Evidence map›Paper›PMID 29427773›Full record

Trial reportSeminars in thoracic and cardiovascular surgery2018

Tissue-engineered Vascular Grafts in Children With Congenital Heart Disease: Intermediate Term Follow-up.

Tadahisa Sugiura, Goki Matsumura, Shinka Miyamoto, Hideki Miyachi, Christopher K Breuer, Toshiharu Shinoka

Abstract readClinical TrialVideo-Audio Media
In one paragraph

Trial report in Seminars in thoracic and cardiovascular surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
5.7field-weighted citation impact, top 3% of its field
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

47 citing papers in PubMed, 99 citations in OpenAlex.

  1. Small Diameter Vascular Grafts Made in Minutes.Advanced materials (Deerfield Beach, Fla.) · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Functionalization ofBioactive materials · 2023
    Article
  11. Review
  12. Tissue Engineering of Vascular Grafts: A Case Report From Bench to Bedside and Back.Arteriosclerosis, thrombosis, and vascular biology · 2023
    Review
  13. The Application of Porous Scaffolds for Cardiovascular Tissues.Bioengineering (Basel, Switzerland) · 2023
    Review
  14. Review
  15. Article
  16. Review
  17. Tissue engineering: Relevance to neonatal congenital heart disease.Seminars in fetal & neonatal medicine · 2022
    Review
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Tadahisa SugiuraTissue Engineering Program and Surgical Research, Nationwide Children's Hospital, Columbus, Ohio.
Goki MatsumuraDepartment of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan.
Shinka MiyamotoTissue Engineering Program and Surgical Research, Nationwide Children's Hospital, Columbus, Ohio.
Hideki MiyachiTissue Engineering Program and Surgical Research, Nationwide Children's Hospital, Columbus, Ohio.
Christopher K BreuerTissue Engineering Program and Surgical Research, Nationwide Children's Hospital, Columbus, Ohio.
Toshiharu ShinokaTissue Engineering Program and Surgical Research, Nationwide Children's Hospital, Columbus, Ohio; Department of Cardiothoracic Surgery, The Heart Center, Nationwide Children's Hospital, Columbus, Ohio. Electronic address: toshiharu.shinoka@nationwidechildrens.org.
Nationwide Children's Hospital · USTokyo Women's Medical University · JP

Funding

Mechanisms of Vascular Neotissue Formation In Tissue Engineered Vascular GraftsR01HL098228 · NHLBI · YALE UNIVERSITY · PI BREUER, CHRISTOPHER KANE · 2010 to 2018
$3.6M
Development of an Improved Vascular Graft for Use in Congenital Heart SurgeryR01HL128847 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI BREUER, CHRISTOPHER KANE · 2016 to 2019
$2.8M
NHLBI NIH HHS R01 HL098228NHLBI NIH HHS R01 HL128847
6 · The paper itself

Abstract

Tissue engineering holds great promise for the advancement of cardiovascular surgery as well as other medical fields. Tissue-engineered vascular grafts have the ability to grow and remodel and could therefore make great advances for pediatric cardiovascular surgery. In 2001, we began a human clinical trial evaluating these grafts in patients with a univentricular physiology. Herein, we report the long-term results of patients who underwent implantation of tissue-engineered vascular grafts as extracardiac total cavopulmonary conduits. Tissue-engineered vascular grafts seeded with autologous bone marrow mononuclear cells were implanted in 25 patients with univentricular physiology. The graft is composed of a woven fabric of poly-l-lactide acid or polyglycolic acid and a 50:50 poly (l-lactic-co-ε-caprolactone) copolymer. Patients were followed up with postoperatively in a multidisciplinary clinic. Median patient age at operation was 5.5 years and the mean follow-up period was 11.1 years. There was no graft-related mortality during the follow-up period. There was also no evidence of aneurysmal formation, graft rupture, graft infection, or calcification. Seven (28%) patients had asymptomatic graft stenosis and underwent successful balloon angioplasty. Stenosis is the primary complication of the tissue-engineered vascular graft. Avoidance of anticoagulation therapy would improve patients' quality of life. Tissue-engineered vascular grafts have feasibility in pediatric cardiovascular surgery.

Indexed as

BioprosthesisBlood Vessel ProsthesisTissue ScaffoldsAdolescentAge FactorsAngioplasty, BalloonBlood Vessel Prosthesis ImplantationChildChild, PreschoolComputed Tomography AngiographyFeasibility StudiesFemaleFollow-Up StudiesFontan ProcedureGraft Occlusion, VascularHeart Defects, CongenitalPolyesterspoly(lactic acid-co-epsilon-caprolactone)congenital heart diseaseFontan surgerypediatric cardiac surgerytissue-engineeringuniventricular physiology

Identifiers

PMID29427773
PMCPMC6380348
OpenAlexW2793871100

What OpenQuestion holds

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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.