Does glutaraldehyde induce calcification of bioprosthetic tissues?

Ann Thorac Surg. 1998 Dec;66(6 Suppl):S255-8. doi: 10.1016/s0003-4975(98)01098-4.

Abstract

Background: Glutaraldehyde has been said to be responsible in part for the calcification of glutaraldehyde-treated tissues after implantation in animals or humans. We investigated whether the origin of the tissue, autologous or heterologous, could have a more prominent role in the process of calcification.

Methods: Three-month-old sheep received sheep pericardial samples (n = 133) and human pericardial samples (n = 123) implanted subcutaneously. Samples were treated with 0.6% glutaraldehyde for 5, 10, or 20 minutes or 7 days and then rinsed thoroughly before implantation. Samples were then retrieved after 3 months. Calcium content was assessed by spectrophometry.

Results: The results show a low calcium content in the autologous group (mean 1.14+/-2.07) and a high calcium content in the heterologous group (mean 38.97+/-26). These results were the same regardless of the duration of the treatment.

Conclusions: Glutaraldehyde treatment (0.6%) does not play a significant role in the calcification of glutaraldehyde-treated tissue regardless of the origin, autologous or heterologous, of the tissue. Glutaraldehyde-treated autologous tissues are associated with an incidence of calcification lower than heterologous tissues.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analysis of Variance
  • Animals
  • Bioprosthesis*
  • Calcinosis / etiology*
  • Calcium / analysis
  • Female
  • Fixatives / adverse effects*
  • Follow-Up Studies
  • Glutaral / adverse effects*
  • Heart Valve Prosthesis*
  • Humans
  • Incidence
  • Pericardium / chemistry
  • Prosthesis Design
  • Spectrophotometry, Atomic
  • Surface Properties
  • Time Factors
  • Transplantation, Autologous
  • Transplantation, Heterologous

Substances

  • Fixatives
  • Calcium
  • Glutaral