Hostname: page-component-7479d7b7d-qs9v7 Total loading time: 0 Render date: 2024-07-12T05:59:11.790Z Has data issue: false hasContentIssue false

Shunts and security—the polytetrafluoroethylene leak

Published online by Cambridge University Press:  19 August 2008

Roxane McKay
Affiliation:
Department of SurgeryUniversity of SaskatchewanRoyal University HospitalSaskatoon, Saskatchewan S7N 0W8Canada
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Plasma leakage in polytetrafluoroethylene grafts arises through complex interactions between the prosthetic physical/chemical microstructure and patient environment. While many of the precipitating factors can be avoided by careful graft-handling and meticulous surgical technique, this unpredictable complication still contributes significant morbidity to shunt procedures. Protein sealing of the graft offers a possible solution to the problem.

Type
Editorial
Copyright
Copyright © Cambridge University Press 1995

References

Blumenberg, RM, Gelfand, ML, Dale, WR.Perigraft seromas complicating arterial grafts. Surgery 1985; 97: 194203.Google ScholarPubMed
Buche, M, Schoevaerdts, JC, Jaumin, P, Ponlot, R, Chalant, CH.Perigraft seroma following axillofemoral bypass: Report of three cases. Ann Vasc Surg 1986; 1: 374377.CrossRefGoogle ScholarPubMed
Lowery, RC Jr, Wicker, HS, Sanders, K, Peniston, RL.Management of a recalcitrant periprosthetic fluid collection. J Vasc Surg 1987; 6: 7780.CrossRefGoogle ScholarPubMed
Borrero, E, Doscher, W.Chronic perigraft seromas in PTFE grafts. J Cardiovasc Surg 1988; 29: 4649.Google ScholarPubMed
Damus, PS.Seroma formation after implantation of Gore-Tex vascular grafts in cyanotic children. J Thorac Cardiovasc Surg 1984; 88: 310311.CrossRefGoogle ScholarPubMed
LeBlanc, J, Albus, R, Williams, WG, Moes, CAF, Wilson, G, Freedom, RM, Trussler, GR.Serous fluid leakage: A complication following the modified Blalock-Taussig shunt. J Thorac Cardiovasc Surg 1984; 88: 259262.CrossRefGoogle ScholarPubMed
Noyez, L, Daenen, W.The modified polytetrafluorothylene Blalock-Taussig shunt: Case report of an unusual complication. J Thorac Cardiovasc Surg 1987; 94: 634635.CrossRefGoogle Scholar
Amato, JJ, Marbey, ML, Bush, C, Galdier, RJ, Cotroneo, JV, Bushong, J.Systemic-pulmonary polytetrafluoroethylene shunts in palliative operations for congenital heart disease. Revival of the central shunt. J Thorac Cardiovasc Surg 1988; 95: 6269.CrossRefGoogle ScholarPubMed
Boyce, B. Physical characteristics of expanded polytetrafluoroethylene grafts. In: Stanley, JC, Burkel, WE, Lindenauer, SM, Bartlett, RH, Turcotte, JG. (eds) Biologic and Synthetic Vascular Prostheses. Grune & Stratton, New York, 1982, pp 553561.Google Scholar
Tabata, R, Kobayashi, T, Mori, A, Matsuno, S, Watarida, S, Onoe, M, Sugita, T, Shiraisi, S, Nojima, T.A computer simulation of the plasma leakage through a vascular prosthesis made of expanded polytetrafluoroethylene. J Thorac Cardiovasc Surg 1993; 105: 598604.CrossRefGoogle ScholarPubMed
Bolton, W, Cannon, JA.Seroma formation associated with PTFE vascular grafts used as arteriovenous fistulae. Dialysis & Transplantation 1981; 10: 6063.Google Scholar
De Leval, M. Systemic-to-pulmonary artery shunts. In: Stark, J., de Leval, M (eds) Surgery for Congenital Heart Defects. 2nd edition. W.B. Saunders Company, Philadelphia, 1994, pp 247257.Google Scholar
Johnson, JM.Serous leakage through PTFE grafts: A possible explanation. J Thorac Cardiovasc Surg 1985; 89: 469.CrossRefGoogle ScholarPubMed
Personal communication. W.L. Gore & Associates, Inc. 1988.Google Scholar
Baker, JD.Bleeding through PTFE grafts. Eur J Vasc Surg 1987; 1:4143.CrossRefGoogle ScholarPubMed
Ahn, SS, Machleder, HI, Gupta, R, Moore, WS.Pathogenesis of perigraft seroma: Evidence of a humoral fibroblast inhibitor. Surgical Forum 1986; 37: 460461.Google Scholar
Sladen, JG, Mandl, MAJ, Grossman, L, Denegri, JF.Fibroblast inhibition: A new and treatable cause of prosthetic graft failure. Am J Surg 1985; 149: 587590.CrossRefGoogle ScholarPubMed
Ahn, SS, Machieder, HI, Gupta, R, Moore, WS.Perigraft seroma: Clinical, histologic, and serologic correlates. Am J Surg 1987; 154: 173178.Google ScholarPubMed
Bergamini, TM, Bandyk, DF, Govostis, D, Kaebnick, HW, Towne, JB.Infection of vascular prostheses caused by bacterial biofllms. J Vasc Surg 1988; 7: 2130.CrossRefGoogle Scholar
Rhodes, VJ.Perigraft seroma: Simple solution to a difficult problem. J Vasc Surg 1986; 3: 939.CrossRefGoogle ScholarPubMed
Maitland, R, Williams, WG, CoIes, JG, Freedom, RM, Trusler, GA.A method of treating serous fluid leak form a polytetrafluoroethylene Blalock-Taussig shunt. J Thorac Cardiovasc Surg 1985; 90: 791793.CrossRefGoogle Scholar
LeBlanc, JG, Vince, DJ, Taylor, GP.Perigraft seroma: Long- term complications. J Thorac Cardiovasc Surg 1986; 92: 451454.CrossRefGoogle ScholarPubMed