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  • Stapled Porcine Pericardium...
    Del Tatto, Benjamin; Le Roy, Didier; Lambelet, Martine; Corpataux, Jean-Marc; Chakfé, Nabil; Giulieri, Stefano; Allagnat, Florent; Roger, Thierry; Saucy, François

    The Journal of surgical research, April 2022, 2022-04-00, 20220401, Letnik: 272
    Journal Article

    Biological xenografts using tubulized porcine pericardium are an alternative to replace infected prosthetic graft. We recently reported an innovative technique using a stapled porcine pericardial bioconduit for immediate vascular reconstruction in emergency. The objective of this study is to compare the growth and adherence to grafts of bacteria and yeast incubated with stapled porcine pericardium, sutured or naked pericardium. One square centimeter of porcine pericardial patches, with or without staples or sutures, was incubated with 105 colony forming units of Escherichia coli, Staphylococcus aureus, Staphylococcus epidermidis, and Candida albicans for 1, 6, and 24 h. The medium was collected to quantify planktonic microorganisms, while grafts were sonicated to quantify adherent microorganisms. Dacron and Dacron Silver were analyzed in parallel as synthetic reference prostheses. Stapled porcine pericardium reduced the growth and the adherence of E coli (2- to 30-fold; P < 0.0005), S aureus (11- to 1000-fold; P < 0.0006), S epidermidis (>500-fold; P < 0.0001), and C albicans (12- to 50-fold; P < 0.0001) when compared to medium alone (growth) and pericardium or Dacron (adherence). Native and sutured porcine pericardium interfered with the growth and the adherence of E coli and C albicans, and Dacron with that of S epidermidis. As expected, Dacron Silver was robustly bactericidal. Stapled porcine pericardium exhibited a lower susceptibility to infection by bacteria and yeasts in vitro when compared to the native and sutured porcine pericardium. Stapled porcine pericardium might be a good option for rapid vascular grafting without increasing infectivity. •Porcine pericardial xenograft shows reduced bacterial growth and adherence compared to Dacron grafts.•Dacron Silver graft is strongly bactericidal, but only mildly fungistatic.•Porcine pericardial xenograft with staples interferes with the growth and the adherence of bacteria and yeast better than naked or sutured-stapled pericardium.•Tubulized stapled porcine pericardium might represent an alternative to synthetic vascular grafts for rapid vascular replacement and possibly for patients with a high risk of infection.