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Infection of Vascular Prostheses: A Comprehensive Review. PROSTHESIS 2023. [DOI: 10.3390/prosthesis5010012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Vascular graft or endograft infection (VGEI) is a complex disease that complicates vascular-surgery and endovascular-surgery procedures and determines high morbidity and mortality. This review article provides the most updated general evidence on the pathogenesis, prevention, diagnosis, and treatment of VGEI. Several microorganisms are involved in VGEI development, but the most frequent one, responsible for over 75% of infections, is Staphylococcus aureus. Specific clinical, surgical, radiologic, and laboratory criteria are pivotal for the diagnosis of VGEI. Surgery and antimicrobial therapy are cornerstones in treatment for most patients with VGEI. For patients unfit for surgery, alternative treatment is available to improve the clinical course of VGEI.
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Secondo MTS, Rodrigues LDS, Ramos LPM, Bovolato ALC, Rodriguez-Sanchez DN, Sobreira ML, Moraes MPDT, Bertanha M. Evaluation of Biointegration and Inflammatory Response to Blood Vessels Produced by Tissue Engineering-Experimental Model in Rabbits. Biomolecules 2022; 12:biom12121776. [PMID: 36551204 PMCID: PMC9775166 DOI: 10.3390/biom12121776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 10/29/2022] [Accepted: 11/19/2022] [Indexed: 12/05/2022] Open
Abstract
Peripheral arterial disease (PAD) is the main cause of mortality in the western population and requires surgical intervention with the use of vascular substitutes, such as autologous veins or Dacron or PTFE prostheses. When this is not possible, it progresses to limb amputation. For cases where there is no autologous vascular substitute, tissue engineering with the production of neovessels may be a promising option. Previous experimental studies have shown in vitro that rabbit vena cava can be decellularized and serve as a scaffold for receiving mesenchymal stem cells (MSC), with subsequent differentiation into endothelial cells. The current study aimed to evaluate the behavior of a 3D product structure based on decellularized rabbit inferior vena cava (IVC) scaffolds seeded with adipose-tissue-derived stem cells (ASCs) and implanted in rabbits dorsally subcutaneously. We evaluated the induction of the inflammatory response in the animal. We found that stem cells were positive in reducing the inflammatory response induced by the decellularized scaffolds.
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Affiliation(s)
- Mariana Thaís Silva Secondo
- Department of Surgery and Orthopedics, Botucatu Medical School, São Paulo State University—UNESP, Botucatu 18618-687, Brazil
| | - Lenize da Silva Rodrigues
- Department of Surgery and Orthopedics, Botucatu Medical School, São Paulo State University—UNESP, Botucatu 18618-687, Brazil
- Applied Biotechnology Laboratory, Clinical Hospital of Botucatu Medical School, São Paulo State University—UNESP, Botucatu 18618-687, Brazil
- Correspondence: ; Tel.: +55-14-3880-1444
| | - Leandro Pereira Miranda Ramos
- Department of Surgery and Orthopedics, Botucatu Medical School, São Paulo State University—UNESP, Botucatu 18618-687, Brazil
| | - Ana Lívia Carvalho Bovolato
- Applied Biotechnology Laboratory, Clinical Hospital of Botucatu Medical School, São Paulo State University—UNESP, Botucatu 18618-687, Brazil
| | - Diego Noé Rodriguez-Sanchez
- Applied Biotechnology Laboratory, Clinical Hospital of Botucatu Medical School, São Paulo State University—UNESP, Botucatu 18618-687, Brazil
| | - Marcone Lima Sobreira
- Department of Surgery and Orthopedics, Botucatu Medical School, São Paulo State University—UNESP, Botucatu 18618-687, Brazil
| | | | - Matheus Bertanha
- Department of Surgery and Orthopedics, Botucatu Medical School, São Paulo State University—UNESP, Botucatu 18618-687, Brazil
- Applied Biotechnology Laboratory, Clinical Hospital of Botucatu Medical School, São Paulo State University—UNESP, Botucatu 18618-687, Brazil
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A New Detergent for the Effective Decellularization of Bovine and Porcine Pericardia. Biomimetics (Basel) 2022; 7:biomimetics7030104. [PMID: 35997424 PMCID: PMC9397045 DOI: 10.3390/biomimetics7030104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Revised: 07/27/2022] [Accepted: 07/28/2022] [Indexed: 12/10/2022] Open
Abstract
Human and animal pericardia are among the most widely exploited materials suitable to repair damaged tissues in the cardiovascular surgery context. Autologous, xenogeneic (chemically treated) and homologous pericardia are largely utilized, but they do exhibit some crucial drawbacks. Any tissue treated with glutaraldehyde is known to be prone to calcification in vivo, lacks regeneration potential, has limited durability, and can result in cytotoxicity. Moreover, autologous tissues have limited availability. Decellularized biological tissues represent a promising alternative: decellularization removes cellular and nuclear components from native tissues and makes them suitable for repopulation by autologous cells upon implantation into the body. The present work aims to assess the effects of a new detergent, i.e., Tergitol, for decellularizing bovine and porcine pericardia. The decellularization procedure successfully removed cells, while preserving the histoarchitecture of the extracellular matrix. No cytotoxic effect was observed. Therefore, decellularized pericardia showed potential to be used as scaffold for cardiovascular tissue regeneration.
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Bikauskaitė S, Počepavičiūtė K, Velička L, Jankauskas A, Trumbeckas D, Šuopytė E. Reconstruction of a Lower Polar Artery for Kidney Transplantation Using Donor Ovarian Vein: Case Report with Literature Review. MEDICINA (KAUNAS, LITHUANIA) 2021; 57:medicina57111248. [PMID: 34833466 PMCID: PMC8618098 DOI: 10.3390/medicina57111248] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Revised: 11/10/2021] [Accepted: 11/11/2021] [Indexed: 12/26/2022]
Abstract
Background: In the case of complicated kidney transplantation, when the accessory artery is severed, the main task is to decide whether to restore renal blood flow and which method should be used. In this report, we present a case of kidney transplantation with vascular reconstruction using an ovarian vein as an interposition graft between a larger branch of the main renal artery and the lower polar artery which was severed during kidney explantation. Case summary: Kidney transplantation using an ovarian vein was performed for a 34-year-old woman with end-stage renal disease on 1 April 2020 in the Hospital of Lithuanian university of health sciences (LUHS) Kaunas Clinics. A lower accessory renal artery was severed during kidney explantation. As the ovarian vein of the donor remained and matched the diameter of the severed vessel, it was decided to use it as an insertion between the main renal artery and the accessory renal artery of the inferior pole. The cold ischemic time was 770 min and the warm ischemic time was 37 min. A month after transplantation, the patient's condition and daily urine output were normal and the serum creatinine level decreased rapidly. Fifteen months after the surgery, the function and structure of the transplant remained normal and there was no evidence of serious vascular complications on CT scans. This is the first case where graft function was verified after transplantation using three-dimensional CT angiography. Conclusions: If an inferior polar artery is severed, vascular reconstruction must be performed to preserve the function of the graft. Usually, the gonadal vein is available during donor nephrectomy; therefore, it can be explanted without additional difficulties or incisions. Although we have not reported any complications, further studies are recommended on the long-term outcomes of this alternative approach for the reconstruction of short renal arteries.
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Affiliation(s)
- Saulė Bikauskaitė
- Faculty of Medicine, Medical Academy, Lithuanian University of Health Sciences, LT-44307 Kaunas, Lithuania
- Correspondence:
| | - Kamilė Počepavičiūtė
- Department of Radiology, Medical Academy, Lithuanian University of Health Sciences, LT-44307 Kaunas, Lithuania;
| | - Linas Velička
- Clinic of Vascular Surgery, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, LT-50161 Kaunas, Lithuania;
| | - Antanas Jankauskas
- Department of Radiology, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, LT-50161 Kaunas, Lithuania;
| | - Darius Trumbeckas
- Department of Urology, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, LT-50161 Kaunas, Lithuania; (D.T.); (E.Š.)
| | - Erika Šuopytė
- Department of Urology, Hospital of Lithuanian University of Health Sciences Kauno Klinikos, LT-50161 Kaunas, Lithuania; (D.T.); (E.Š.)
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Antonova LV, Krivkina EO, Sevostianova VV, Mironov AV, Rezvova MA, Shabaev AR, Tkachenko VO, Krutitskiy SS, Khanova MY, Sergeeva TY, Matveeva VG, Glushkova TV, Kutikhin AG, Mukhamadiyarov RA, Deeva NS, Akentieva TN, Sinitsky MY, Velikanova EA, Barbarash LS. Tissue-Engineered Carotid Artery Interposition Grafts Demonstrate High Primary Patency and Promote Vascular Tissue Regeneration in the Ovine Model. Polymers (Basel) 2021; 13:polym13162637. [PMID: 34451177 PMCID: PMC8400235 DOI: 10.3390/polym13162637] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 08/02/2021] [Accepted: 08/04/2021] [Indexed: 12/24/2022] Open
Abstract
Tissue-engineered vascular graft for the reconstruction of small arteries is still an unmet clinical need, despite the fact that a number of promising prototypes have entered preclinical development. Here we test Poly(3-hydroxybutyrate-co-3-hydroxyvalerate)Poly(ε-caprolactone) 4-mm-diameter vascular grafts equipped with vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF) and stromal cell-derived factor 1α (SDF-1α) and surface coated with heparin and iloprost (PHBV/PCL[VEGF-bFGF-SDF]Hep/Ilo, n = 8) in a sheep carotid artery interposition model, using biostable vascular prostheses of expanded poly(tetrafluoroethylene) (ePTFE, n = 5) as a control. Primary patency of PHBV/PCL[VEGF-bFGF-SDF]Hep/Ilo grafts was 62.5% (5/8) at 24 h postimplantation and 50% (4/8) at 18 months postimplantation, while all (5/5) ePTFE conduits were occluded within the 24 h after the surgery. At 18 months postimplantation, PHBV/PCL[VEGF-bFGF-SDF]Hep/Ilo grafts were completely resorbed and replaced by the vascular tissue. Regenerated arteries displayed a hierarchical three-layer structure similar to the native blood vessels, being fully endothelialised, highly vascularised and populated by vascular smooth muscle cells and macrophages. The most (4/5, 80%) of the regenerated arteries were free of calcifications but suffered from the aneurysmatic dilation. Therefore, biodegradable PHBV/PCL[VEGF-bFGF-SDF]Hep/Ilo grafts showed better short- and long-term results than bio-stable ePTFE analogues, although these scaffolds must be reinforced for the efficient prevention of aneurysms.
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Affiliation(s)
- Larisa V. Antonova
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Evgenia O. Krivkina
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Viktoriia V. Sevostianova
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
- Correspondence: ; Tel.: +7-9069356076
| | - Andrey V. Mironov
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Maria A. Rezvova
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Amin R. Shabaev
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Vadim O. Tkachenko
- Budker Institute of Nuclear Physics of Siberian Branch Russian Academy of Sciences, 630090 Novosibirsk, Russia;
| | - Sergey S. Krutitskiy
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Mariam Yu. Khanova
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Tatiana Yu. Sergeeva
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Vera G. Matveeva
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Tatiana V. Glushkova
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Anton G. Kutikhin
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Rinat A. Mukhamadiyarov
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Nadezhda S. Deeva
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Tatiana N. Akentieva
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Maxim Yu. Sinitsky
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Elena A. Velikanova
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Leonid S. Barbarash
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
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Chakfé N, Billaud P, Lejay A, Heim F. Valves and pipes in the cardiovascular system. Where are we going. THE JOURNAL OF CARDIOVASCULAR SURGERY 2020; 61:525-527. [PMID: 33231028 DOI: 10.23736/s0021-9509.20.11617-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Nabil Chakfé
- Groupe Européen de Recherche sur les Prothèses Appliquées à la Chirurgie Vasculaire (GEPROVAS), Strasbourg, France - .,Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, France -
| | - Philippe Billaud
- Department of Cardiac Surgery, University Hospital of Strasbourg, Strasbourg, France
| | - Anne Lejay
- Groupe Européen de Recherche sur les Prothèses Appliquées à la Chirurgie Vasculaire (GEPROVAS), Strasbourg, France.,Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, France
| | - Frédéric Heim
- Groupe Européen de Recherche sur les Prothèses Appliquées à la Chirurgie Vasculaire (GEPROVAS), Strasbourg, France.,Laboratoire de Physique et Mécanique Textile (LPMT), Université de Haute-Alsace, Mulhouse, France
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