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  • Gavali, HamidUppsala University,Uppsala universitet,Kärlkirurgi,Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden (author)

Semi-Conservative Treatment Versus Radical Surgery in Abdominal Aortic Graft and Endograft Infections

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • Elsevier,2023
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-514076
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-514076URI
  • https://doi.org/10.1016/j.ejvs.2023.06.019DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-212840URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-198385URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:153818828URI
  • https://lup.lub.lu.se/record/4338375c-a6d6-453f-9a99-18941c7c5e37URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Objective: Abdominal aortic graft and endograft infections (AGIs) are rare complications following aortic surgery. Radical surgery (RS) with resection of the infected graft and reconstruction with extra-anatomical bypass or in situ reconstruction is the preferred therapy. For patients unfit for RS, a semi-conservative (SC), graft preserving strategy is possible. This paper aimed to compare survival and infection outcomes between RS and SC treatment for AGI in a nationwide cohort.Methods: Patients with abdominal AGI related surgery in Sweden between January 1995 and May 2017 were identified. The Management of Aortic Graft Infection Collaboration (MAGIC) criteria were used for the definition of AGI. Multivariable regression was performed to identify factors associated with mortality.Results: One hundred and sixty-nine patients with surgically treated abdominal AGI were identified, comprising 43 SC (14 endografts; 53% with a graft enteric fistula [GEF] in total) and 126 RS (26 endografts; 50% with a GEF in total). The SC cohort was older and had a higher frequency of cardiac comorbidities. There was a non-significant trend towards lower Kaplan -Meier estimated five year survival for SC vs. RS (30.2% vs. 48.4%; p = .066). A non-significant trend was identified towards worse Kaplan -Meier estimated five year survival for SC patients with a GEF vs. without a GEF (21.7% vs. 40.1%; p = .097). There were significantly more recurrent graft infections comparing SC with RS (45.4% vs. 19.3%; p < .001). In a Cox regression model adjusting for confounders, there was no difference in five year survival comparing SC vs. RS (HR 1.0, 95% CI 0.6 -1.5).Conclusion: In this national AGI cohort, there was no mortality difference comparing SC and RS for AGI when adjusting for comorbidities. Presence of GEF probably negatively impacts survival outcomes of SC patients. Rates of recurrent infection remain high for SC treated patients.

Subject headings and genre

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  • Mani, Kevin,1975-Uppsala University,Uppsala universitet,Kärlkirurgi,Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden(Swepub:uu)kevma940 (author)
  • Furebring, MiaUppsala University,Uppsala universitet,Infektionsmedicin,Department of Medical Sciences, Section of Infectious Diseases, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden(Swepub:uu)miafureb (author)
  • Olsson, Karl Wilhelm,1985-Uppsala University,Uppsala universitet,Kärlkirurgi,Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden(Swepub:uu)karol118 (author)
  • Lindström, DavidUppsala University,Uppsala universitet,Kärlkirurgi,Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden(Swepub:uu)davli314 (author)
  • Sörelius, KarlRigshospitalet, Dept Vasc Surg, Copenhagen, Denmark.,Department of Vascular Surgery, Rigshospitalet, Copenhagen, Denmark; and Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark,Copenhagen University Hospital (author)
  • Sigvant, BirgittaUppsala University,Uppsala universitet,Kärlkirurgi,Karlstad Cent Hosp, Dept Vasc Surg, Karlstad, Sweden.,Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden; Department of Vascular Surgery, Karlstad Central Hospital, Karlstad, Sweden,Uppsala Univ, Sweden; Karlstad Cent Hosp, Sweden(Swepub:uu)birsi511 (author)
  • Torstensson, GustavHelsingborg Hosp, Dept Surg, Helsingborg, Sweden.,Department of Surgery, Helsingborg Regional Hospital, Helsingborg, Sweden(Swepub:lu)gu8201to (author)
  • Andersson, ManneLinköping University,Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Cty Hosp Ryhov, Sweden,Ryhov County Hospital, Jönköping(Swepub:liu)manan92 (author)
  • Forssell, ClaesLinköping Univ Hosp, Dept Cardiovasc Surg, Div Vasc Surg, Linköping, Sweden.,Department of Cardiovascular Surgery, Division of Vascular Surgery, Linköping University Hospital, Linköping, Sweden,Region Östergötland, Thorax-kärlkliniken i Östergötland(Swepub:liu)n/a (author)
  • Åstrand, HåkanCty Hosp Ryhov, Dept Surg, Jönköping, Sweden.,Department of Surgery, County Hospital Ryhov, Ryhov, Jönköping County, Sweden (author)
  • Lundström, TobiasEskilstuna Hosp, Dept Surg & Urol, Eskilstuna, Sweden.,Department of Surgery and Urology, Eskilstuna Hospital, Eskilstuna, Sweden (author)
  • Khan, ShahzadLund Univ, Malmö Univ Hosp, Dept Surg, Malmö, Sweden.,Department of Surgery, Malmö University Hospital, Lund University, Malmö, Sweden,Skåne University Hospital (author)
  • Sonesson, BjörnLund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups,Skåne University Hospital(Swepub:lu)kir-bso (author)
  • Stackelberg, OttoKarolinska Institute (author)
  • Gillgren, PeterKarolinska Institute,Karolinska Institutet,Stockholm South General Hospital (author)
  • Isaksson, JonUmeå University,Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,Umeå Univ, Dept Surg & Perioperat Sci, Umeå, Sweden.(Swepub:umu)jois0027 (author)
  • Kragsterman, BjörnUppsala University,Uppsala universitet,Kärlkirurgi,Västerås Hosp, Dept Surg, Västerås, Sweden.,Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden; Department of Surgery, Västerås Central Hospital, Västerås, Sweden,Uppsala Univ, Sweden; Vasteras Hosp, Sweden,Västmanland Hospital(Swepub:uu)bjkra123 (author)
  • Gidlund, Khatereh DjavaniÖrebro University (author)
  • Horer, TalÖrebro University (author)
  • Sadeghi, MitraÖrebro University (author)
  • Wanhainen, AndersUppsala University,Umeå University,Uppsala universitet,Kärlkirurgi,Umeå Univ, Dept Surg & Perioperat Sci, Umeå, Sweden.,Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden; Umea Univ, Sweden(Swepub:uu)anwan103 (author)
  • Uppsala universitetKärlkirurgi (creator_code:org_t)

Related titles

  • In:European Journal of Vascular and Endovascular Surgery: Elsevier66:3, s. 397-4061078-58841532-2165

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