The Threat of Adhesive Embolization: BioGlue Leaks Through Needle Holes in Aortic Tissue and Prosthetic Grafts Scott A. LeMaire, MD, Stacey A. Carter,

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Presentation transcript:

The Threat of Adhesive Embolization: BioGlue Leaks Through Needle Holes in Aortic Tissue and Prosthetic Grafts Scott A. LeMaire, MD, Stacey A. Carter, BA, Taehee Won, MD, Xinwen Wang, MD, PhD, Lori D. Conklin, MD, Joseph S. Coselli, MD The Annals of Thoracic Surgery Volume 80, Issue 1, Pages 106-111 (July 2005) DOI: 10.1016/j.athoracsur.2005.02.004 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Representative photographs demonstrating BioGlue leaks (arrows) in (A) polyester graft, (B–D) ePTFE graft, and (F) porcine aortic anastomoses sewn with polypropylene. Leaks also occurred in ePTFE grafts sewn with ePTFE suture (E). The discreet, round adhesive fragments in the prosthetic grafts were easily dislodged with minimal manipulation (D). The leaks in the aorta created thin, friable flakes extending along the intimal surface (F). The Annals of Thoracic Surgery 2005 80, 106-111DOI: (10.1016/j.athoracsur.2005.02.004) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 This histologic section of a porcine aortic anastomosis demonstrates eosinophilic BioGlue (BG) traveling from the adventitial surface, through the suture tract (arrowheads), and along the endothelium into lumen (L). The arrows indicate the junction between the two pieces of aorta (hematoxylin and eosin staining, magnification ×100). The Annals of Thoracic Surgery 2005 80, 106-111DOI: (10.1016/j.athoracsur.2005.02.004) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions