Outcomes of Surgical Explantation of Infected Aortic Grafts After Endovascular and Open Abdominal Aneurysm Repair

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
Johannes F SchaefersMarco V Usai

Abstract

Infection of the vascular graft represents one of the most threatening complications after aortic repair. It is rare and associated with high morbidity and mortality rates. The aim of this study was to present short-term outcomes after surgical treatment of infected aortic grafts after endovascular and open repair of abdominal aortic aneurysms (AAAs). Data of all patients affected by aortic graft infection after aneurysm repair who underwent an explantation of a conventional or endovascular aortic graft between January 2008 and December 2016 were retrospectively reviewed. All patients underwent in situ reconstruction using a rifampicin soaked synthetic graft. The primary endpoint of this study was 30 day mortality; secondary endpoints were major post-operative complications. Twenty-six patients were included in the cohort, 16 with an infected endograft (iEVAR) and 10 patients with an infected conventional graft (iOAR). Thirty-day mortality was 23.1% overall, 37.5% for iEVAR and 0% (p = .027) for iOAR. Post-operative major complications occurred in eight (50%) patients from the iEVAR group and in four (40%) patients from the iOAR group (p = .619). The supravisceral clamping rate was higher in patients with infected iEVAR (93.8 v...Continue Reading

Citations

Nov 26, 2020·Journal of Community Hospital Internal Medicine Perspectives·Harith A AlatabyJay M Nfonoyim
Dec 29, 2020·Aorta : Official Journal of the Aortic Institute at Yale-New Haven Hospital·Ana Lopez-MarcoAung Oo
Feb 10, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Nabil ChakféAnders Wanhainen
Mar 9, 2021·Journal of Vascular Surgery·Safwan OmranAndreas Greiner
Jun 29, 2021·Annals of Vascular Surgery·Amanda C FilibertoMartin R Back

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