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Clinical Efficacy and Compatibility of Allogeneic Avital Tissue Transplants Sterilized with a Peracetic Acid/Ethanol Mixture
Authors:Axel Pruss  Carsten Perka  Petra Degenhardt  Ute Maronna  Karin Büttner-Janz  Bodo Paul  Klaus Müller  Christoph Klumpp  Johannes C. Bruck  Rüdiger von Versen
Affiliation:Institute for Transfusion Medicine (Tissue Bank) (Tel.: 0049/30/450 525161; Fax: 0049/30/450 525976; e-mail: axel.pruss@charite.de)
Abstract:
In the course of the past 20 years a quantity of approximately 60,000 allogeneic avital tissue grafts sterilized with the peracetic acid–ethanol method (PES) were transplanted successfully. Based on a retrospective report of clinical experience of the years 1997–2001 on the overall scope of tissue grafts manufactured by the Tissue Banks of the University Hospital Charité and the German Institute for Cell and Tissue Replacement, the clinical efficacy and side effects of 18.3% (3.087/16.823) of all transplants were studied. Cancellous (1.601/3.087) and cortical (291/3.087) bone transplants as well as amnion (1.027/3.087) constituted the greatest part. In 91% of the examined patients (2.369/2.592) tissue integration ratios ranging from good up to very well could be observed. The transplant function of defect replacement or of a spacer respectively could be obtained for all types of tissue. The clinical effect caused by the transplant resulted in more than 99% of the transplants in primary integration or in the desired aim of the therapy (defect replacement, stabilization in case of palliative operations, etc.). In less than 1% (9/2.592) of cases a secondary healing occurred for cancellous bone transplantations or, revisional operations became necessary. In all cases severe side effects, in particular transmission of infectious diseases or transplant rejections, were not observed. This revised version was published online in July 2006 with corrections to the Cover Date.
Keywords:amnion transplants  bone transplants  peracetic acid–  ethanol sterilization  soft tissue transplants  tissue banking
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