Selective propensity of bovine jugular vein material to bacterial adhesions: An in-vitro study

被引:55
作者
Jalal, Zakaria [1 ]
Galmiche, Louise [2 ]
Lebeaux, David [3 ,4 ]
Villemain, Olivier [1 ]
Brugada, Georgia [1 ]
Patel, Mehul [1 ]
Ghigo, Jean-Marc [2 ]
Beloin, Christophe [2 ]
Boudjemline, Younes [1 ,4 ]
机构
[1] Necker Hosp Sick Children, AP HP, Ctr Reference Malformat Cardiaques Congenitales C, Pediat Cardiol, Paris, France
[2] Inst Pasteur, Dept Microbiol, Unite Genet Biofilms, Paris, France
[3] Hop Necker Enfants Malad, Lab Anatomopathol, F-75015 Paris, France
[4] Univ Paris 05, Sorbonne Paris Cite, Paris, France
关键词
Endocarditis; Melody valve; Fallot; Transcatheter pulmonary valve; TRANSCATHETER PULMONARY VALVE; INFECTIVE ENDOCARDITIS; MELODY VALVE; REPLACEMENT;
D O I
10.1016/j.ijcard.2015.07.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Percutaneous pulmonary valve implantation (PPVI) using Melody valve made of bovine jugular vein is safe and effective. However, infective endocarditis has been reported for unclear reasons. We sought to assess the impact of valvular substrates on selective bacterial adhesion. Methods: Three valved stents (Melody valve, homemade stents with bovine and porcine pericardium) were tested in-vitro for bacterial adhesion using Staphylococcus aureus and Streptococcus sanguinis strains. Results: Bacterial adhesion was higher on bovine jugular venous wall for S. aureus and on Melody valvular leaflets for S. sanguinis in control groups and significantly increased in traumatized Melody valvular leaflets with both bacteria (traumatized vs non traumatized: p= 0.05). Bacterial adhesion was lower on bovine pericardial leaflets. Conclusion: Selective adhesion of S. aureus and S. sanguinis pathogenic strains to Melody valve tissue was noted on healthy tissue and increased after implantation procedural steps. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:201 / 205
页数:5
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