A Meta-Analysis of Outcomes After In Situ Reconstructions for Aortic Graft Infection

Batt, Michel; Feugier, Patrick; Camou, Fabrice; Coffy, Amandine; Senneville, É.; Caillon, Jocelyne; Calvet, Brigitte; Chidiac, Christian; Laurent, Frédéric; Revest, Matthieu; Daurès, Jean Pierre

doi:10.1177/0003319717710114

Cited by 77 publications

(73 citation statements)

References 64 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…14e17 In a recent meta-analysis, the risk of re-infection has been studied according to different infecting micro-organisms. 17 Staphylococcus aureus, Enterobacteriaceae, Pseudomonas aeruginosa, and beta haemolytic streptococci were classified as virulent, while bacteria belonging to the skin colonising flora such as Staphylococcus epidermidis, corynebacterial, and Cutibacterium acnes were classified as non-virulent agents. The results of this meta-analysis established that virulent organisms were significantly associated with an increased risk of re-infection.…”

Section: Szilagyi Classificationmentioning

confidence: 99%

“…Low amputation rates and high patency rates are reported (Table 10). 17,163 There is no comparison between different silver coatings. Only one study (n ¼ 10 patients) has reported the effect of elemental silver graft for ISR in the aorto-iliac position, and describing one re-infection.…”

Section: Clinical Presentationmentioning

confidence: 99%

“…For large perigraft abscesses and MRSA infections, EAR and removal of the infected graft may be considered. 17,146,151,176,177,180 7.2.5. Partial or total excision of the material.…”

Section: Clinical Presentationmentioning

confidence: 99%

“…Abdominal aortic VGEI are some of the most challenging and highly morbid conditions to treat, with an early mortality rate ranging from 16% to 22%, an amputation rate ranging from 3% to 18%, and a re-infection rate of 6% e 20%. 17,137 However, late mortality is not assessable owing to insufficient data, a wide range of follow up, and the use of different types of conduit. Because it is a rare condition, studies include all kind of abdomino-iliac or aortofemoral graft reconstruction.…”

Section: Follow Up and Prognosismentioning

confidence: 99%

“…Mortality rates relate to: (i) the patient's condition e an American Society of Anaesthesiology score 4 and sepsis are independant risk factors for mortality, 145,154 as well as individual local presentation of infection affect the outcome; (ii) the emergency or elective setting e there is higher 30 day mortality in emergency settings; 146 (iii) the presence of an AEnF e studies that included AEnF resulted in worse outcome; 198 (iv) virulence of the micro-organisms e operative mortality rate was higher in abdominal aortic VEGI caused by virulent microorganisms. 17,144,145,156,157,180 MRSA and multiresistant strains are associated with poor outcome. 17,137,144,156,157,180 Post-operative duration of antibiotics and the variety of bacterial specimens are quite different.…”

Section: Follow Up and Prognosismentioning

confidence: 99%

See 4 more Smart Citations

Editor's Choice – European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections

Chakfé

Diener

Lejay

et al. 2020

European Journal of Vascular and Endovascular Surgery

Self Cite

336

322

View full text Add to dashboard Cite

DEDICATIONAfter studying medicine at Hanover Medical School and philosophy and social psychology at the Leibniz University Hanover, Omke E. Teebken joined the Christian Albrechts University in Kiel at the end of the 1990s as a research fellow at the Clinic for Cardiovascular Surgery headed by Professor Dr Axel Haverich, whom Omke E. Teebken later followed back to Hanover.In Hanover, besides working as a clinician, Omke E.Teebken was particularly active scientifically, contributing to the establishment of the then newly founded Leibniz Laboratories for Biotechnology and Artificial Organs (LEBAO). His work focused on regenerative medicine and tissue engineering, and subsequently he wrote his habilitation thesis in in this field. After basic training in cardiac surgery, he specialised clinically in vascular surgery and played a pioneering role in the development of this field. Before being appointed director of the Clinic for Vascular Surgery e Endovascular Surgery at the Peine Clinic in 2016, Omke E. Teebken headed the Vascular Surgery e Endovascular Surgery Division of the Department of Cardiothoracic, Thoracic, Transplantation and Vascular Surgery at Hanover Medical School. Professor Teebken was a highly appreciated, committed, and competent colleague and teacher.On 8 April 2019, Professor Teebken passed away after a short and severe illness. He was member and author of the ESVS guideline writing committee, an esteemed colleague, and friend.We will always honor his memory.

show abstract

Section: Szilagyi Classificationmentioning

confidence: 99%

Section: Clinical Presentationmentioning

confidence: 99%

“…For large perigraft abscesses and MRSA infections, EAR and removal of the infected graft may be considered. 17,146,151,176,177,180 7.2.5. Partial or total excision of the material.…”

Section: Clinical Presentationmentioning

confidence: 99%

Section: Follow Up and Prognosismentioning

confidence: 99%