Peripheral artery reconstructions using cryopreserved arterial allografts in infected fields

Furlough, Courtney L.; Jain, Ashish; Ho, Karen J.; Rodríguez, Herón E.; Tomita, Tadaki M.; Eskandari, Mark K.

doi:10.1016/j.jvs.2018.10.111

Cited by 19 publications

(9 citation statements)

References 21 publications

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“…Otherwise, there is debate over the superiority of allograft vs prosthetic conduit, with antibiotic infused prosthetics tending to have slightly worse reinfection rates and allografts having slightly worse noninfection, 30-day complication rates. 6 At our institution, we have had better results with antibiotic-soaked prosthetic conduits regarding complication rates, but with similar reinfection rates when revascularizing arteries larger than 8 mm in diameter. This rationale was used for the choice of conduit in our patient.…”

Section: Discussionmentioning

confidence: 78%

Mycotic right subclavian artery aneurysm: a rare and challenging pathology

Fatula

Fleming

Jones

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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Mycotic subclavian artery aneurysms are rare but challenging pathology. We report a 67-year-old woman who presented with recurrent bacteremia secondary to chronic clavicular osteomyelitis. Imaging demonstrated a right subclavian artery aneurysm near the innominate artery bifurcation and in close proximity to the infected clavicle. Owing to the anatomic location, among other factors, she underwent open repair using a rifampin-soaked Dacron conduit. Analysis of the aneurysm wall identified bacteria consistent with intraoperative bone and blood cultures. Contributions from multiple surgical and medical specialties provided a favorable, long-term outcome for the patient.

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Section: Discussionmentioning

confidence: 78%

Mycotic right subclavian artery aneurysm: a rare and challenging pathology

Fatula

Fleming

Jones

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…6 Cryo-preserved allografts have also been used successfully in the absence of suitable autologous veins or prosthetic grafts. 7 The endovascular technique for repair has been described in some series either as a sole treatment strategy or as a bridge to open repair in high risk surgical patients or in patients presenting with ruptured aneurysms. [8][9][10] The goals of open repair are complete aneurysmal sac excision, debridement of non-viable surrounding tissues, and upper extremity revascularization.…”

Section: Commentmentioning

confidence: 99%

Carotid-Axillary Bypass and Debridement for a Mycotic Aneurysm of the Left Subclavian Artery

Obisesan

Manchester

Lin

et al. 2022

Vasc Endovascular Surg

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Mycotic subclavian aneurysms are rare, and their presence typically mandates urgent repair due to the associated high risk of rupture and mortality. A multi-disciplinary team effort is of utmost importance in ensuring favorable results. In this case report, we present a 79-year-old male with a rapidly enlarging mycotic left subclavian artery aneurysm secondary to a retrosternal abscess and left sternoclavicular septic arthritis, who underwent aneurysmal exclusion, a left carotid-left axillary bypass and pectoralis muscle flap coverage with a good outcome.

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“…endocarditis) or structural valve deterioration of previously implanted bioprosthesis (Musci et al 2010 ). Vascular tissues are usually required to replace infected vascular prosthesis or to perform vascular bypasses in case of acute ischemia and malignant infiltrating tumors (Furlough et al 2019 ).…”

Section: The Lombardy Cardiovascular Tissue Bankmentioning

confidence: 99%

Cardiovascular tissue banking activity during SARS-CoV-2 pandemic: evolution of national protocols and Lombardy experience

et al. 2021

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The worldwide pandemic outbreak due to severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) has created unprecedented challenges for public health services. Lombardy, region of the Northern Italy, has been the first area in the Western world whose organs and tissues procurement programs have had to face the virus pandemic emergency. We retrospectively collected and analyzed data about cardiovascular tissues (CT) in 2019 and in 2020. We aimed to describe the rapid evolution of SARS-CoV-2 regulation laws for tissue donor’s selection and harvesting from February 2020 until January 2021. As expected the number of CT donors in 2020 was significantly lower than those of 2019 (66 vs. 99, p value 0.02). The total number of CT collected from donors have been 254 in 2019 and 206 in 2020 ( p 0.28). Femoral arteries were the most required vascular tissues (55.5% in 2019 and 40% in 2020). Fifty-five and forty-eight pulmonary valves were implanted in 2019 and 2020, respectively. No differences were found for the types of CT requests between the 2 years. The median age of receivers of vascular tissues was 69.6 ± 14.6 years in the 2019 and 63.3 ± 14.9 years in 2020 ( p < 0.01). The median age of receivers of pulmonary and aortic valves did not differ between the 2 years (9.32 ± 11.49 vs. 8.36 ± 10.66 and 48.67 ± 27.19 vs. 37.14 ± 31.97 respectively). Despite the dramatically reduction of donors, the number of CT collected has not decreased significantly and so far the CT distribution rate is comparable to those of 2019.

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Peripheral artery reconstructions using cryopreserved arterial allografts in infected fields

Cited by 19 publications

References 21 publications

Mycotic right subclavian artery aneurysm: a rare and challenging pathology

Mycotic right subclavian artery aneurysm: a rare and challenging pathology

Carotid-Axillary Bypass and Debridement for a Mycotic Aneurysm of the Left Subclavian Artery

Cardiovascular tissue banking activity during SARS-CoV-2 pandemic: evolution of national protocols and Lombardy experience

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