Revascularization with Obturator or Hemi-neoaortoiliac System for Partial Aortic Graft Infections

Phang, David; Smeds, Matthew R.; Abate, Matthew R.; Ali, Ahsan T.; Long, Becky; Rahimi, Maham; Giglia, Joseph S.; Bath, Jonathan

doi:10.1016/j.avsg.2018.06.012

Cited by 10 publications

(5 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…186 Limited resection of only infected material and reconstruction by obturator canal bypass (n ¼ 18) or part of a bifurcated graft (n ¼ 34) was also proposed with reinfection rates of 6% and 0%, respectively, and no amputation at 36 months. 187 Other series reported a 47% (n ¼ 7/ 15 patients) infection rate of the contralateral limb after 39 months, when partial resection of an aortobifemoral VGI and EAR was performed. 188 Overall mortality was 40% and similar between patients with or without recurrent graft infections.…”

Section: Clinical Presentationmentioning

confidence: 95%

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

334

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: Clinical Presentationmentioning

confidence: 95%

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

334

322

View full text Add to dashboard Cite

show abstract

“…This may affect the prognosis of AGI patients, and thus, more high-quality studies are necessary. A few studies indicated that partial graft removal is acceptable when the infected region is small and localized, with the remaining graft being stable [ 26 , 27 , 28 ]. However, partial graft removal should only be considered when patients are not eligible for total graft removal plus ISR.…”

Section: Discussionmentioning

confidence: 99%

Management and Clinical Outcome of Aortic Graft Infections: A Single-Center Retrospective Study

Weng

Jin

et al. 2022

JCM

View full text Add to dashboard Cite

Background: This study aimed to evaluate the outcome of various treatment options for aortic graft infection (AGI) patients and identify factors affecting their prognosis. Methods: The data of AGI patients from January 2008 to December 2019 were retrospectively collected and analyzed. The primary endpoints were 30-day mortality and perioperative complication-related morbidity; the secondary endpoints were re-infection (RI) rates, primary and secondary graft patency, overall mortality, duration of antibiotic therapy, and the number of antibiotic types used in treatment. Results: There was no significant difference in the 30-day mortality and perioperative-related complications between the conservative treatment, in-situ reconstruction (ISR), and extra-anatomic reconstruction (EAR) groups. The ISR group had lower re-infection rates and better overall survival rates than the EAR and conservative treatment groups. Different bypass graft conduits had no significant influence on the RI rate or primary and secondary graft patency. AGI patients infected with high-virulence pathogens had higher RI and overall mortality rates than those infected with low virulence pathogens, but this was not statistically significant. Initial procedures prior to the AGI also had no influence on the prognosis of AGI patients. Patients undergoing ISR or EAR surgery received antibiotic therapy for a longer duration than patients undergoing conservative treatment. Patients without RI received more types of antibiotics than patients with RI. Conclusions: ISR had lower RI rates and better overall survival rates than EAR and conservative treatment and may be a better choice for patients with AGI. Several factors were found to have no influence on patients’ prognosis however, further studies are required.

show abstract

“…Femoropopliteal vein harvesting is associated with an increased operation time and postoperative complications, such as leg hematoma, infection, and chronic leg edema due to venous hypertension. 11,12 Because of the limitations with in situ bypass using autologous vein grafts, extra-anatomical bypass is preferred.…”

Section: Discussionmentioning

confidence: 99%

Obturator bypass using a ringed polytetrafluoroethylene graft for inguinal graft infection

et al. 2020

View full text Add to dashboard Cite

Objective Inguinal vascular graft infections are high-risk events that cannot be controlled medically but require surgical intervention. This study reviewed the long-term clinical outcomes of obturator bypass using a ringed polytetrafluoroethylene graft for inguinal graft infection. Methods A total of eight consecutive patients who underwent obturator bypass using a ringed polytetrafluoroethylene graft for inguinal prosthetic graft infection at a single medical center between January 2006 and October 2017 were retrospectively analyzed. The demographics, clinical characteristics, surgical procedure, and clinical outcomes were evaluated. Results There was no perioperative death; however, there were three operative complications. On the 1st and 9th postoperative day, two patients underwent hematoma evacuation in the pelvic cavity, and the other patient underwent suture reinforcement for partial dehiscence of the distal anastomosis on the 49th postoperative day. The median length of hospital stay was 14.5 (range, 7–29) days. Only one graft occlusion was observed at postoperative month 40; however, there were no ischemic symptoms. There were no limb amputations and postoperative deaths during the long-term follow-up period. There were no infections of the previous residual and obturator bypass grafts and inguinal infection during the follow-up period of 49 (range, 7–154) months. Conclusion Obturator bypass for inguinal graft infection is feasible and durable with excellent long-term outcomes. However, perioperative bleeding should be taken into consideration.

show abstract

Revascularization with Obturator or Hemi-neoaortoiliac System for Partial Aortic Graft Infections

Cited by 10 publications

References 25 publications

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

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

Management and Clinical Outcome of Aortic Graft Infections: A Single-Center Retrospective Study

Obturator bypass using a ringed polytetrafluoroethylene graft for inguinal graft infection

Contact Info

Product

Resources

About