Porcine intestinal submucosa extracellular matrix patch rupture after carotid endarterectomy
Porcine intestinal submucosa extracellular matrix (SIS-ECM) patches have shown promise as superior alternatives to synthetic materials for carotid endarterectomy. However, in the pressurized arterial environment, the mechanical strength of SIS-ECM patches may diminish during the remodeling process....
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-08-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725001364 |
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| Summary: | Porcine intestinal submucosa extracellular matrix (SIS-ECM) patches have shown promise as superior alternatives to synthetic materials for carotid endarterectomy. However, in the pressurized arterial environment, the mechanical strength of SIS-ECM patches may diminish during the remodeling process. This degradation can result in patch rupture and pseudoaneurysm formation. We report the case of a 77-year-old patient who experienced a rupture of the SIS-ECM patch 2 months post- carotid endarterectomy. The patient was successfully treated with saphenous vein patch reconstruction, resulting in a favorable outcome. |
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| ISSN: | 2468-4287 |