دورية أكاديمية
Outcome in Patients after Autologous Femoral Vein Reconstruction for Primary Aortic Infection and Aortic Graft Infection: A Case Series.
| العنوان: | Outcome in Patients after Autologous Femoral Vein Reconstruction for Primary Aortic Infection and Aortic Graft Infection: A Case Series. |
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| المؤلفون: | Kouijzer IJE; Department of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands. Electronic address: Ilse.Kouijzer@radboudumc.nl., Van der Jagt MFP; Department of Vascular Surgery, Radboud University Medical Center, Nijmegen, The Netherlands., Bleeker-Rovers CP; Department of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands., Dirven M; Department of Vascular Surgery, Radboud University Medical Center, Nijmegen, The Netherlands., de Mast Q; Department of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands., Poyck PP; Department of Vascular Surgery, Radboud University Medical Center, Nijmegen, The Netherlands. |
| المصدر: | Annals of vascular surgery [Ann Vasc Surg] 2022 Jul; Vol. 83, pp. 240-250. Date of Electronic Publication: 2021 Dec 18. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 8703941 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1615-5947 (Electronic) Linking ISSN: 08905096 NLM ISO Abbreviation: Ann Vasc Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2007->: Netherlands : Elsevier Original Publication: Detroit : [Published by Expansion scientifique française for Annals of Vascular Surgery, Inc. and Association pour la promotion de la chirurgie vasculaire, Paris, c1986- |
| مواضيع طبية MeSH: | Blood Vessel Prosthesis Implantation*/adverse effects , Prosthesis-Related Infections*/diagnostic imaging , Prosthesis-Related Infections*/etiology , Prosthesis-Related Infections*/surgery, Aorta/diagnostic imaging ; Aorta/surgery ; Blood Vessel Prosthesis/adverse effects ; Femoral Vein/surgery ; Femoral Vein/transplantation ; Humans ; Reoperation ; Retrospective Studies ; Treatment Outcome |
| مستخلص: | Background: For surgical treatment of primary aortic infection and aortic graft infection, in situ reconstruction with autologous vein(s) has the lowest rates of re-infection and of graft thrombosis. In this study, we have assessed the outcome after autologous femoral vein reconstruction in patients with aortic (graft) infection and we provide insights into the specific technical surgical considerations of the procedure. Methods: In this retrospective single-center study, all patients who underwent autologous femoral vein reconstruction because of primary aortic infection or aortic graft infection between January 2012 and January 2020 were included. The primary outcome parameter was 30-day mortality. Results: Twenty-nine patients with autologous femoral vein reconstruction for a primary aortic infection (n = 3) or aortic graft infection (n = 26) were included. An aorto-enteral fistula was detected in 13 patients (49%). Venous reconstruction of the aorta was performed with a single femoral vein in 17 patients (59%), and two femoral veins in 12 patients (41%). Thirty-day mortality was 17%. Relapse of infection occurred in two patients (7%) and no amputations were needed. One year after surgery, only three patients (10%) still needed stockings and after 2 years none of the patients used stockings. Conclusions: Central aortic reconstruction with femoral veins is a durable solution for primary aortic and aortoiliac graft infections with a low incidence of reinfections, amputations, and venous hypertension. (Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20211221 Date Completed: 20220628 Latest Revision: 20220628 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.avsg.2021.11.012 |
| PMID: | 34933108 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1615-5947 |
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| DOI: | 10.1016/j.avsg.2021.11.012 |