polytetrafluoroethylene (ePTFE) conduits have been described as alternatives to the homograft for right ventricular outflow tract (RVOT) reconstruction. This study compared RVOT reconstructions using BJV and ePTFE conduits performed in a single institution. The valve functions and outcomes of patients aged < 18 years who underwent primary RVOT reconstruction with a BJV or ePTFE conduit between 2013 and 2017 were retrospectively investigated. 44 patients (20 and 24 with BJV and ePTFE conduits, respectively) met the inclusion criteria. The mean follow-up time was 4.5 ± 1.5 years. No significant differences in peak RVOT velocity (1.8 ± 0.9 m/s vs 2.1 ± 0.9 m/s,
P
= 0.27), branch pulmonary stenosis (
P
= 0.50), or pulmonary regurgitation (
P
= 0.44) were found between the BJV and ePTFE conduit groups, respectively. Aneurysmal dilatation of the conduit was observed in 25.0% of the patients in the BJV conduit group but not in the ePTFE conduit group (
P
= 0.011). All the cases with aneurysmal dilatation of the BJV conduit were complicated with branch pulmonary stenosis up to 3.0 m/s (
P
= 0.004). No conduit infections occurred during the follow-up period, and no significant difference in conduit replacement (20.0% vs 8.3%,
P
= 0.43) was found between the BJV and ePTFE conduit groups, respectively. The outcomes of the RVOT reconstructions with BJV and ePTFE conduits were clinically satisfactory. Aneurysmal dilatation was found in the BJV conduit cases, with branch pulmonary stenosis as the risk factor.</description><subject>Adolescent</subject><subject>Animals</subject><subject>Bioprosthesis - adverse effects</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Cattle</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children's furniture</subject><subject>Comparative analysis</subject><subject>Female</subject><subject>Fluorine compounds</subject><subject>Heart Valve Prosthesis - adverse effects</subject><subject>Heart Valve Prosthesis Implantation - adverse effects</subject><subject>Heart Valve Prosthesis Implantation - instrumentation</subject><subject>Heart Valve Prosthesis Implantation - methods</subject><subject>Heart Ventricles - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Jugular Veins - transplantation</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Original Article</subject><subject>Polytetrafluoroethylene</subject><subject>Polytetrafluoroethylene - therapeutic use</subject><subject>Prosthesis Design</subject><subject>Pulmonary Valve Insufficiency - epidemiology</subject><subject>Pulmonary Valve Stenosis - epidemiology</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Vascular Surgery</subject><subject>Ventricular Outflow Obstruction - surgery</subject><issn>0172-0643</issn><issn>1432-1971</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV9r1EAUxYModq1-AR9kwBdfUu8kk2TiW13qPwqVUvs6zM7c7E5JZuL8ad2v5Kd0tqmCIBLChTm_c7jcUxQvKZxQgO5tAKhYW0IF-WcNL-FRsaKsrkrad_RxsQLaVSW0rD4qnoVwAwAcePO0OKqrvuW8qlbFz4sUlZswEDeQS7PdRXKNNnqj0ig9yeowujty5aWK5BKVsyH6pKJxlhhL1jszao_2Xdaid2HGLN0iWbtplt6ETL3HeIeYp7s1FsmXtL1PvsZsl1aTsx9zHqjJVzfuY06Rw5icdxh3-xHtIcvqZGJ4XjwZ5BjwxcM8Lr59OLtafyrPLz5-Xp-el4pxiCUqpvtN3_Ga646xHlnFQW26hkONukFVt4oryRothxa6mlLFNk0rudJAUdP6uHiz5M7efU8YophMUDiO0qJLQVSMNX3bQQMZfb2gWzmiMHZweX11wMVpR5uGcgo8Uyf_oPKncTL5ojiY_P6XoVoMKp80eBzE7M0k_V5QEIfqxVK9yNWL--rFYZdXD2unzYT6j-V31xmoFyBkyW7RixuXvM2n_F_sL0wrvJ0</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Hirai, Kenta</creator><creator>Baba, Kenji</creator><creator>Goto, Takuya</creator><creator>Ousaka, Daiki</creator><creator>Kondo, Maiko</creator><creator>Eitoku, Takahiro</creator><creator>Kotani, Yasuhiro</creator><creator>Kasahara, Shingo</creator><creator>Ohtsuki, Shinichi</creator><creator>Tsukahara, Hirokazu</creator><general>Springer US</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2716-5185</orcidid></search><sort><creationdate>20210101</creationdate><title>Outcomes of Right Ventricular Outflow Tract Reconstruction in Children: Retrospective Comparison Between Bovine Jugular Vein and Expanded Polytetrafluoroethylene Conduits</title><author>Hirai, Kenta ; Baba, Kenji ; Goto, Takuya ; Ousaka, Daiki ; Kondo, Maiko ; Eitoku, Takahiro ; Kotani, Yasuhiro ; Kasahara, Shingo ; Ohtsuki, Shinichi ; Tsukahara, Hirokazu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-ec4d9b97838d7449e4280cb75803ed5ec36c8ca45daf607311c4b56a8cd01ed13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Animals</topic><topic>Bioprosthesis - adverse effects</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Cattle</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children's furniture</topic><topic>Comparative analysis</topic><topic>Female</topic><topic>Fluorine compounds</topic><topic>Heart Valve Prosthesis - adverse effects</topic><topic>Heart Valve Prosthesis Implantation - adverse effects</topic><topic>Heart Valve Prosthesis Implantation - instrumentation</topic><topic>Heart Valve Prosthesis Implantation - methods</topic><topic>Heart Ventricles - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Jugular Veins - transplantation</topic><topic>Male</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Original Article</topic><topic>Polytetrafluoroethylene</topic><topic>Polytetrafluoroethylene - therapeutic use</topic><topic>Prosthesis Design</topic><topic>Pulmonary Valve Insufficiency - epidemiology</topic><topic>Pulmonary Valve Stenosis - epidemiology</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Vascular Surgery</topic><topic>Ventricular Outflow Obstruction - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hirai, Kenta</creatorcontrib><creatorcontrib>Baba, Kenji</creatorcontrib><creatorcontrib>Goto, Takuya</creatorcontrib><creatorcontrib>Ousaka, Daiki</creatorcontrib><creatorcontrib>Kondo, Maiko</creatorcontrib><creatorcontrib>Eitoku, Takahiro</creatorcontrib><creatorcontrib>Kotani, Yasuhiro</creatorcontrib><creatorcontrib>Kasahara, Shingo</creatorcontrib><creatorcontrib>Ohtsuki, Shinichi</creatorcontrib><creatorcontrib>Tsukahara, Hirokazu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hirai, Kenta</au><au>Baba, Kenji</au><au>Goto, Takuya</au><au>Ousaka, Daiki</au><au>Kondo, Maiko</au><au>Eitoku, Takahiro</au><au>Kotani, Yasuhiro</au><au>Kasahara, Shingo</au><au>Ohtsuki, Shinichi</au><au>Tsukahara, Hirokazu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes of Right Ventricular Outflow Tract Reconstruction in Children: Retrospective Comparison Between Bovine Jugular Vein and Expanded Polytetrafluoroethylene Conduits</atitle><jtitle>Pediatric cardiology</jtitle><stitle>Pediatr Cardiol</stitle><addtitle>Pediatr Cardiol</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>42</volume><issue>1</issue><spage>100</spage><epage>108</epage><pages>100-108</pages><issn>0172-0643</issn><eissn>1432-1971</eissn><abstract>Bovine jugular vein (BJV) and expanded polytetrafluoroethylene (ePTFE) conduits have been described as alternatives to the homograft for right ventricular outflow tract (RVOT) reconstruction. This study compared RVOT reconstructions using BJV and ePTFE conduits performed in a single institution. The valve functions and outcomes of patients aged < 18 years who underwent primary RVOT reconstruction with a BJV or ePTFE conduit between 2013 and 2017 were retrospectively investigated. 44 patients (20 and 24 with BJV and ePTFE conduits, respectively) met the inclusion criteria. The mean follow-up time was 4.5 ± 1.5 years. No significant differences in peak RVOT velocity (1.8 ± 0.9 m/s vs 2.1 ± 0.9 m/s,
P
= 0.27), branch pulmonary stenosis (
P
= 0.50), or pulmonary regurgitation (
P
= 0.44) were found between the BJV and ePTFE conduit groups, respectively. Aneurysmal dilatation of the conduit was observed in 25.0% of the patients in the BJV conduit group but not in the ePTFE conduit group (
P
= 0.011). All the cases with aneurysmal dilatation of the BJV conduit were complicated with branch pulmonary stenosis up to 3.0 m/s (
P
= 0.004). No conduit infections occurred during the follow-up period, and no significant difference in conduit replacement (20.0% vs 8.3%,
P
= 0.43) was found between the BJV and ePTFE conduit groups, respectively. The outcomes of the RVOT reconstructions with BJV and ePTFE conduits were clinically satisfactory. Aneurysmal dilatation was found in the BJV conduit cases, with branch pulmonary stenosis as the risk factor.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32968822</pmid><doi>10.1007/s00246-020-02458-0</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-2716-5185</orcidid></addata></record> |
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subjects | Adolescent Animals Bioprosthesis - adverse effects Cardiac Surgery Cardiology Cattle Child Child, Preschool Children's furniture Comparative analysis Female Fluorine compounds Heart Valve Prosthesis - adverse effects Heart Valve Prosthesis Implantation - adverse effects Heart Valve Prosthesis Implantation - instrumentation Heart Valve Prosthesis Implantation - methods Heart Ventricles - surgery Humans Infant Jugular Veins - transplantation Male Medical research Medicine Medicine & Public Health Medicine, Experimental Original Article Polytetrafluoroethylene Polytetrafluoroethylene - therapeutic use Prosthesis Design Pulmonary Valve Insufficiency - epidemiology Pulmonary Valve Stenosis - epidemiology Reconstructive Surgical Procedures - methods Retrospective Studies Time Factors Treatment Outcome Vascular Surgery Ventricular Outflow Obstruction - surgery |
title | Outcomes of Right Ventricular Outflow Tract Reconstruction in Children: Retrospective Comparison Between Bovine Jugular Vein and Expanded Polytetrafluoroethylene Conduits |
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