Outcome in Patients after Autologous Femoral Vein Reconstruction for Primary Aortic Infection and Aortic Graft Infection: A Case Series
| Autor: | Ilse J.E. Kouijzer, Michel F.P. Van der Jagt, Chantal P. Bleeker-Rovers, Mark Dirven, Quirijn de Mast, Paul PC Poyck |
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| Rok vydání: | 2022 |
| Předmět: |
Reoperation
Prosthesis-Related Infections General Medicine Femoral Vein Blood Vessel Prosthesis Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] Blood Vessel Prosthesis Implantation lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4] Treatment Outcome cardiovascular system Humans Surgery Cardiology and Cardiovascular Medicine Aorta Retrospective Studies |
| Zdroj: | Annals of Vascular Surgery, 83, 240-250 Annals of Vascular Surgery, 83, pp. 240-250 |
| ISSN: | 0890-5096 |
| Popis: | Contains fulltext : 251549.pdf (Publisher’s version ) (Open Access) BACKGROUND: For surgical treatment of primary aortic infection and aortic graft infection, in situ reconstruction with autologous vein(s) has the lowest rates of re-infection and of graft thrombosis. In this study, we have assessed the outcome after autologous femoral vein reconstruction in patients with aortic (graft) infection and we provide insights into the specific technical surgical considerations of the procedure. METHODS: In this retrospective single-center study, all patients who underwent autologous femoral vein reconstruction because of primary aortic infection or aortic graft infection between January 2012 and January 2020 were included. The primary outcome parameter was 30-day mortality. RESULTS: Twenty-nine patients with autologous femoral vein reconstruction for a primary aortic infection (n = 3) or aortic graft infection (n = 26) were included. An aorto-enteral fistula was detected in 13 patients (49%). Venous reconstruction of the aorta was performed with a single femoral vein in 17 patients (59%), and two femoral veins in 12 patients (41%). Thirty-day mortality was 17%. Relapse of infection occurred in two patients (7%) and no amputations were needed. One year after surgery, only three patients (10%) still needed stockings and after 2 years none of the patients used stockings. CONCLUSIONS: Central aortic reconstruction with femoral veins is a durable solution for primary aortic and aortoiliac graft infections with a low incidence of reinfections, amputations, and venous hypertension. |
| Databáze: | OpenAIRE |
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