{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:33:23Z","timestamp":1777916003274,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,10,13]],"date-time":"2024-10-13T00:00:00Z","timestamp":1728777600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Aim of this study was to find out if the type of vascular prosthesis used, especially collagen impregnated polyester versus gelatin impregnated woven fabric graft, has any impact on the early postoperative bleeding rate, blood product consumption and re-thoracotomy rate in isolated ascending aortic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      <jats:italic>n<\/jats:italic>\n                      = 46 consecutive patients who received a supra-commissural replacement of the ascending aorta between 01\/2016 - 01\/ 2021 were included in this retrospective single-center study. The underlying pathology was an aortic aneurysm in 36 (81 %) and\/or an acute type A aortic dissection (ATAAD) limited to the ascending aorta in 7 (15 %) and\/or a penetrating aortic ulcer (PAU) with intramural hematoma in 6 (13 %) patients. According to the type of vascular graft used, the cohort was divided as follows: 25 patients (54%) received a double velour woven, collagen impregnated polyester graft (Hemashield, Getinge; CI-Group) whereas in 21 patients (46 %) a gelatin impregnated woven fabric graft was used (Gelweave, Vascutek \/ Terumo; GI-group). As primary endpoints class 3 bleeding according to the Valve Academic Research Consortium (VARC3) criteria and freedom from re-intervention were assessed. As secondary endpoints, 30-day mortality and stroke were defined.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Preoperative risk assessment (EuroSCORE II), gender-, BMI-stratification and NYHA-classification as well as mean CPB-times (114 \u00b1 44\u00a0min vs 110 \u00b1 48\u00a0min) and aortic cross-clamp times (71 \u00b1 28\u00a0min vs 66 \u00b1 30\u00a0min) were similar in both groups. Bleeding, measured by drainage volume output within the first postoperative 24\u00a0h (480 \u00b1 426\u00a0mL vs 389 \u00b1 169\u00a0mL), erythrocytes concentrate consumption (2,4 vs 2,3) and similar re-thoracotomy rates (4 vs 4.7 %) showed no difference between groups. 30- day mortality (12 vs 5 %;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.614) and stroke rates (4 vs 9.5;\n                      <jats:italic>p<\/jats:italic>\n                      = 0,4) showed no differences between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Regarding postoperative bleeding no difference were seen between the two graft types. Long-term follow-up and larger prospective randomized studies are requested to prove these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591241291346","type":"journal-article","created":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T00:01:58Z","timestamp":1728864118000},"page":"1229-1236","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Influence of vascular graft type for ascending aorta replacement on the early postoperative outcome"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4824-8032","authenticated-orcid":false,"given":"Alina","family":"Chigri","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, University Hospital Cologne, University of Cologne, Cologne, Germany"},{"name":"Department of Cardiothoracic Surgery, University Hospital Bergmannsheil Bochum, Ruhr-University Bochum, Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6568-6766","authenticated-orcid":false,"given":"Stephen","family":"Gerfer","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University Hospital Cologne, University of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Coman","family":"Horatiu","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, St Josef-Hospital, Ruhr-University Bochum, Bochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0573-8218","authenticated-orcid":false,"given":"Ihor","family":"Krasivskyi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Univerisity Hospital Bonn, Bonn, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian","family":"Luehr","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University Hospital Cologne, University of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5810-8626","authenticated-orcid":false,"given":"Ilija","family":"Djordjevic","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University Hospital Cologne, University of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thorsten","family":"Wahlers","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University Hospital Cologne, University of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justus","family":"Strauch","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University Hospital Cologne, University of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Haldenwang","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University Hospital Cologne, University of Cologne, Cologne, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1182\/blood.V76.9.1680.1680"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-004-2388-0"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezs258"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(00)00512-1"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/106.1.87"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0890-5096(06)61437-4"},{"key":"e_1_3_3_8_2","unstructured":"https:\/\/www.getinge.com\/int\/products\/hemashield-platinum-woven-double-velour\/?tab=2"},{"key":"e_1_3_3_9_2","unstructured":"https:\/\/terumoaortic.com\/products\/gelweave\/"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa799"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)34075-9"},{"issue":"1","key":"e_1_3_3_12_2","first-page":"7884271","article-title":"A case of hemothorax occurred two months after graft replacement of descending thoracic aorta with Hemashield arterial prosthesis","volume":"43","author":"Kondoh S","year":"1995","unstructured":"Kondoh S, Moizumi Y, Akasaka J, et al. A case of hemothorax occurred two months after graft replacement of descending thoracic aorta with Hemashield arterial prosthesis. Nihon Geka Gakkai Zasshi, Japanese 1995; 43(1): 7884271.","journal-title":"Nihon Geka Gakkai Zasshi, Japanese"},{"issue":"4","key":"e_1_3_3_13_2","first-page":"365","article-title":"Collagen and gelatin-impregnated vascular grafts - is their thrombogenicity enhanced? An experimental study","volume":"21","author":"Jensen N","year":"1992","unstructured":"Jensen N, Lindblad B, Dougan P, et al. Collagen and gelatin-impregnated vascular grafts - is their thrombogenicity enhanced? An experimental study. Vasa 1992; 21(4): 365\u2013368.","journal-title":"Vasa"},{"key":"e_1_3_3_14_2","doi-asserted-by":"crossref","unstructured":"Drury JK Ashton TR Cunningham JD et al. Experimental and clinical experience with a gelatin impregnated Dacron prosthesis. Ann Vasc Surg; 1(5): 542\u2013547.","DOI":"10.1016\/S0890-5096(06)61437-4"},{"issue":"4","key":"e_1_3_3_15_2","first-page":"323","article-title":"Clinical experience with a collagen impregnated woven Dacron graft","volume":"36","author":"Tolan M","year":"1995","unstructured":"Tolan M, Wells F, Kendall S, et al. Clinical experience with a collagen impregnated woven Dacron graft. J Cardiovasc Surg 1995; 36(4): 323\u2013327.","journal-title":"J Cardiovasc Surg"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-836244"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591241291346","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591241291346","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591241291346","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:35:21Z","timestamp":1777656921000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591241291346"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,13]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/02676591241291346"],"URL":"https:\/\/doi.org\/10.1177\/02676591241291346","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,13]]}}}