Total prosthetic graft excision and extra-anatomic bypass

Jausseran, J M; Stella, Nazzareno; R, Courbier; Bergeron, Patrice; Ferdani, M; Houel, H.; Rudondy, Ph.

doi:10.1016/s1078-5884(97)80156-6

Cited by 8 publications

(7 citation statements)

References 39 publications

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“…137,177 A 30 day mortality rate of 18% (range 11% e 45%) and a late mortality of 32% (range 22% e 44% within 47 months) have been described (Table 11). 137,138,175,177,178 Compromised colonic and pelvic blood supply due to insufficient internal iliac and inferior mesenteric artery perfusion might also lead to complications.…”

Section: Clinical Presentationmentioning

confidence: 99%

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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

340

322

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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.

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Section: Clinical Presentationmentioning

confidence: 99%

“…Most authors recommend covering the stump with omentum or an omental wrap. 144,178,182 Another technique is a pedicled latissimus dorsi flap. 183 7.…”

Section: Clinical Presentationmentioning

confidence: 99%

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

340

322

View full text Add to dashboard Cite

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Section: Classmentioning

confidence: 99%

Computer Analysis of Ultrasonic Plaque Echolucency in Identifying High Risk Carotid Bifurcation Lesions

Biasi

Sampaolo

Mingazzini

et al. 1999

European Journal of Vascular and Endovascular Surgery

126

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the results confirm that computer analysis of plaque echogenicity is better than the degree of stenosis in identifying plaques associated with an increased incidence of CT brain-scan infarction and consequently useful for identifying individuals at high risk of stroke. What is required is a form of image standardisation in order to apply this method to natural history studies with stroke as the endpoint.

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“…We simply closed the aortic defect and then were able to successfully maintain the blood flow to the inferior mesenteric artery and lower extremities. The follow-up results of total graft removal in the previous reports are as follows: perioperative mortality, 0%-100%; major amputation, 0%-100%; aortic stump blowout, 0%-50% 5,7,13,15,37,46,47 (Table 4A). It should be kept in mind that a graft excision without reconstruction may carry a risk of ischemia of the visceral organs, buttocks, and lower extremities.…”

Section: Discussionmentioning

confidence: 94%

“…When the diagnosis of aortic graft infection is firmly established, then an the extra-anatomic bypass is initially placed and then immediately followed by an infected graft excision where indicated (sequential procedure). The results of this sequential procedure have also varied, as follows: perioperative mortality, 0%-25%; major amputation, 0%-29%; new graft infection, 0%-24%; new graft failure, 6%-25%; aortic stump blowout, 0%-36% 1,7,8,14,15 (Table 2B). If there is neither hemodynamic instability nor severe systemic sepsis, then an extra-anatomic bypass followed by graft excision can be performed after a few days (staged procedure).…”

Section: Discussionmentioning

confidence: 99%

Treatment for Aortic Graft Infection

et al. 2001

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Nine patients with an aortic graft infection presented after undergoing aortic grafting. Seven of 9 patients underwent an initial aortic reconstruction in our hospital. The incidence of aortic graft infection was 1.5% (7/456). There were 6 cases of paraprosthetic infection and 3 cases of aortointestinal fistulas. The treatments consisted of a complete graft excision and an axillofemoral bypass in 6 patients, a complete graft excision alone, a partial graft excision and a femorofemoral bypass, and the preservation of the graft with omental wrapping and irrigation in 1 each. Broad-spectrum antibiotics were intravenously administered to all patients and were then replaced by selective antibiotics for the responsible organisms. All surviving patients received antibiotics orally for 3-6 months. The early postoperative mortality rate was 11.1%. Aortoduodenal fistula occurred in 1 patient with graft excision alone. Graft thrombosis occurred in 2 patients with an axillofemoral bypass. No late graft infection or stump blowout occurred in any patient. We believe that a complete excision of the infected graft as well as the maintenance of distal tissue perfusion is necessary. However, based on the condition of the patient, the appearance of the operating field, and the difficulty of a repeat operation, we would like to stress the importance of selecting the best and safest treatment plan for each case.

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Total prosthetic graft excision and extra-anatomic bypass

Cited by 8 publications

References 39 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

Computer Analysis of Ultrasonic Plaque Echolucency in Identifying High Risk Carotid Bifurcation Lesions

Treatment for Aortic Graft Infection

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