Evidence map›Paper›PMID 29256145›Full record

ArticleSurgery today2018

Development of a new surgical sheet containing both silk fibroin and thermoplastic polyurethane for cardiovascular surgery.

Ryo Shimada, Hayato Konishi, Hideki Ozawa, Takahiro Katsumata, Ryou Tanaka, Yasumoto Nakazawa, Shintaro Nemoto

Abstract read
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Article in Surgery today, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ryo ShimadaDepartment of Thoracic and Cardiovascular Surgery, Osaka Medical College, 2-7 Daigaku-Machi, Takatsuki, Osaka, 569-8686, Japan.
Hayato KonishiDepartment of Thoracic and Cardiovascular Surgery, Osaka Medical College, 2-7 Daigaku-Machi, Takatsuki, Osaka, 569-8686, Japan.
Hideki OzawaDepartment of Thoracic and Cardiovascular Surgery, Osaka Medical College, 2-7 Daigaku-Machi, Takatsuki, Osaka, 569-8686, Japan.
Takahiro KatsumataDepartment of Thoracic and Cardiovascular Surgery, Osaka Medical College, 2-7 Daigaku-Machi, Takatsuki, Osaka, 569-8686, Japan.
Ryou TanakaDepartment of Surgery and Veterinary Medicine, Tokyo University of Agriculture and Technology, Koganei, Japan.
Yasumoto NakazawaDepartment of Biotechnology and Life Science, Tokyo University of Agriculture and Technology, 2-24-16, Naka-chou, Koganei, Tokyo, 184-8588, Japan. yasumoto@cc.tuat.ac.jp.
Shintaro NemotoDepartment of Thoracic and Cardiovascular Surgery, Osaka Medical College, 2-7 Daigaku-Machi, Takatsuki, Osaka, 569-8686, Japan. snemoto@osaka-med.ac.jp.

Funding

the Japanese Ministry of Agriculture, Forestry, and Fisheries Seeds creation stage (26051A) of the scientific anthe Japanese Ministry of Education, Culture, Sports, Science and Technology Grant-in Aids for Scientific Research (c) 26462094
6 · The paper itself

Abstract

purposeThe surgical sheets that are currently used for congenital cardiovascular surgery have several drawbacks, including material deterioration, calcification, and pseudo-intimal proliferation resulting in hemodynamic disturbance. The aim of this study was to evaluate a newly developed sheet made from a combination of silk fibroin (SF) and a synthetic polymer, thermoplastic polyurethane (TPU), for surgical use.

methodsThe hybrid SF/TPU sheet was a non-woven fabric with nanofibers that was made using the electrospinning method. The mechanical properties of the SF/TPU sheet were characterized. To determine its biocompatibility, part of the wall of the canine descending aorta was replaced with a SF/TPU sheet as a patch. The patches were removed after 3 months and a histological examination was performed.

resultsThe flexibility, water permeability, and suture retention strength of the SF/TPU sheet were excellent and equivalent to those of existing sheets. The SF/TPU sheet had excellent handling properties and fit well into the vascular wall without needle hole bleeding. The histological examination revealed that the intimal tissue was restored well over the intraluminal surface of the explanted SF/TPU sheet, the absence of calcium deposition, and minimal inflammatory reaction, without signs of degradation.

conclusionThe SF/TPU sheet had excellent mechanical properties and tissue biocompatibility. These favorable features and possible biodegradability of the SF portion warrant a long-term follow-up study.

Indexed as

FibroinsNanofibersPolyurethanesSilkAnimalsAorta, ThoracicBiocompatible MaterialsBlood Vessel Prosthesis ImplantationCardiovascular Surgical ProceduresDogsElasticityBiocompatible MaterialsFibroinsPolyurethanesSilkCardiovascular surgeryElectrospinningPolyurethaneSilk fibroinSurgical sheet

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.