Sökning: WFRF:(Davila Victor) > In-situ bypass is a...
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000 | 12361naa a2201201 4500 | |
001 | oai:DiVA.org:uu-482791 | |
003 | SwePub | |
008 | 220830s2022 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4827912 URI |
024 | 7 | a https://doi.org/10.1016/j.jvs.2022.03.8692 DOI |
040 | a (SwePub)uu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Janko, Matthew R.u Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA.4 aut |
245 | 1 0 | 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 |
264 | 1 | b Elsevier,c 2022 |
338 | a print2 rdacarrier | |
520 | a 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. | |
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 |
653 | a Antibiotic-soaked Dacron | |
653 | a Aortic graft infection | |
653 | a Axillofemoral bypass | |
653 | a Cryopreserved allograft | |
653 | a Extra-anatomic bypass | |
653 | a In situ bypass | |
653 | a Neo-aortoiliac surgery (NAIS) | |
700 | 1 | a Hubbard, Grantu Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA.4 aut |
700 | 1 | a Back, Martinu Univ Florida, Dept Surg, Div Vasc Surg, Gainesville, FL USA.4 aut |
700 | 1 | a Shah, Samir K.u Univ Florida, Dept Surg, Div Vasc Surg, Gainesville, FL USA.4 aut |
700 | 1 | a Pomozi, Enikou Semmelweis Univ, Dept Vasc & Endovasc Surg, Budapest, Hungary.4 aut |
700 | 1 | a Szeberin, Zoltanu Semmelweis Univ, Dept Vasc & Endovasc Surg, Budapest, Hungary.4 aut |
700 | 1 | a DeMartino, Randallu Mayo Clin, Div Vasc & Endovasc Surg, Rochester, MN USA.4 aut |
700 | 1 | a Wang, Linda J.u Massachusetts Gen Hosp, Dept Vasc & Endovasc Surg, Boston, MA 02114 USA.4 aut |
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700 | 1 | a Belkin, Michaelu Harvard Med Sch, Brigham & Womens Hosp, Dept Vasc & Endovasc Surg, Boston, MA 02115 USA.4 aut |
700 | 1 | a Davila, Victor J.u Mayo Clin Arizona, Div Vasc Surg, Dept Gen Surg, Phoenix, AZ USA.4 aut |
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700 | 1 | a Czerny, Martinu Univ Heart Ctr Freiburg Bad Krozingen, Dept Cardiovasc Surg, Freiburg, Germany.4 aut |
700 | 1 | a Kreibich, Maximilianu Univ Heart Ctr Freiburg Bad Krozingen, Dept Cardiovasc Surg, Freiburg, Germany.4 aut |
700 | 1 | a Humphries, Misty D.u UC Davis Hlth, Div Vasc Surg, Dept Surg, Sacramento, CA USA.4 aut |
700 | 1 | a Shutze, Williamu Heart Hosp Plano, Texas Vasc Associates, Plano, TX USA.4 aut |
700 | 1 | a Joh, Jin Hyunu Kyung Hee Univ Hosp Gangdong, Dept Surg, Div Vasc Surg, Seoul, South Korea.4 aut |
700 | 1 | a Cho, Sungsinu Univ Med Ctr Hamburg Eppendorf, Dept Vasc Med, GermanVasc Res Grp, Hamburg, Germany.4 aut |
700 | 1 | a Behrendt, Christian-Alexanderu Univ Med Ctr Hamburg Eppendorf, Dept Vasc Med, GermanVasc Res Grp, Hamburg, Germany.4 aut |
700 | 1 | a Setacci, Carlou Univ Siena, Dept Vasc & Endovasc Surg, Siena, Italy.4 aut |
700 | 1 | a Hacker, Robert, Iu Surg Arts St Louis, Div Vasc Surg, Bridgeton, MO USA.4 aut |
700 | 1 | a Sobreira, Marcone Limau Univ Estadual Paulista, Botucatu Sch Med, Dept Surg & Orthoped, Sao Paulo, Brazil.4 aut |
700 | 1 | a Yoshida, Winston Bonettiu Univ Estadual Paulista, Botucatu Sch Med, Dept Surg & Orthoped, Sao Paulo, Brazil.4 aut |
700 | 1 | a D'Oria, Mariou Univ Hosp Trieste, Cardiovasc Dept, Div Vasc & Endovasc Surg, Trieste, Italy.4 aut |
700 | 1 | a Lepidi, Sandrou Univ Hosp Trieste, Cardiovasc Dept, Div Vasc & Endovasc Surg, Trieste, Italy.4 aut |
700 | 1 | a Chiesa, Robertou Ist Sci San Raffaele, Dept Vasc Surg, Milan, Italy.4 aut |
700 | 1 | a Kahlberg, Andreau Ist Sci San Raffaele, Dept Vasc Surg, Milan, Italy.4 aut |
700 | 1 | a Go, Michael R.u Ohio State Univ, Coll Med, Dept Surg, Div Vasc Dis & Surg, Columbus, OH 43210 USA.4 aut |
700 | 1 | a Rizzo, Anthony N.u Ohio State Univ, Coll Med, Dept Surg, Div Vasc Dis & Surg, Columbus, OH 43210 USA.4 aut |
700 | 1 | a Black, James H.u Johns Hopkins Univ Hosp, Div Vasc Surg & Endovasc Therapy, Dept Surg, Baltimore, MD 21287 USA.4 aut |
700 | 1 | a Magee, Gregory A.u Univ Southern Calif, Dept Surg, Div Vasc Surg & Endovasc Therapy, Los Angeles, CA USA.4 aut |
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700 | 1 | a Beck, Adam W.u Univ Alabama Birmingham, Div Vasc Surg & Endovasc Therapy, Birmingham, AL USA.4 aut |
700 | 1 | a McFarland, Graeme E.u Univ Alabama Birmingham, Div Vasc Surg & Endovasc Therapy, Birmingham, AL USA.4 aut |
700 | 1 | a Gavali, Hamidu Uppsala universitet,Institutionen för medicinsk cellbiologi,Science for Life Laboratory, SciLifeLab,Kärlkirurgi4 aut0 (Swepub:uu)hamga922 |
700 | 1 | a Wanhainen, Andersu Uppsala universitet,Kärlkirurgi4 aut0 (Swepub:uu)anwan103 |
700 | 1 | a Kashyap, Vikram S.u Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA.4 aut |
700 | 1 | a Stoecker, Jordan B.u Hosp Univ Penn, Dept Surg, Div Vasc Surg & Endovasc Therapy, 3400 Spruce St, Philadelphia, PA 19104 USA.4 aut |
700 | 1 | a Wang, Grace J.u Hosp Univ Penn, Dept Surg, Div Vasc Surg & Endovasc Therapy, 3400 Spruce St, Philadelphia, PA 19104 USA.4 aut |
700 | 1 | a Zhou, Weiu Univ Arizona, Dept Surg, Div Vasc Surg, Tucson, AZ USA.4 aut |
700 | 1 | a Fujimura, Naokiu Keio Univ, Dept Surg, Sch Med, Shinjuku Ku, Tokyo, Japan.4 aut |
700 | 1 | a Obara, Hideakiu Brooke Army Med Ctr, Div Vasc & Endovasc Surg, San Antonio, TX USA.4 aut |
700 | 1 | a Wishy, Andrew M.u St Louis Univ, Div Vasc Surg, Dept Surg, St Louis, MO USA.4 aut |
700 | 1 | a Bose, Saideepu St Louis Univ, Div Vasc Surg, Dept Surg, St Louis, MO USA.4 aut |
700 | 1 | a Smeds, Matthewu Harvard Med Sch, Beth Israel Deaconess Med Ctr, Div Vasc & Endovasc Surg, Boston, MA 02115 USA.4 aut |
700 | 1 | a Liang, Patricu Harvard Med Sch, Beth Israel Deaconess Med Ctr, Div Vasc & Endovasc Surg, Boston, MA 02115 USA.4 aut |
700 | 1 | a Schermerhorn, Marcu St Elizabeth Hosp, Div Vasc Surg, Brighton, MA USA.4 aut |
700 | 1 | a Conrad, Mark F.u Kaiser Permanente, Div Vasc Surg, Fontana, CA USA.4 aut |
700 | 1 | a Hsu, Jeffrey H.u Kaiser Permanente, Div Vasc Surg, Fontana, CA USA.4 aut |
700 | 1 | a Patel, Rhusheetu Univ Calif Los Angeles, David Geffen Sch Med, Dept Surg, Div Vasc Surg & Endovasc Therapy, Los Angeles, CA 90095 USA.4 aut |
700 | 1 | a Lee, Jason T.u Stanford Univ, Med Ctr, Dept Surg, Div Vasc Surg, Stanford, CA 94305 USA.4 aut |
700 | 1 | a Liapis, Christos D.u Natl & Kapodistrian Univ Athens, Attikon Univ Hosp, Dept Vasc Surg, Athens, Greece.4 aut |
700 | 1 | a Moulakakis, Konstantinos G.u Natl & Kapodistrian Univ Athens, Attikon Univ Hosp, Dept Vasc Surg, Athens, Greece.4 aut |
700 | 1 | a Farber, Mark A.u Univ N Carolina, Dept Surg, Div Vasc Surg, Chapel Hill, NC USA.4 aut |
700 | 1 | a Motta, Fernandou Univ N Carolina, Dept Surg, Div Vasc Surg, Chapel Hill, NC USA.4 aut |
700 | 1 | a Ricco, Jean-Baptisteu Univ Poitiers Med Sch, Dept Clin Res, Poitiers, France.4 aut |
700 | 1 | a Bath, Jonathanu Univ Missouri, Cardiovasc Surg Clin, Columbia, MO USA.4 aut |
700 | 1 | a Coselli, Joseph S.u Baylor Coll Med, Michael E DeBakey Dept Surg, Div Cardiothorac Surg, Houston, TX 77030 USA.4 aut |
700 | 1 | a Aziz, Faisalu Penn State Hlth Heart & Vasc Inst, Div Vasc Surg, Hershey, PA USA.4 aut |
700 | 1 | a Coleman, Dawn M.u Univ Michigan, Dept Surg, Sect Vasc Surg, Ann Arbor, MI 48109 USA.4 aut |
700 | 1 | a Davis, Frank M.u Univ Michigan, Dept Surg, Sect Vasc Surg, Ann Arbor, MI 48109 USA.4 aut |
700 | 1 | a Fatima, Javairiahu Georgetown Univ, MedStar Heart & Vasc Inst, Washington, DC USA.4 aut |
700 | 1 | a Irshad, Aliu Tufts Univ, Sch Med, Cardiovasc Ctr Tufts Med Ctr, Boston, MA 02111 USA.4 aut |
700 | 1 | a Shalhub, Shereneu Univ Washington, Sch Med, Dept Surg, Div Vasc Surg, Seattle, WA 98195 USA.4 aut |
700 | 1 | a Kakkos, Stavrosu Univ Patras, Dept Vasc Surg, Med Sch, Patras, Greece.4 aut |
700 | 1 | a Zhang, Qianziu Baylor Coll Med, Michael E DeBakey Dept Surg, Div Vasc & Endovasc Therapy, One Baylor Plaza,BCM 390, Houston, TX 77030 USA.4 aut |
700 | 1 | a Lawrence, Peter F.u Univ Calif Los Angeles, David Geffen Sch Med, Dept Surg, Div Vasc Surg & Endovasc Therapy, Los Angeles, CA 90095 USA.4 aut |
700 | 1 | a Woo, Karenu Univ Calif Los Angeles, David Geffen Sch Med, Dept Surg, Div Vasc Surg & Endovasc Therapy, Los Angeles, CA 90095 USA.4 aut |
700 | 1 | a Chung, Jayeru Baylor Coll Med, Michael E DeBakey Dept Surg, Div Vasc & Endovasc Therapy, One Baylor Plaza,BCM 390, Houston, TX 77030 USA.4 aut |
710 | 2 | a Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA.b Univ Florida, Dept Surg, Div Vasc Surg, Gainesville, FL USA.4 org |
773 | 0 | t Journal of Vascular Surgeryd : Elsevierg 76:2, s. 546-q 76:2<546-x 0741-5214x 1097-6809 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-482791 |
856 | 4 8 | u https://doi.org/10.1016/j.jvs.2022.03.869 |
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