The Efficacy of Autologous Femoropopliteal Vein Reconstruction for Primary Aortic and Aortic Graft Infection

Dirven, M.; Jagt, Michel F. van der; Barendregt, W.B.; Vliet, Daan van der

doi:10.1016/j.avsg.2015.03.043

Cited by 23 publications

(14 citation statements)

References 19 publications

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“…The mortality outcome was measured differently in studies depending on the follow-up period. In most studies, mortality was recorded as occurring in a hospital or after thirty days; five studies included in-hospital mortality rates [6] [21] [24] [25] [26], and five studies calculated mortality rates that occurred within a 30-day limit [16] [27] [28] [29] [30]. Common outcomes measured by all studies were mortality, amputation, graft reinfection, and graft related complications.…”

Section: Resultsmentioning

confidence: 99%

Systematic Review and Meta: Analysis of Aortic Graft Infections following Abdominal Aortic Aneurysm Repair

Niaz

Rao

Carey

et al. 2020

International Journal of Vascular Medicine

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Introduction. Aortic graft infection (AGI) is a rare complication following AAA repair and is associated with high morbidity and mortality. Management is variable, and there are no evidence-based guidelines. The aim of this study was to systematically review and analyse management options for AGI. Methods. Data was collected between July and August 2018. A full HDAS search was conducted on the following databases: MEDLINE, EMBASE, CINAHL, and PUBMED. Meta-analysis was conducted using RevMan 5 software. Results. 1,365 patient outcomes were assessed (10 cohort studies and 12 comparative studies). The most common treatment was in situ replacement of the graft (ISR) followed by extra-anatomical replacement (EAR). Various grafts were used for ISR, such as fresh/cryopreserved allograft, venous graft, and prosthetic grafts. No graft material was shown to be superior. Axillobifemoral graft was the commonest type of EAR used. In the majority of cohort studies, ISR was the main treatment for AGI. There was no significant difference in the overall mortality rate (ISR n = 70/176 vs. EAR n = 47/126, OR 0.93 [95% CI 0.36-2.36], P = 0:87). Graft occlusion rate was significantly lower in the ISR group vs. the EAR group (n = 14/115 vs. n = 29/60 OR 0.16 [95% CI 0.07-0.36], P < 0:001). There was no significant difference in the amputation rate between the surgical treatments (ISR n = 9/141 vs. EAR n = 8/82, OR 0.75 [95% CI 0.07-8.39], P = 0:82). Discussion. In situ replacement is the preferred method of treatment as it had lower rates of occlusion. Further strong evidence is required, such as a multicentre trial to establish a management pathway for the condition.

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Section: Resultsmentioning

confidence: 99%

Systematic Review and Meta: Analysis of Aortic Graft Infections following Abdominal Aortic Aneurysm Repair

Niaz

Rao

Carey

et al. 2020

International Journal of Vascular Medicine

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“…However, these methods are not superior to the use of autogenous materials. [6] In the present case, we could reconstruct the EIA and EIV with autogenous materials after resection of the rectosigmoid colon cancer. As far as we know, such kind of reconstruction has not been reported in the English literature.…”

Section: Discussionmentioning

confidence: 99%

In situ reconstruction of the external iliac artery and vein with autogenous vessels in a patient with rectosigmoid colon cancer invading the external iliac artery and vein: A Case Report

Roh

Choi

2017

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Aggressive radical R0 resection is necessary for good prognosis in colorectal cancer with adjacent organ invasion. According to the location of the tumor, various pelvic organs are removed in en-block resection. However, en-block resection may be challenging in case with vascular invasion such as external iliac vessels because vascular specialist should be involved and vascular reconstruction is complex procedure than any other surgical procedure. We report the case of a 53-year-old man who underwent curative surgery for rectosigmoid colon cancer invading the left external iliac artery (EIA) and vein (EIV). En-bloc resection of the tumor including external iliac vessels and ureter was performed, and the resected EIA and EIV were reconstructed using the internal iliac artery and vein. This procedure is more physiologic than extra-anatomic bypass and eliminates the need of artificial graft. Consequently, its use may improve patency and decrease the risk of graft infection.

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“…The great saphenous vein is more susceptible to focal stenoses and thromboses caused by progressive myointimal hyperplasia, which reaches rates of up to 24%. 6,8,9 Dorweiler et al report an 87% patency rate, a limb salvage rate of 93% and primary patency of 81% over 5 years. 10 In 2010, Kan et al 11 analyzed 48 patients treated using endovascular techniques, reporting mortality of 10% at 30 days and 15% over medium-term follow-up.…”

Section: Discussionmentioning

confidence: 99%

Aneurisma de aorta abdominal infectado por Salmonella species

Alioti

Faria

et al. 2016

J. vasc. bras.

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Infected abdominal aortic aneurysms are rare and have high mortality due to sepsis and the possibility of rupture. The treatment of choice is open repair with aneurysm resection, debridement and reconstruction with an autologous vein graft. More recently, case series have been described in which the endovascular approach was the first option. With both approaches adjuvant antibiotic therapy is imperative. We report an illustrative case in which the treatment was open surgery reconstruction using an autologous vein graft.Keywords: infected aneurysm; aortic aneurysm; micotic aneurysm. ResumoOs aneurismas de aorta abdominal infecciosos (AAAIs) são raros e apresentam uma alta mortalidade devido à septicemia e ao risco de ruptura. A opção terapêutica consagrada consiste na correção aberta com ressecção do aneurisma, debridamento e reconstrução com veia autóloga. Mais recentemente, alguns grupos vêm relatando séries de casos nas quais se realizou tratamento endovascular. Em ambas as opções, a antibioticoterapia adjuvante é imperativa. Relatamos um caso ilustrativo em que o tratamento de escolha foi a cirurgia aberta com reconstrução utilizando-se veia autóloga.Palavras-chave: aneurisma infectado; aneurisma aórtico; aneurisma micótico.

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The Efficacy of Autologous Femoropopliteal Vein Reconstruction for Primary Aortic and Aortic Graft Infection

Cited by 23 publications

References 19 publications

Systematic Review and Meta: Analysis of Aortic Graft Infections following Abdominal Aortic Aneurysm Repair

Systematic Review and Meta: Analysis of Aortic Graft Infections following Abdominal Aortic Aneurysm Repair

In situ reconstruction of the external iliac artery and vein with autogenous vessels in a patient with rectosigmoid colon cancer invading the external iliac artery and vein: A Case Report

Aneurisma de aorta abdominal infectado por Salmonella species

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