Evidence map›Paper›PMID 33313856›Full record

ArticleInteractive cardiovascular and thoracic surgery2021

Perigraft reaction and incorporation of porcine and bovine pericardial patches.

Georg Schlachtenberger, Fabian Doerr, Annamaria Brezina, Hruy Menghesha, Matthias B Heldwein, Gerardus Bennink, Michael D Menger, Mohammed Moussavian, Khosro Hekmat, Thorsten Wahlers

Open access · bronzeAbstract read
In one paragraph

Article in Interactive cardiovascular and thoracic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

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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

10 authors at 3 institutions in 2 countries.

Georg SchlachtenbergerDepartment of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.
Fabian DoerrDepartment of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.
Annamaria BrezinaDepartment of Anesthesiology and Intensive Care Medicine, Kerpenerstr 62, 50937 Cologne, Germany.
Hruy MengheshaDepartment of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.
Matthias B HeldweinDepartment of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.
Gerardus BenninkDepartment of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.
Michael D MengerInstitute for Clinical and Experimental Surgery, Saarland University Kirberger Strasse, 66421 Homburg/Saar, Germany.
Mohammed MoussavianDepartment of Surgery, Centre Hospitalier Emile Mayrisch (CHEM), Esch-sur-Alzette, Luxembourg.
Khosro HekmatDepartment of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.
Thorsten WahlersDepartment of Cardiothoracic Surgery, University Hospital Cologne, Cologne, Germany.
University Hospital Cologne · DECentre Hospitalier de Luxembourg · LUSaarland University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBovine and porcine pericardial patches are frequently used in cardiothoracic and vascular surgery. There are no guidelines recommending the usage of these patches for particular surgical approaches. However, these 2 materials supposedly possess different properties. The clinical advantage of porcine compared with bovine patches remains controversial. In this experimental study, we analysed the incorporation and vascularization of bovine and porcine pericardial patches during the initial phase after implantation.

methodsBovine and porcine pericardial patches were implanted into the dorsal skinfold chamber of C57BL/6 mice (n = 8 per group) to study vascularization and inflammation at the implantation site using repetitive intravital fluorescence microscopy over a 14-day period. At the end of the in vivo experiments, CD-31-positive cells were determined to evaluate the vascularization by immunohistochemistry. Furthermore, cell proliferation and apoptosis were analysed immunohistochemically.

resultsImplanted bovine patches exhibited an enhanced vascularization, as indicated by a significantly higher number of CD-31-positive cells and micro-vessels (23.2 ± 4.3 vs 16.5 ± 5.8 mm-2; P = 0.001). Furthermore, bovine patches showed a slightly but not significantly higher functional capillary density. Both patches induced a moderate leukocytic inflammatory host tissue response, and neither bovine nor porcine patches significantly affected apoptosis and cell proliferation at the implantation site.

conclusionsBovine and porcine pericardial patches are similarly suitable for surgery. Bovine patches exhibited an improved vascularization during the first 14 days after implantation. This may result in a quicker and improved incorporation into the surrounding tissue compared with porcine pericardial patches.

Indexed as

Cardiac Surgical ProceduresAnimalsApoptosisCattleCell ProliferationHeartInflammationMiceMice, Inbred C57BLProstheses and ImplantsSwineAngiogenesis VascularizationAnimal experimentBasic scienceBronchial stumpValve replacementVascular graftsXenogeneic material

Identifiers

PMID33313856
PMCPMC8906705
OpenAlexW3114699664

What OpenQuestion holds

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Registered trials

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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.