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USE OF A NEW POLYBUTILATE-COATED POLYESTER SUTURE IN CARDIOVASCULAR SURGERY
1Division of Cardiovascular Surgery of the Texas Heart Institute of the St. Luke's Episcopal and Texas Children's Hospitals, Houston, Texas.
Cardiovascular Diseases
|January 1, 1977
Summary
Polybutilate-coated polyester sutures demonstrated superior performance in cardiovascular procedures, offering enhanced handling and knot security without complications. These sutures proved better than non-coated and other coated polyester options.
Area of Science:
- Cardiovascular Surgery
- Biomaterials Science
- Surgical Sutures
Background:
- Polyester sutures are widely used in cardiovascular procedures.
- Coated sutures aim to improve handling and reduce complications.
- Previous coated sutures have exhibited issues like flaking and drag.
Purpose of the Study:
- To evaluate the performance of polybutilate-coated polyester sutures in cardiovascular surgery.
- To compare polybutilate-coated sutures with non-coated and other coated polyester sutures.
- To identify specific advantages of polybutilate coating.
Main Methods:
- Prospective evaluation of polybutilate-coated polyester sutures in 117 patients undergoing cardiovascular procedures.
- Sutures used on aorta, atrium, fascia, and pericardium.
- Long-term follow-up in 100 patients.
Main Results:
- No suture-related complications were observed.
- Performance was superior to non-coated and other coated polyester sutures.
- Favorable characteristics included ease of passage (especially through prosthetics), ease of tying, increased knot security, and better handling.
- Absence of flaking and suture drag due to firm polybutilate bonding.
Conclusions:
- Polybutilate-coated polyester sutures are safe and effective for cardiovascular procedures.
- These sutures offer significant advantages over conventional polyester sutures.
- The coating technology enhances handling and reliability, reducing potential complications.