In situ reconstruction of septic aortic pseudoaneurysm due to Salmonella or Streptococcus microbial aortitis: long-term follow-up

Luo, Chwan Yau; Ko, Wen Chien; Kan, Chung Dann; Lin, Pin‐Yao; Yu, Yi

doi:10.1016/s0741-5214(03)00549-4

Cited by 105 publications

(84 citation statements)

References 26 publications

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“…A diseased aorta, such as that with significant atherosclerotic change or preexisting aneurysm, is more vulnerable to Salmonella species [11]. In the literatures from Taiwan and in our institutional experience, Salmonella species account for 50-83% of cases of infected aortic aneurysms [11,12,14,15].…”

Section: Bacteriologymentioning

confidence: 97%

“…Because of the high prevalence of Salmonella species infection in our country, we prefer administering ceftriaxone in every case of an infected aortic aneurysm if there is no contraindication [12,69,71]. Once the culture and susceptibility results are available, antibiotics should be tailored accordingly.…”

Section: Antibiotic Therapymentioning

confidence: 99%

“…Historically, aortic reconstruction with an autologous femoropopliteal venous graft has been advocated [88]. The time consumed and the morbidities caused by femoropopliteal vein harvest, along with the lack of availability of cryopreserved allografts, have urged more surgeons to prefer using prosthetic grafts, usually a Dacron graft, as alternatives [12,14,[89][90][91]. An omental flap with preserved vascular supply is usually transposed to cover the graft and the anastomosis sites.…”

Section: Infected Abdominal (Juxta-renal Supra-renal and Infra-renamentioning

confidence: 99%

“…Infected aortic aneurysms are generally surgical urgencies and comprise about 0.7-2.6% of all cases of aortic aneurysms [7][8][9][10][11][12]. The therapeutic considerations for infected aortic aneurysms include perioperative medical management (i.e., preoperative and postoperative antibiotic selection and course), timing and type of surgical procedures (traditional excision, debridement, and reconstruction versus endovascular technique), and the necessity of adjunctive procedures [7][8][9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

“…The therapeutic considerations for infected aortic aneurysms include perioperative medical management (i.e., preoperative and postoperative antibiotic selection and course), timing and type of surgical procedures (traditional excision, debridement, and reconstruction versus endovascular technique), and the necessity of adjunctive procedures [7][8][9][10][11][12][13][14][15]. Complications occasionally occur at the initial presentation, including massive exsanguination due to free rupture and the development of aneurysm-related fistulations.…”

Section: Introductionmentioning

confidence: 99%

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Infected Aortic Aneurysms

Lin¹,

Kan²

2017

Aortic Aneurysm

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Infected aortic aneurysms are surgical urgencies, requiring prompt management to avoid the development of catastrophic complications. Although traditional open surgery composed of radical debridement and aortic reconstruction remains the gold-standard, many favorable results of the endovascular repair strategy have been reported. In this chapter, the etiology, bacteriology, clinical manifestation, and diagnostic criteria of infected aortic aneurysms will be discussed in detail at first, followed by a comprehensive review of both traditional open surgery and endovascular repair, based on current evidences and the authors' institutional experience. Along with long-term oral antibiotic suppression and aggressive adjunctive procedures, endovascular repair for uncomplicated infected aortic aneurysms could be a definite treatment alternative to traditional open surgery in the endovascular era.

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Section: Bacteriologymentioning

confidence: 97%

Section: Antibiotic Therapymentioning

confidence: 99%

Section: Infected Abdominal (Juxta-renal Supra-renal and Infra-renamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Infected Aortic Aneurysms

Lin¹,

Kan²

2017

Aortic Aneurysm

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Association of Infections and Use of Fluoroquinolones With the Risk of Aortic Aneurysm or Aortic Dissection

Dong¹,

Chang

Wang

et al. 2020

JAMA Intern Med

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IMPORTANCEPrior observational studies have suggested that fluoroquinolone use may be associated with more than 2-fold increased risk of aortic aneurysm or aortic dissection (AA/AD). These studies, however, did not fully consider the role of coexisting infections and the risk of fluoroquinolones relative to other antibiotics. OBJECTIVE To estimate the risk of AA/AD associated with infections and to assess the comparative risk of AA/AD associated with fluoroquinolones vs other antibiotics with similar indication profiles among patients with the same types of infections. DESIGNS, SETTINGS, AND PARTICIPANTSThis nested case-control study identified 21 651 176 adult patients from a nationwide population-based health insurance claims database from January 1, 2009, to November 30, 2015. Each incident case of AA/AD was matched with 10 control individuals by age, sex, and follow-up duration in the database using risk-set sampling. Analysis of the data was conducted from April 2019 to March 2020.EXPOSURES Infections and antibiotic use within a 60-day risk window before the occurrence of AA/AD. MAIN OUTCOMES AND MEASURESConditional logistic regression was used to estimate the odds ratios (ORs) and 95% CIs comparing infections for which fluoroquinolones are commonly used with no infection within a 60-day risk window before outcome occurrence, adjusting for baseline confounders and concomitant antibiotic use. The adjusted ORs comparing fluoroquinolones with antibiotics with similar indication profiles within patients with indicated infections were also estimated. RESULTSA total of 28 948 cases and 289 480 matched controls were included (71.37% male; mean [SD] age, 67.41 [15.03] years). Among these, the adjusted OR of AA/AD for any indicated infections was 1.73 (95% CI, 1.66-1.81). Septicemia (OR, 3.16; 95% CI, 2.63-3.78) and intra-abdominal infection (OR, 2.99; 95% CI, 2.45-3.65) had the highest increased risk. Fluoroquinolones were not associated with an increased AA/AD risk when compared with combined amoxicillin-clavulanate or combined ampicillin-sulbactam (OR, 1.01; 95% CI, 0.82-1.24) or with extended-spectrum cephalosporins (OR, 0.88; 95% CI, 0.70-1.11) among patients with indicated infections. The null findings for fluoroquinolone use remained robust in different subgroup and sensitivity analyses.CONCLUSIONS AND RELEVANCE These results highlight the importance of accounting for coexisting infections while examining the safety of antibiotics using real-world data; the findings suggest that concerns about AA/AD risk should not deter fluoroquinolone use for patients with indicated infections.

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Para‐Anastomotic Aortic Aneurysms: General Considerations and Techniques

Ricotta¹

2012

Haimovici's Vascular Surgery

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In situ reconstruction of septic aortic pseudoaneurysm due to Salmonella or Streptococcus microbial aortitis: long-term follow-up

Cited by 105 publications

References 26 publications

Infected Aortic Aneurysms

Infected Aortic Aneurysms

Association of Infections and Use of Fluoroquinolones With the Risk of Aortic Aneurysm or Aortic Dissection

Para‐Anastomotic Aortic Aneurysms: General Considerations and Techniques

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