Current Evidence on Management of Aortic Stent-graft Infection: A Systematic Review and Meta-Analysis

Annals of Vascular Surgery
Hai Lei LiStephen W Cheng

Abstract

Aortic stent-graft infection (SGI) is rare but remains one of the most challenging and threatening complications. This systematic review aimed to identify the clinical features, treatment, and outcomes of endograft infection after abdominal endovascular aortic repair (EVAR) and thoracic endovascular aortic repair (TEVAR). A systematic literature review of all published literature from January 1991 to September 2016 on SGI was performed under the instruction of Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Aorta, aneurysm, endovascular, stent-graft, endograft and infection were the keywords used in our comprehensive search in PubMed and MEDLINE databases. Data analysis was performed using SPSS, V 22.0. A total of 185 potential relevant articles were identified, but only 11 studies with 402 patients met the inclusion criteria. Majority of the patients were male (308/402, 77%), with a mean age ranging from 65 to 73 years. Most of the endografts were implanted for EVAR (351/402, 87%), while the other 51 (13%) endografts were infected following TEVAR. Among the 402 patients, 39 (9.7%) patients presented with aortic rupture. Ninety-two of 380 (24.2%) patients with available data had aortoenteric fistula (AEF). S...Continue Reading

Citations

Sep 5, 2018·Journal of Cardiac Surgery·Valentino BiancoIbrahim Sultan
Nov 21, 2019·Intensive Care Medicine·Kerina J DennyKevin B Laupland
Apr 17, 2020·Vascular and Endovascular Surgery·Akihiro HosakaMasaaki Kato
Sep 5, 2020·CVIR Endovascular·Kei KazunoSeiichiro Murata
Oct 23, 2019·Annals of Vascular Diseases·Yoshikatsu NomuraNobuhiko Mukohara
Jan 15, 2020·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Giorgio TregliaAndor W J M Glaudemans
Sep 9, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Nicolas Heinz von der HöhChristoph-Eckhard Heyde
Nov 4, 2020·VASA. Zeitschrift für Gefässkrankheiten·Nicholas Andrew BradleyGraeme Guthrie
Dec 6, 2020·Journal of Vascular Surgery·Christopher K BurghuberChristoph M Domenig
Jan 14, 2020·The Journal of Thoracic and Cardiovascular Surgery·Evan C Lipsitz
Jun 29, 2021·Annals of Vascular Surgery·Amanda C FilibertoMartin R Back
Jul 20, 2021·Journal of Vascular Surgery Cases and Innovative Techniques·Jin Xin LinAndrew Hill
Dec 10, 2020·Journal of Vascular Surgery Cases and Innovative Techniques·Matthew S JorgensenHoussam Farres
Jun 14, 2019·Journal of Vascular Surgery Cases and Innovative Techniques·Brandon Neil GlousmanBao-Ngoc Nguyen
Aug 29, 2021·Enfermedades infecciosas y microbiología clínica·Jokin Dominguez-CainzosElena Bereciartua

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