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
Hauptverfasser: Hirai, Kenta, Baba, Kenji, Goto, Takuya, Ousaka, Daiki, Kondo, Maiko, Eitoku, Takahiro, Kotani, Yasuhiro, Kasahara, Shingo, Ohtsuki, Shinichi, Tsukahara, Hirokazu
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container_title Pediatric cardiology
container_volume 42
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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This study compared RVOT reconstructions using BJV and ePTFE conduits performed in a single institution. The valve functions and outcomes of patients aged &lt; 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><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 &amp; 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 &lt; 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. 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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 ; 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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 &lt; 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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