Evidence map›Paper›PMID 40213904›Full record

ArticleArtificial organs2025

Clinical Results for Cardiovascular Xenografts Treated With Novel Anticalcification Protocols.

Hong-Gook Lim, Chang Ha Lee, Jae Hong Lim, Eung Re Kim, Yong Jin Kim

Abstract read
In one paragraph

Article in Artificial organs, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

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4 · The record

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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

5 authors.

Hong-Gook LimDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
Chang Ha LeeDepartment of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Bucheon, South Korea.
Jae Hong LimDepartment of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Bucheon, South Korea.
Eung Re KimDepartment of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Bucheon, South Korea.
Yong Jin KimDepartment of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.ORCID https://orcid.org/0000-0002-3763-8265

Funding

SNUH Lee Kun-hee Child Cancer & Rare Disease Project, Republic of Korea (Grant Number: 23C0220100)
6 · The paper itself

Abstract

backgroundGlutaraldehyde (GA) generates cross-links between cardiovascular xenografts to obtain tissue stability and attenuate antigenicity. However, the long-term durability of GA-fixed cardiovascular xenografts treated with previous anticalcification strategies has remained a challenge because tissue phospholipids, free aldehyde groups of GA, and residual antigenicity contribute to calcification. This study aimed to assess the safety, efficacy, and clinical performance of a bovine pericardial scaffold treated with our novel anticalcification protocols (Periborn) in patients with cardiovascular diseases.

methodsBovine pericardia were decellularized with 0.25% sodium dodecyl sulfate, 0.5% Triton X-100, and treated with a space-filler with polyethylene glycol. These tissues were cross-linked with 0.5% GA in a 75% ethanol +5% octanol organic solvent and treated with glycine for detoxification to produce Periborn. Between July 2015 and April 2022, 451 Periborn patches were implanted in 352 cases for cardiovascular surgeries.

resultsThe mean age at the time of surgery was 22.74 ± 20.09 years (13 days-89.5 years), follow-up duration was 4.25 ± 2.56 years (17 days-8.6 years), and no patch-related mortalities were observed. Five patients were reoperated owing to patch-related complications including decreased mobility, erosion, pseudoaneurysm, and calcification, and the overall probability of freedom from Periborn-related reoperation was 99.4% ± 0.4% at 1 year, 98.6% ± 0.7% at 5 years, and 95.4% ± 3.2% at 9 years.

conclusionsThis retrospective study demonstrates the safety and efficacy of the tissue-engineered Periborn bovine pericardial scaffold for the surgical repair of various cardiovascular diseases. The excellent durability and hemodynamic performance of Periborn make our novel anti-calcification protocol attractive and may require long-term follow-up to confirm durability and further research.

Indexed as

BioprosthesisCalcinosisCardiovascular DiseasesPericardiumTissue ScaffoldsAdolescentAdultAgedAged, 80 and overAnimalsCattleChildChild, PreschoolCross-Linking ReagentsFemaleGlutaralCross-Linking ReagentsGlutaralanticalcificationbioengineeringbiomaterialsdecellularizationxenograft

Identifiers

PMID40213904
PMCPMC12269343

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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.