Neoaortoiliac system in treating aortic graft infections: a single center long-term experience and review of the literature

Castronovo, E.; Bissacco, Daniele; Trimarchi, Santi; Mezzetti, Roberto

doi:10.23736/s0021-9509.22.12063-x

Cited by 2 publications

(2 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Their findings indicated a 30-day mortality rate of 25%, attributed to post-operative complications. While one case showed persistence of infection, the complete graft patency rate was 100% [26].…”

Section: Discussionmentioning

confidence: 90%

Aortic Endograft Infections: A Race against Time

Suárez-Gómez,

Portilla-Rojas,

Rodríguez

et al. 2024

Complications

View full text Add to dashboard Cite

Abdominal aortic aneurysms (AAAs) are a highly asymptomatic vascular pathology with an increasing risk of rupture, leading to high mortality. Upon detection, treatment primarily involves lifestyle changes to slow the growth rate. Aneurysm rupture requires immediate surgical intervention due to its high mortality. Endovascular aneurysm repair (EVAR) is a common treatment option, involving stent placement at the aneurysm site. However, the stent is a foreign body; therefore, it is susceptible to immune response and infection. This case series presents patients with infected endovascular stents following a diagnosis of abdominal infrarenal aortic aneurysm and EVAR. The patients’ follow-ups revealed varying prognoses, complications, and treatments post-infection. These findings are compared with outcomes reported in the medical literature. Preventing aortic stent graft infection through proper aseptic techniques is crucial. This practice reduces patient complications, shortens inpatient hospice stays, and, most importantly, enhances patient quality of life.

show abstract

Section: Discussionmentioning

confidence: 90%

Aortic Endograft Infections: A Race against Time

Suárez-Gómez,

Portilla-Rojas,

Rodríguez

et al. 2024

Complications

View full text Add to dashboard Cite

show abstract

“…This usually involves explantation of the previously implanted material, exclusion of the fistula and open surgical aortic reconstruction or aortic ligation and extra-anatomical bypass. In cases of life-threatening bleeding, deployment of a stent-graft inside the aorta can be considered a bridging operation in order to achieve hemodynamic stabilization of the patient [ 7 , 8 , 9 , 10 ]. However, data concerning durability during follow-up and postoperative complications are still inconclusive when it comes to type of reconstruction and material used.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Secondary Aortoenteric Fistulas Following AORTIC Aneurysm Repair in a Tertiary Reference Center

Oikonomou

Pfister

Kasprzak

et al. 2022

JCM

View full text Add to dashboard Cite

Objectives: To present our experience with various therapeutic approaches for the treatment of secondary aortoenteric fistulas following open and endovascular aortic aneurysm repair. Methods and Materials: A retrospective data analysis of patients treated for secondary aortoenteric fistulas in a single vascular institution between January 2005 and December 2018 was performed. Analyzed parameters included patients’ demographics, clinical presentation, diagnostic work-up, perioperative data and repair durability during follow-up. Results: Twenty-three patients with aortoenteric fistulas were treated in the target period. The fistulous connection was located in 21 cases (91.3%) in the duodenum and in two cases (8.7%) in the small intestine. Average time between the initial procedure and detection of the aortoenteric fistula was 69.4 ± 72.5 months. The most common presenting symptom was gastrointestinal bleeding (n = 12, 52.2%), followed by symptoms suggestive of chronic infection (n = 11, 47.8%). Open surgical repair was performed in 19 patients (bridging in 3 patients), and endovascular repair was carried out in two cases and one patient underwent a hybrid operation. One patient underwent abscess drainage due to significant comorbidities. Mean follow-up was 35.1 ± 35.5 months. In-hospital mortality and overall mortality were 43.5% (10/23) and 65.2% (15/23), respectively. Patients presenting with bleeding had a significantly higher perioperative mortality rate in comparison to patients presenting with chronic infection (66.7% (8/12) and 18.2% (2/11), respectively, p = 0.019). Patients who underwent stent-graft implantation for control of acute life-threatening bleeding showed significantly better perioperative survival in comparison to patients that were acutely treated with an open procedure (66.6%, (4/6) and 0% (0/6), respectively, p = 0.014). Perioperative mortality was also higher for ASA IV patients (71.4%, 5/7), when compared to ASA III Patients (31.2%, 5/16), although this did not reach statistical significance (p = 0.074). Conclusion: Treatment of secondary aortoenteric fistulas is associated with a high perioperative mortality rate. Patients who survive the perioperative period following open surgical repair in the absence of hemorrhagic shock show acceptable midterm results during follow-up. Stent-graft implantation for bleeding control in patients presenting with life-threatening bleeding seems to be associated with lower perioperative mortality rates.

show abstract

Neoaortoiliac system in treating aortic graft infections: a single center long-term experience and review of the literature

Cited by 2 publications

References 29 publications

Aortic Endograft Infections: A Race against Time

Aortic Endograft Infections: A Race against Time

Treatment of Secondary Aortoenteric Fistulas Following AORTIC Aneurysm Repair in a Tertiary Reference Center

Contact Info

Product

Resources

About