Dilşad AMANVERMEZ ŞENARSLAN, Emin Alp ALAYURT

Sağ Ventrikül Çıkış Yolu Darlıklarının Tamirinde Homogreft ve Contegra Greft Kullanılan Hastaların Sağ Kalımının Karşılaştırılması

Giriş ve Amaç: Homogreftler veya ksenogreftler sağ ventrikül çıkış yolu (RVOT) darlıklarının tedavisinde günümüzde en sık kullanılan materyallerdir. Çalışmanın amacı RVOT tamirlerinde homogreft ve Contegra® Greft (ksenogreft) kullanılan hastaların mortalite oranlarını belirlemek ve sağ kalımlarını karşılaştırmaktır. Çalışmanın ikincil amacı ise mortalite için risk faktörlerinin belirlenmesidir. Gereç ve Yöntemler: Çalışmaya üçüncü basamak sağlık kuruluşumuzda son yedi yılda RVOT darlığı nedeniyle homogreft veya Contegra® Greft kullanılarak RVOT rekonstrüksüyonu uygulanan hastalar dahil edilmiştir. Toplam 71 hastanın; 18’ine homogreft (%25,4) ve 53’üne (%74,6) ise Contegra® Greft ile RVOT rekonstrüksüyonu uygulanmıştır. Çalışma için yerel etik kurul izni alınmıştır. Bulgular: RVOT darlığının en sık etiyolojik sebebi Fallot Tetralojisiydi. Contegra® Greft grubunun yaş ortalaması ve kullanılan greft çapları (t test, p

Anahtar Kelimeler:

Contegra® heterogreft, Homogreft, Ksenogreft, Sağ ventrikül çıkış yolu, Sağ kalım

Comparison of the Survival of Patients who Underwent Right Ventricular Outflow Tract Repair with Homografts Versus Contegra Grafts

Objective: Homografts or xenografts are the most commonly used materials in the treatment of right ventricular outflow tract (RVOT) stenosis. The aim of the study is to determine the mortality rates and compare the survival rates of patients who underwent RVOT repair by using homograft and Contegra® Graft (xenograft). The secondary endpoint of the study was to determine the risk factors for mortality. Materials and Methods: We included 71 patients who are operated in last seven years in our tertiary healthcare service for RVOT reconstructions by using homograft or Contegra® Graft. Homograft was applied 18 of them (24.5%) and Contegra® Graft was applied 53 of them (74.6%). Local ethical committee approved the study. Results: Tetralogy of Fallot was the most common etiological cause of RVOT stenosis. The average age and the graft diameters that used were in smaller size (t test, p

Keywords:

Contegra® heterograft, Homograft, Right ventricular outflow tract (RVOT), Survival, Xenograft,

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