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. 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.
Authors
- Andreas Lazaris (ORCID: https://orcid.org/0000-0001-6387-3907)
- Konstantinos G. Moulakakis (ORCID: https://orcid.org/0000-0002-2269-5937)
- Constantine N. Antonopoulos (ORCID: https://orcid.org/0000-0003-0696-695X)
- Andreas Panagiotopoulos (ORCID: https://orcid.org/0000-0001-5212-7845)
- George S. Sfyroeras (ORCID: https://orcid.org/0000-0001-8268-831X)
- John D. Kakisis (ORCID: https://orcid.org/0000-0002-6914-2440)
Institutions
- National and Kapodistrian University of Athens (GR)
- University General Hospital Attikon (GR)
- Athens State University (US)
Publication Details
- Journal
- Journal of Vascular Surgery Cases and Innovative Techniques
- Published
- 2025-05-23
- DOI
- https://doi.org/10.1016/j.jvscit.2025.101854
- Primary Topic
- Tissue Engineering and Regenerative Medicine
- Type
- article
- Field-Weighted Citation Impact
- 0.00