Sökning: onr:"swepub:oai:DiVA.org:uu-482791" >
In-situ bypass is a...
In-situ bypass is associated with superior infection-free survival compared with extra-anatomic bypass for the management of secondary aortic graft infections without enteric involvement
-
- Janko, Matthew R. (författare)
- Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA.
-
- Hubbard, Grant (författare)
- Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA.
-
- Back, Martin (författare)
- Univ Florida, Dept Surg, Div Vasc Surg, Gainesville, FL USA.
-
visa fler...
-
- Shah, Samir K. (författare)
- Univ Florida, Dept Surg, Div Vasc Surg, Gainesville, FL USA.
-
- Pomozi, Eniko (författare)
- Semmelweis Univ, Dept Vasc & Endovasc Surg, Budapest, Hungary.
-
- Szeberin, Zoltan (författare)
- Semmelweis Univ, Dept Vasc & Endovasc Surg, Budapest, Hungary.
-
- DeMartino, Randall (författare)
- Mayo Clin, Div Vasc & Endovasc Surg, Rochester, MN USA.
-
- Wang, Linda J. (författare)
- Massachusetts Gen Hosp, Dept Vasc & Endovasc Surg, Boston, MA 02114 USA.
-
- Crofts, Sarah (författare)
- Massachusetts Gen Hosp, Dept Vasc & Endovasc Surg, Boston, MA 02114 USA.
-
- Belkin, Michael (författare)
- Harvard Med Sch, Brigham & Womens Hosp, Dept Vasc & Endovasc Surg, Boston, MA 02115 USA.
-
- Davila, Victor J. (författare)
- Mayo Clin Arizona, Div Vasc Surg, Dept Gen Surg, Phoenix, AZ USA.
-
- Lemmon, Gary W. (författare)
- Indiana Univ, Dept Surg, Div Vasc Surg, Indianapolis, IN USA.
-
- Wang, Shihuan K. (författare)
- Indiana Univ, Dept Surg, Div Vasc Surg, Indianapolis, IN USA.
-
- Czerny, Martin (författare)
- Univ Heart Ctr Freiburg Bad Krozingen, Dept Cardiovasc Surg, Freiburg, Germany.
-
- Kreibich, Maximilian (författare)
- Univ Heart Ctr Freiburg Bad Krozingen, Dept Cardiovasc Surg, Freiburg, Germany.
-
- Humphries, Misty D. (författare)
- UC Davis Hlth, Div Vasc Surg, Dept Surg, Sacramento, CA USA.
-
- Shutze, William (författare)
- Heart Hosp Plano, Texas Vasc Associates, Plano, TX USA.
-
- Joh, Jin Hyun (författare)
- Kyung Hee Univ Hosp Gangdong, Dept Surg, Div Vasc Surg, Seoul, South Korea.
-
- Cho, Sungsin (författare)
- Univ Med Ctr Hamburg Eppendorf, Dept Vasc Med, GermanVasc Res Grp, Hamburg, Germany.
-
- Behrendt, Christian-Alexander (författare)
- Univ Med Ctr Hamburg Eppendorf, Dept Vasc Med, GermanVasc Res Grp, Hamburg, Germany.
-
- Setacci, Carlo (författare)
- Univ Siena, Dept Vasc & Endovasc Surg, Siena, Italy.
-
- Hacker, Robert, I (författare)
- Surg Arts St Louis, Div Vasc Surg, Bridgeton, MO USA.
-
- Sobreira, Marcone Lima (författare)
- Univ Estadual Paulista, Botucatu Sch Med, Dept Surg & Orthoped, Sao Paulo, Brazil.
-
- Yoshida, Winston Bonetti (författare)
- Univ Estadual Paulista, Botucatu Sch Med, Dept Surg & Orthoped, Sao Paulo, Brazil.
-
- D'Oria, Mario (författare)
- Univ Hosp Trieste, Cardiovasc Dept, Div Vasc & Endovasc Surg, Trieste, Italy.
-
- Lepidi, Sandro (författare)
- Univ Hosp Trieste, Cardiovasc Dept, Div Vasc & Endovasc Surg, Trieste, Italy.
-
- Chiesa, Roberto (författare)
- Ist Sci San Raffaele, Dept Vasc Surg, Milan, Italy.
-
- Kahlberg, Andrea (författare)
- Ist Sci San Raffaele, Dept Vasc Surg, Milan, Italy.
-
- Go, Michael R. (författare)
- Ohio State Univ, Coll Med, Dept Surg, Div Vasc Dis & Surg, Columbus, OH 43210 USA.
-
- Rizzo, Anthony N. (författare)
- Ohio State Univ, Coll Med, Dept Surg, Div Vasc Dis & Surg, Columbus, OH 43210 USA.
-
- Black, James H. (författare)
- Johns Hopkins Univ Hosp, Div Vasc Surg & Endovasc Therapy, Dept Surg, Baltimore, MD 21287 USA.
-
- Magee, Gregory A. (författare)
- Univ Southern Calif, Dept Surg, Div Vasc Surg & Endovasc Therapy, Los Angeles, CA USA.
-
- Elsayed, Ramsey (författare)
- Univ Southern Calif, Dept Surg, Div Vasc Surg & Endovasc Therapy, Los Angeles, CA USA.
-
- Baril, Donald T. (författare)
- Cedars Sinai Med Ctr, Dept Surg, Div Vasc Surg, Los Angeles, CA 90048 USA.
-
- Beck, Adam W. (författare)
- Univ Alabama Birmingham, Div Vasc Surg & Endovasc Therapy, Birmingham, AL USA.
-
- McFarland, Graeme E. (författare)
- Univ Alabama Birmingham, Div Vasc Surg & Endovasc Therapy, Birmingham, AL USA.
-
- Gavali, Hamid (författare)
- Uppsala universitet,Institutionen för medicinsk cellbiologi,Science for Life Laboratory, SciLifeLab,Kärlkirurgi
-
- Wanhainen, Anders (författare)
- Uppsala universitet,Kärlkirurgi
-
- Kashyap, Vikram S. (författare)
- Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA.
-
- Stoecker, Jordan B. (författare)
- Hosp Univ Penn, Dept Surg, Div Vasc Surg & Endovasc Therapy, 3400 Spruce St, Philadelphia, PA 19104 USA.
-
- Wang, Grace J. (författare)
- Hosp Univ Penn, Dept Surg, Div Vasc Surg & Endovasc Therapy, 3400 Spruce St, Philadelphia, PA 19104 USA.
-
- Zhou, Wei (författare)
- Univ Arizona, Dept Surg, Div Vasc Surg, Tucson, AZ USA.
-
- Fujimura, Naoki (författare)
- Keio Univ, Dept Surg, Sch Med, Shinjuku Ku, Tokyo, Japan.
-
- Obara, Hideaki (författare)
- Brooke Army Med Ctr, Div Vasc & Endovasc Surg, San Antonio, TX USA.
-
- Wishy, Andrew M. (författare)
- St Louis Univ, Div Vasc Surg, Dept Surg, St Louis, MO USA.
-
- Bose, Saideep (författare)
- St Louis Univ, Div Vasc Surg, Dept Surg, St Louis, MO USA.
-
- Smeds, Matthew (författare)
- Harvard Med Sch, Beth Israel Deaconess Med Ctr, Div Vasc & Endovasc Surg, Boston, MA 02115 USA.
-
- Liang, Patric (författare)
- Harvard Med Sch, Beth Israel Deaconess Med Ctr, Div Vasc & Endovasc Surg, Boston, MA 02115 USA.
-
- Schermerhorn, Marc (författare)
- St Elizabeth Hosp, Div Vasc Surg, Brighton, MA USA.
-
- Conrad, Mark F. (författare)
- Kaiser Permanente, Div Vasc Surg, Fontana, CA USA.
-
- Hsu, Jeffrey H. (författare)
- Kaiser Permanente, Div Vasc Surg, Fontana, CA USA.
-
- Patel, Rhusheet (författare)
- Univ Calif Los Angeles, David Geffen Sch Med, Dept Surg, Div Vasc Surg & Endovasc Therapy, Los Angeles, CA 90095 USA.
-
- Lee, Jason T. (författare)
- Stanford Univ, Med Ctr, Dept Surg, Div Vasc Surg, Stanford, CA 94305 USA.
-
- Liapis, Christos D. (författare)
- Natl & Kapodistrian Univ Athens, Attikon Univ Hosp, Dept Vasc Surg, Athens, Greece.
-
- Moulakakis, Konstantinos G. (författare)
- Natl & Kapodistrian Univ Athens, Attikon Univ Hosp, Dept Vasc Surg, Athens, Greece.
-
- Farber, Mark A. (författare)
- Univ N Carolina, Dept Surg, Div Vasc Surg, Chapel Hill, NC USA.
-
- Motta, Fernando (författare)
- Univ N Carolina, Dept Surg, Div Vasc Surg, Chapel Hill, NC USA.
-
- Ricco, Jean-Baptiste (författare)
- Univ Poitiers Med Sch, Dept Clin Res, Poitiers, France.
-
- Bath, Jonathan (författare)
- Univ Missouri, Cardiovasc Surg Clin, Columbia, MO USA.
-
- Coselli, Joseph S. (författare)
- Baylor Coll Med, Michael E DeBakey Dept Surg, Div Cardiothorac Surg, Houston, TX 77030 USA.
-
- Aziz, Faisal (författare)
- Penn State Hlth Heart & Vasc Inst, Div Vasc Surg, Hershey, PA USA.
-
- Coleman, Dawn M. (författare)
- Univ Michigan, Dept Surg, Sect Vasc Surg, Ann Arbor, MI 48109 USA.
-
- Davis, Frank M. (författare)
- Univ Michigan, Dept Surg, Sect Vasc Surg, Ann Arbor, MI 48109 USA.
-
- Fatima, Javairiah (författare)
- Georgetown Univ, MedStar Heart & Vasc Inst, Washington, DC USA.
-
- Irshad, Ali (författare)
- Tufts Univ, Sch Med, Cardiovasc Ctr Tufts Med Ctr, Boston, MA 02111 USA.
-
- Shalhub, Sherene (författare)
- Univ Washington, Sch Med, Dept Surg, Div Vasc Surg, Seattle, WA 98195 USA.
-
- Kakkos, Stavros (författare)
- Univ Patras, Dept Vasc Surg, Med Sch, Patras, Greece.
-
- Zhang, Qianzi (författare)
- Baylor Coll Med, Michael E DeBakey Dept Surg, Div Vasc & Endovasc Therapy, One Baylor Plaza,BCM 390, Houston, TX 77030 USA.
-
- Lawrence, Peter F. (författare)
- Univ Calif Los Angeles, David Geffen Sch Med, Dept Surg, Div Vasc Surg & Endovasc Therapy, Los Angeles, CA 90095 USA.
-
- Woo, Karen (författare)
- Univ Calif Los Angeles, David Geffen Sch Med, Dept Surg, Div Vasc Surg & Endovasc Therapy, Los Angeles, CA 90095 USA.
-
- Chung, Jayer (författare)
- Baylor Coll Med, Michael E DeBakey Dept Surg, Div Vasc & Endovasc Therapy, One Baylor Plaza,BCM 390, Houston, TX 77030 USA.
-
visa färre...
-
Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA Univ Florida, Dept Surg, Div Vasc Surg, Gainesville, FL USA. (creator_code:org_t)
- Elsevier, 2022
- 2022
- Engelska.
-
Ingår i: Journal of Vascular Surgery. - : Elsevier. - 0741-5214 .- 1097-6809. ; 76:2, s. 546-
- Relaterad länk:
-
https://urn.kb.se/re...
-
visa fler...
-
https://doi.org/10.1...
-
visa färre...
Abstract
Ämnesord
Stäng
- Objective: The optimal revascularization modality following complete resection of aortic graft infection (AGI) without enteric involvement remains unclear. The purpose of this investigation is to determine the revascularization approach associated with the lowest morbidity and mortality using real-world data in patients undergoing complete excision of AGI. Methods: A retrospective, multi-institutional study of AGI from 2002 to 2014 was performed using a standardized database. Baseline demographics, comorbidities, and perioperative variables were recorded. The primary outcome was infection-free survival. Descriptive statistics, Kaplan-Meier survival analysis, and univariate and multivariable analyses were performed. Results: A total of 241 patients at 34 institutions from seven countries presented with AGI during the study period (median age, 68 years; 75% male). The initial aortic procedures that resulted in AGI were 172 surgical grafts (71%), 66 endografts (27%), and three unknown (2%). Of the patients, 172 (71%) underwent complete excision of infected aortic graft material followed by in situ (in-line) bypass (ISB), including antibiotic-treated prosthetic graft (35%), autogenous femoral vein (neo-aortoiliac surgery) (24%), and cryopreserved allograft (41%). Sixty-nine patients (29%) underwent extra-anatomic bypass (EAB). Overall median Kaplan-Meier estimated survival was 5.8 years. Perioperative mortality was 16%. When stratified by ISB vs EAB, there was a significant difference in Kaplan-Meier estimated infection-free survival (2910 days; interquartile range, 391-3771 days vs 180 days; interquartile range, 27-3750 days; P <.001). There were otherwise no significant differences in presentation, comorbidities, or perioperative variables. Multivariable Cox regression showed lower infection-free survival among patients with EAB (hazard ratio [HR], 2.4; 95% confidence interval [CI], 1.6-3.6; P <.001), polymicrobial infection (HR, 2.2; 95% CI, 1.4-3.5; P = .001), methicillin-resistant Staphylococcus aureus infection (HR, 1.7; 95% CI, 1.1-2.7; P = .02), as well as the protective effect of omental/muscle flap coverage (HR, 0.59; 95% CI, 0.37-0.92; P = .02). Conclusions: After complete resection of AGI, perioperative mortality is 16% and median overall survival is 5.8 years. EAB is associated with nearly a two and one-half-fold higher reinfection/mortality compared with ISB. Omental and/or muscle flap coverage of the repair appear protective.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Antibiotic-soaked Dacron
- Aortic graft infection
- Axillofemoral bypass
- Cryopreserved allograft
- Extra-anatomic bypass
- In situ bypass
- Neo-aortoiliac surgery (NAIS)
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Janko, Matthew R ...
-
Hubbard, Grant
-
Back, Martin
-
Shah, Samir K.
-
Pomozi, Eniko
-
Szeberin, Zoltan
-
visa fler...
-
DeMartino, Randa ...
-
Wang, Linda J.
-
Crofts, Sarah
-
Belkin, Michael
-
Davila, Victor J ...
-
Lemmon, Gary W.
-
Wang, Shihuan K.
-
Czerny, Martin
-
Kreibich, Maximi ...
-
Humphries, Misty ...
-
Shutze, William
-
Joh, Jin Hyun
-
Cho, Sungsin
-
Behrendt, Christ ...
-
Setacci, Carlo
-
Hacker, Robert, ...
-
Sobreira, Marcon ...
-
Yoshida, Winston ...
-
D'Oria, Mario
-
Lepidi, Sandro
-
Chiesa, Roberto
-
Kahlberg, Andrea
-
Go, Michael R.
-
Rizzo, Anthony N ...
-
Black, James H.
-
Magee, Gregory A ...
-
Elsayed, Ramsey
-
Baril, Donald T.
-
Beck, Adam W.
-
McFarland, Graem ...
-
Gavali, Hamid
-
Wanhainen, Ander ...
-
Kashyap, Vikram ...
-
Stoecker, Jordan ...
-
Wang, Grace J.
-
Zhou, Wei
-
Fujimura, Naoki
-
Obara, Hideaki
-
Wishy, Andrew M.
-
Bose, Saideep
-
Smeds, Matthew
-
Liang, Patric
-
Schermerhorn, Ma ...
-
Conrad, Mark F.
-
Hsu, Jeffrey H.
-
Patel, Rhusheet
-
Lee, Jason T.
-
Liapis, Christos ...
-
Moulakakis, Kons ...
-
Farber, Mark A.
-
Motta, Fernando
-
Ricco, Jean-Bapt ...
-
Bath, Jonathan
-
Coselli, Joseph ...
-
Aziz, Faisal
-
Coleman, Dawn M.
-
Davis, Frank M.
-
Fatima, Javairia ...
-
Irshad, Ali
-
Shalhub, Sherene
-
Kakkos, Stavros
-
Zhang, Qianzi
-
Lawrence, Peter ...
-
Woo, Karen
-
Chung, Jayer
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Klinisk medicin
-
och Kirurgi
- Artiklar i publikationen
-
Journal of Vascu ...
- Av lärosätet
-
Uppsala universitet