PMID- 31207376
OWN - NLM
STAT- MEDLINE
DCOM- 20200120
LR  - 20200120
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 130
DP  - 2019 Oct
TI  - Prosthesis Used in Microvascular Decompressions: A Multicenter Survey in Japan 
      Focusing on Adverse Events.
PG  - e251-e258
LID - S1878-8750(19)31594-3 [pii]
LID - 10.1016/j.wneu.2019.06.053 [doi]
AB  - OBJECTIVE: To investigate the characteristics of materials used as prostheses for 
      microvascular decompression surgery (MVDs) in Japan and their possible adverse 
      events (AEs) to determine preferable materials for MVDs. METHODS: A questionnaire 
      was sent to all members of the Japanese Society for MVDs, and answers were 
      obtained from 59 institutions. RESULTS: Among a total of 2789 MVDs, 1088 
      operations for trigeminal neuralgia, 1670 for hemifacial spasm, and 31 others, 
      including 117 reoperations, were performed between April 2011 and March 2014. 
      Nonabsorbable material was used in 96.5% of MVDs, including 
      polytetrafluoroethylene (PTFE) (80.5%), polyurethane (11.9%), expanded PTFE 
      (2.1%), and silk thread (1.47%). The use of absorbable materials, including 
      fibrin glue (87.5%), cellulose (13.5%), gelatin (4,77%), and collagen (1.76%), 
      was reported. The major combinations were PTFE with fibrin glue (58.7%) followed 
      by PTFE alone (7.60%). Eighty-eight AEs in 85 (3.2%) cases were reported among 
      2672 first operations. AEs included 51 central nervous system dysfunctions, 15 
      wound infections/dehiscence, and 10 others, which were presumed to be related to 
      the intraoperative procedure. Among relatively high-, moderate-, and low-volume 
      centers, there were no significant differences in the frequency of AEs (P = 
      0.077). Tissue-prosthesis adhesion and/or granuloma formation were reported in 13 
      cases of 117 reoperations. The incidence of adhesion-related recurrence was 11.1% 
      of all reoperations. CONCLUSIONS: The number of AEs was quite low in this survey, 
      and intradural use of any prosthesis reported in this paper might be justified; 
      however, further development of easily handled and less-adhesive prosthesis 
      materials is awaited.
CI  - Copyright (c) 2019 Elsevier Inc. All rights reserved.
FAU - Hasegawa, Mitsuhiro
AU  - Hasegawa M
AD  - Fujita Health University School of Medicine, Toyoake, Japan. Electronic address: 
      mhasegawah@yahoo.co.jp.
FAU - Hatayama, Toru
AU  - Hatayama T
AD  - Mito Brain Heart Center, Mito, Japan.
FAU - Kondo, Akinori
AU  - Kondo A
AD  - Brain and Spine Surgery Center, Shiroyama Hospital, Osaka, Japan.
FAU - Nagahiro, Shinji
AU  - Nagahiro S
AD  - Institute of Biomedical Sciences, Tokushima University Graduate School, 
      Tokushima, Japan.
FAU - Fujimaki, Takamitsu
AU  - Fujimaki T
AD  - Saitama Medical University Hospital, Saitama, Japan.
FAU - Amagasaki, Kenichi
AU  - Amagasaki K
AD  - Mitsui Memorial Hospital, Tokyo, Japan.
FAU - Arita, Kazunori
AU  - Arita K
AD  - Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, 
      Japan.
FAU - Date, Isao
AU  - Date I
AD  - Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical 
      Sciences, Okayama, Japan.
FAU - Fujii, Yukihiko
AU  - Fujii Y
AD  - Niigata University, Niigata, Japan.
FAU - Goto, Takeo
AU  - Goto T
AD  - Osaka City University Graduate School of Medicine, Osaka, Japan.
FAU - Hanaya, Ryosuke
AU  - Hanaya R
AD  - Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, 
      Japan.
FAU - Higuchi, Yoshinori
AU  - Higuchi Y
AD  - Chiba University Graduate School of Medicine, Chiba, Japan.
FAU - Hongo, Kazuhiro
AU  - Hongo K
AD  - Shinshu University, Matsumoto, Japan; Shinshu University School of Medicine, 
      Matsumoto, Japan.
FAU - Inoue, Toru
AU  - Inoue T
AD  - Graduate School of Medical Sciences, Fukuoka University, Fukuoka, Japan.
FAU - Kasuya, Hidetoshi
AU  - Kasuya H
AD  - Tokyo Women's Medical University Medical Center East, Tokyo, Japan.
FAU - Kayama, Takamasa
AU  - Kayama T
AD  - Yamagata University, Yamagata, Japan.
FAU - Kawashima, Masatou
AU  - Kawashima M
AD  - International University of Health and Welfare, Chiba, Japan.
FAU - Kohmura, Eiji
AU  - Kohmura E
AD  - Kobe University Graduate School of Medicine, Kobe, Japan.
FAU - Maehara, Taketoshi
AU  - Maehara T
AD  - Tokyo Medical and Dental University, Tokyo, Japan.
FAU - Matsushima, Toshio
AU  - Matsushima T
AD  - Fukuoka Sanno Hospital, Fukuoka, Japan.
FAU - Mizobuchi, Yoshihumi
AU  - Mizobuchi Y
AD  - Institute of Biomedical Sciences, Tokushima University Graduate School, 
      Tokushima, Japan.
FAU - Morita, Akio
AU  - Morita A
AD  - Nippon Medical School, Tokyo, Japan.
FAU - Nishizawa, Shigeru
AU  - Nishizawa S
AD  - University of Occupational and Environmental Health, Kitakyushu, Fukuoka, Japan.
FAU - Noro, Shusaku
AU  - Noro S
AD  - Nakamura Memorial Hospital, Sapporo, Japan.
FAU - Saito, Shinjiro
AU  - Saito S
AD  - Saiseikan Hospital, Yamagata, Japan.
FAU - Shimano, Hirofumi
AU  - Shimano H
AD  - Brain and Spine Surgery Center, Shiroyama Hospital, Osaka, Japan.
FAU - Shirane, Reizo
AU  - Shirane R
AD  - Department of Neurosurgery, Miyagi Children's Hospital, Sendai, Japan.
FAU - Takeshima, Hideo
AU  - Takeshima H
AD  - Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
FAU - Tanaka, Yuichiro
AU  - Tanaka Y
AD  - St. Marianna University School of medicine, Kawasaki, Japan.
FAU - Tanabe, Hidenori
AU  - Tanabe H
AD  - Tanabe Neurosurgical Hospital. Fujiidera, Japan.
FAU - Toda, Hiroki
AU  - Toda H
AD  - Fukui Red Cross Hospital, Fukui, Japan.
FAU - Yamakami, Iwao
AU  - Yamakami I
AD  - Seikei-kai Chiba Medical Center, Chiba, Japan.
FAU - Nishiyama, Yuya
AU  - Nishiyama Y
AD  - Fujita Health University School of Medicine, Toyoake, Japan.
FAU - Ohba, Shigeo
AU  - Ohba S
AD  - Fujita Health University School of Medicine, Toyoake, Japan.
FAU - Hirose, Yuichi
AU  - Hirose Y
AD  - Fujita Health University School of Medicine, Toyoake, Japan.
FAU - Suzuki, Takeya
AU  - Suzuki T
AD  - Fujita Health University School of Medicine, Toyoake, Japan.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20190614
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
EIN - World Neurosurg. 2020 Feb;134:685. PMID: 31780425
MH  - *Blood Vessel Prosthesis/trends
MH  - Humans
MH  - Japan
MH  - Microvascular Decompression Surgery/*instrumentation/trends
MH  - Prosthesis Implantation/*instrumentation/trends
MH  - *Societies, Medical/trends
MH  - *Surveys and Questionnaires
OTO - NOTNLM
OT  - Absorbable material
OT  - Adverse event
OT  - Microvascular decompression
OT  - Non-absorbable material
OT  - Prosthesis
OT  - Surgical technique
EDAT- 2019/06/18 06:00
MHDA- 2020/01/21 06:00
CRDT- 2019/06/18 06:00
PHST- 2019/05/01 00:00 [received]
PHST- 2019/06/05 00:00 [revised]
PHST- 2019/06/06 00:00 [accepted]
PHST- 2019/06/18 06:00 [pubmed]
PHST- 2020/01/21 06:00 [medline]
PHST- 2019/06/18 06:00 [entrez]
AID - S1878-8750(19)31594-3 [pii]
AID - 10.1016/j.wneu.2019.06.053 [doi]
PST - ppublish
SO  - World Neurosurg. 2019 Oct;130:e251-e258. doi: 10.1016/j.wneu.2019.06.053. Epub 
      2019 Jun 14.