Patch Materials for Pulmonary Artery Arterioplasty and Right Ventricular Outflow Tract Augmentation: A Review.

Autor: Schwartzman WE; The Ohio State University College of Medicine, Columbus, OH, USA., Jimenez M; Center for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA., Yates AR; The Heart Center, Nationwide Children's Hospital, Columbus, OH, USA.; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA., Armstrong AK; The Heart Center, Nationwide Children's Hospital, Columbus, OH, USA.; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA., Salavitabar A; The Heart Center, Nationwide Children's Hospital, Columbus, OH, USA.; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA., Hor KK; The Heart Center, Nationwide Children's Hospital, Columbus, OH, USA.; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA., Hoerstrup S; Institute for Regenerative Medicine, University of Zurich, Zurich, Switzerland., Emmert MY; Institute for Regenerative Medicine, University of Zurich, Zurich, Switzerland.; Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Berlin, Germany.; Department of Cardiovascular Surgery, Charité Universitätsmedizin Berlin, Berlin, Germany., Shinoka T; The Heart Center, Nationwide Children's Hospital, Columbus, OH, USA.; Center for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.; Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.; Department of Cardiothoracic Surgery, Nationwide Children's Hospital, Columbus, OH, USA., Carrillo SA; The Heart Center, Nationwide Children's Hospital, Columbus, OH, USA.; Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.; Department of Cardiothoracic Surgery, Nationwide Children's Hospital, Columbus, OH, USA., Breuer CK; Center for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.; Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.; Department of Cardiothoracic Surgery, Nationwide Children's Hospital, Columbus, OH, USA., Kelly JM; The Heart Center, Nationwide Children's Hospital, Columbus, OH, USA. John.Kelly@nationwidechildrens.org.; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA. John.Kelly@nationwidechildrens.org.; Center for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA. John.Kelly@nationwidechildrens.org.
Jazyk: angličtina
Zdroj: Pediatric cardiology [Pediatr Cardiol] 2023 Jun; Vol. 44 (5), pp. 973-995. Date of Electronic Publication: 2023 May 07.
DOI: 10.1007/s00246-023-03152-7
Abstrakt: Patch augmentation of the right ventricular outflow tract (RVOT) and pulmonary artery (PA) arterioplasty are relatively common procedures in the surgical treatment of patients with congenital heart disease. To date, several patch materials have been applied with no agreed upon clinical standard. Each patch type has unique performance characteristics, cost, and availability. There are limited data describing the various advantages and disadvantages of different patch materials. We performed a review of studies describing the clinical performance of various RVOT and PA patch materials and found a limited but growing body of literature. Short-term clinical performance has been reported for a multitude of patch types, but comparisons are limited by inconsistent study design and scarce histologic data. Standard clinical criteria for assessment of patch efficacy and criteria for intervention need to be applied across patch types. The field is progressing with improvements in outcomes due to newer patch technologies focused on reducing antigenicity and promoting neotissue formation which may have the ability to grow, remodel, and repair.
(© 2023. The Author(s).)
Databáze: MEDLINE
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