Sökning: onr:"swepub:oai:DiVA.org:uu-514076" > Semi-Conservative T...
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000 | 09681naa a2200877 4500 | |
001 | oai:DiVA.org:uu-514076 | |
003 | SwePub | |
008 | 231013s2023 | |||||||||||000 ||eng| | |
009 | oai:DiVA.org:umu-212840 | |
009 | oai:DiVA.org:liu-198385 | |
009 | oai:prod.swepub.kib.ki.se:153818828 | |
009 | oai:lup.lub.lu.se:4338375c-a6d6-453f-9a99-18941c7c5e37 | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5140762 URI |
024 | 7 | a https://doi.org/10.1016/j.ejvs.2023.06.0192 DOI |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-2128402 URI |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1983852 URI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1538188282 URI |
024 | 7 | a https://lup.lub.lu.se/record/4338375c-a6d6-453f-9a99-18941c7c5e372 URI |
040 | a (SwePub)uud (SwePub)umud (SwePub)liud (SwePub)kid (SwePub)lu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Gavali, Hamidu Uppsala University,Uppsala universitet,Kärlkirurgi,Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden4 aut0 (Swepub:uu)hamga922 |
245 | 1 0 | a Semi-Conservative Treatment Versus Radical Surgery in Abdominal Aortic Graft and Endograft Infections |
264 | 1 | b Elsevier,c 2023 |
338 | a electronic2 rdacarrier | |
520 | a 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. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng |
653 | a Aortic graft infection | |
653 | a Multicentre | |
653 | a Nationwide | |
653 | a Radical surgery | |
653 | a Semi-conservative | |
653 | a Aortic graft infection | |
653 | a Multicentre | |
653 | a Nationwide | |
653 | a Radical surgery | |
653 | a Semi-conservative | |
700 | 1 | a Mani, Kevin,d 1975-u Uppsala University,Uppsala universitet,Kärlkirurgi,Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden4 aut0 (Swepub:uu)kevma940 |
700 | 1 | a Furebring, Miau Uppsala University,Uppsala universitet,Infektionsmedicin,Department of Medical Sciences, Section of Infectious Diseases, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden4 aut0 (Swepub:uu)miafureb |
700 | 1 | a Olsson, Karl Wilhelm,d 1985-u Uppsala University,Uppsala universitet,Kärlkirurgi,Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden4 aut0 (Swepub:uu)karol118 |
700 | 1 | a Lindström, Davidu Uppsala University,Uppsala universitet,Kärlkirurgi,Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, Uppsala, Sweden,Uppsala Univ, Sweden4 aut0 (Swepub:uu)davli314 |
700 | 1 | a Sörelius, Karlu Rigshospitalet, 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 Hospital4 aut |
700 | 1 | a Sigvant, Birgittau Uppsala 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, Sweden4 aut0 (Swepub:uu)birsi511 |
700 | 1 | a Torstensson, Gustavu Helsingborg Hosp, Dept Surg, Helsingborg, Sweden.,Department of Surgery, Helsingborg Regional Hospital, Helsingborg, Sweden4 aut0 (Swepub:lu)gu8201to |
700 | 1 | a Andersson, Manneu Linköping University,Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Cty Hosp Ryhov, Sweden,Ryhov County Hospital, Jönköping4 aut0 (Swepub:liu)manan92 |
700 | 1 | a Forssell, Claesu Linköping 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 Östergötland4 aut0 (Swepub:liu)n/a |
700 | 1 | a Åstrand, Håkanu Cty Hosp Ryhov, Dept Surg, Jönköping, Sweden.,Department of Surgery, County Hospital Ryhov, Ryhov, Jönköping County, Sweden4 aut |
700 | 1 | a Lundström, Tobiasu Eskilstuna Hosp, Dept Surg & Urol, Eskilstuna, Sweden.,Department of Surgery and Urology, Eskilstuna Hospital, Eskilstuna, Sweden4 aut |
700 | 1 | a Khan, Shahzadu Lund Univ, Malmö Univ Hosp, Dept Surg, Malmö, Sweden.,Department of Surgery, Malmö University Hospital, Lund University, Malmö, Sweden,Skåne University Hospital4 aut |
700 | 1 | a Sonesson, Björnu Lund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)kir-bso |
700 | 1 | a Stackelberg, Ottou Karolinska Institute4 aut |
700 | 1 | a Gillgren, Peteru Karolinska Institute,Karolinska Institutet,Stockholm South General Hospital4 aut |
700 | 1 | a Isaksson, Jonu Umeå University,Umeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,Umeå Univ, Dept Surg & Perioperat Sci, Umeå, Sweden.4 aut0 (Swepub:umu)jois0027 |
700 | 1 | a Kragsterman, Björnu Uppsala 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 Hospital4 aut0 (Swepub:uu)bjkra123 |
700 | 1 | a Gidlund, Khatereh Djavaniu Örebro University4 aut |
700 | 1 | a Horer, Talu Örebro University4 aut |
700 | 1 | a Sadeghi, Mitrau Örebro University4 aut |
700 | 1 | a Wanhainen, Andersu Uppsala 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, Sweden4 aut0 (Swepub:uu)anwan103 |
710 | 2 | a Uppsala universitetb Kärlkirurgi4 org |
773 | 0 | t European Journal of Vascular and Endovascular Surgeryd : Elsevierg 66:3, s. 397-406q 66:3<397-406x 1078-5884x 1532-2165 |
856 | 4 | u https://doi.org/10.1016/j.ejvs.2023.06.019y Fulltext |
856 | 4 | u https://uu.diva-portal.org/smash/get/diva2:1804783/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
856 | 4 | u https://umu.diva-portal.org/smash/get/diva2:1787854/FULLTEXT02.pdfx primaryx Raw objecty fulltext:print |
856 | 4 | u https://liu.diva-portal.org/smash/get/diva2:1803777/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
856 | 4 | u http://dx.doi.org/10.1016/j.ejvs.2023.06.019x freey FULLTEXT |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-514076 |
856 | 4 8 | u https://doi.org/10.1016/j.ejvs.2023.06.019 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-212840 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-198385 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:153818828 |
856 | 4 8 | u https://lup.lub.lu.se/record/4338375c-a6d6-453f-9a99-18941c7c5e37 |
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