2019
DOI: 10.1053/j.semvascsurg.2019.07.003
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Recommendations for management of infected aortic pathology based on current evidence

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Cited by 14 publications
(10 citation statements)
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“…However, when large caliber reconstructions are required as in abdominal AIs, only the deep femoropopliteal veins are available as autologous material. Although superior survival rates have been reported compared to antibioticsoaked or standard prosthetic graft reconstructions (22), femoropopliteal vein harvesting can cause chronic venous hypertension in up to 15% of the patients, leads to significantly longer operating times and, ideally, requires two operating teams (4,22,23). This reduces the suitability of this technique in urgent or emergent settings which was the case in 78% of the herein reported procedures.…”
Section: Discussionmentioning
confidence: 85%
“…However, when large caliber reconstructions are required as in abdominal AIs, only the deep femoropopliteal veins are available as autologous material. Although superior survival rates have been reported compared to antibioticsoaked or standard prosthetic graft reconstructions (22), femoropopliteal vein harvesting can cause chronic venous hypertension in up to 15% of the patients, leads to significantly longer operating times and, ideally, requires two operating teams (4,22,23). This reduces the suitability of this technique in urgent or emergent settings which was the case in 78% of the herein reported procedures.…”
Section: Discussionmentioning
confidence: 85%
“…Open surgical treatment comprises excision and ligation of the infected artery, debridement of the infected vasculature bed and extra-anatomical bypass [ 2 ] although in aortic cases in-line repair with dacron graft has been performed. There are three reported cases of BCG-associated mycotic aortic aneurysm successfully managed with endovascular repair and concurrent antitubercular therapy [ 3–6 ].…”
Section: Discussionmentioning
confidence: 99%
“…altering the risk graft infection post implantation [ 3 ]. Patients treated for aneurysmal disease with unrecognized M. bovis involvement show disease progression with further aneurysmal development, recurrent graft and soft tissue infection, and progression to explant or death regardless of open or endovascular approach [ 2 ]. Precise microbiological diagnosis and subsequent appropriate antitubercular therapy may be more critical than the type of vascular procedure.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, we thought it was unlikely that the systemic infection would worsen after performing EVT. Although there are various opinions regarding the optimal treatments for peripheral artery disease, it has been reported that endovascular treatment may act as a bridge until more definitive treatment can be carried out on the infected abdominal aorta lesion (7). Therefore, we decided to perform revascularization therapy with percutaneous balloon angioplasty for the purpose of limb salvage.…”
Section: Discussionmentioning
confidence: 99%