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Metadados | Descrição | Idioma |
---|---|---|
Autor(es): dc.contributor | Case Western Reserve University School of Medicine | - |
Autor(es): dc.contributor | University of California Los Angeles | - |
Autor(es): dc.contributor | SSM Healthcare | - |
Autor(es): dc.contributor | Semmelweis University | - |
Autor(es): dc.contributor | University of Southern California | - |
Autor(es): dc.contributor | University of North Carolina School of Medicine | - |
Autor(es): dc.contributor | University of Arizona | - |
Autor(es): dc.contributor | the Indiana University Health Physicians Vascular Surgery | - |
Autor(es): dc.contributor | University of Michigan | - |
Autor(es): dc.contributor | University Medical Center Hamburg-Eppendorf | - |
Autor(es): dc.contributor | Milton S. Hershey Medical Center | - |
Autor(es): dc.contributor | Johns Hopkins Hospital | - |
Autor(es): dc.contributor | The Heart Hospital Baylor Plano | - |
Autor(es): dc.contributor | the Cardiovascular Surgery Clinic | - |
Autor(es): dc.contributor | University of Messina | - |
Autor(es): dc.contributor | National & Kapodistrian University of Athens | - |
Autor(es): dc.contributor | University of Patras | - |
Autor(es): dc.contributor | Keio University | - |
Autor(es): dc.contributor | University of Pennsylvania | - |
Autor(es): dc.contributor | Vancouver General Hospital & University of British Columbia | - |
Autor(es): dc.contributor | Mayo Clinic | - |
Autor(es): dc.contributor | Christiana Health System | - |
Autor(es): dc.contributor | University of Chicago | - |
Autor(es): dc.contributor | University of Washington | - |
Autor(es): dc.contributor | Washington University | - |
Autor(es): dc.contributor | Stanford University | - |
Autor(es): dc.contributor | CHU de Poitiers | - |
Autor(es): dc.contributor | Baylor College of Medicine | - |
Autor(es): dc.contributor | MedStar Georgetown University Hospital | - |
Autor(es): dc.contributor | SSM Health St. Louis University | - |
Autor(es): dc.contributor | Universidade Estadual Paulista (UNESP) | - |
Autor(es): dc.contributor | Beth Israel Deaconness Medical Center | - |
Autor(es): dc.contributor | Brigham and Women's Hospital | - |
Autor(es): dc.contributor | St. Joseph's Hospital | - |
Autor(es): dc.contributor | Massachusetts General Hospital | - |
Autor(es): dc.contributor | Rutgers University | - |
Autor(es): dc.contributor | San Raffaele Scientific Institute | - |
Autor(es): dc.contributor | Kaiser Permanente | - |
Autor(es): dc.contributor | University Heart Center Freiburg-Bad Krozingen Freiburg | - |
Autor(es): dc.contributor | University of Virginia Medical Center | - |
Autor(es): dc.contributor | University of Siena | - |
Autor(es): dc.contributor | Kyung Hee University | - |
Autor(es): dc.contributor | Gustave Dron Hospital | - |
Autor(es): dc.contributor | Centro Hospitalar de Lisboa Norte | - |
Autor(es): dc.contributor | Ohio State University | - |
Autor(es): dc.contributor | Uppsala University | - |
Autor(es): dc.contributor | University Hospital of Trieste | - |
Autor(es): dc.contributor | University Hospital of Verona | - |
Autor(es): dc.contributor | University Hospital of Padova | - |
Autor(es): dc.contributor | University of Alabama | - |
Autor(es): dc.contributor | University of California Davis | - |
Autor(es): dc.contributor | University of Florida | - |
Autor(es): dc.contributor | University of Missouri | - |
Autor(es): dc.creator | Janko, Matthew | - |
Autor(es): dc.creator | Hubbard, Grant | - |
Autor(es): dc.creator | Woo, Karen | - |
Autor(es): dc.creator | Kashyap, Vikram S. | - |
Autor(es): dc.creator | Mitchell, Megan | - |
Autor(es): dc.creator | Murugesan, Arun | - |
Autor(es): dc.creator | Chen, Lin | - |
Autor(es): dc.creator | Gardner, Rachel | - |
Autor(es): dc.creator | Baril, Donald | - |
Autor(es): dc.creator | Hacker, Robert I. | - |
Autor(es): dc.creator | Szeberin, Zoltan | - |
Autor(es): dc.creator | ElSayed, Ramsey | - |
Autor(es): dc.creator | Magee, Gregory A. | - |
Autor(es): dc.creator | Motta, Fernando | - |
Autor(es): dc.creator | Zhou, Wei | - |
Autor(es): dc.creator | Lemmon, Gary | - |
Autor(es): dc.creator | Coleman, Dawn | - |
Autor(es): dc.creator | Behrendt, Christian-Alexander | - |
Autor(es): dc.creator | Aziz, Faisal | - |
Autor(es): dc.creator | Black, James H. | - |
Autor(es): dc.creator | Tran, Kimberly | - |
Autor(es): dc.creator | Dao, Allen | - |
Autor(es): dc.creator | Shutze, William | - |
Autor(es): dc.creator | Garrett, H. Edward | - |
Autor(es): dc.creator | De Caridi, Giovanni | - |
Autor(es): dc.creator | Patel, Rhusheet | - |
Autor(es): dc.creator | Liapis, Christos D. | - |
Autor(es): dc.creator | Geroulakos, George | - |
Autor(es): dc.creator | Kakisis, John | - |
Autor(es): dc.creator | Moulakakis, Konstantinos | - |
Autor(es): dc.creator | Kakkos, Starvos K. | - |
Autor(es): dc.creator | Obara, Hideaki | - |
Autor(es): dc.creator | Wang, Grace | - |
Autor(es): dc.creator | Stoecker, Jordan | - |
Autor(es): dc.creator | Rhéaume, Pascal | - |
Autor(es): dc.creator | Davila, Victor | - |
Autor(es): dc.creator | Ravin, Reid | - |
Autor(es): dc.creator | DeMartino, Randall | - |
Autor(es): dc.creator | Milner, Ross | - |
Autor(es): dc.creator | Shalhub, Sherene | - |
Autor(es): dc.creator | Jim, Jeffrey | - |
Autor(es): dc.creator | Lee, Jason | - |
Autor(es): dc.creator | Dubuis, Celine | - |
Autor(es): dc.creator | Ricco, Jean-Baptiste | - |
Autor(es): dc.creator | Coselli, Joseph | - |
Autor(es): dc.creator | Lemaire, Scott | - |
Autor(es): dc.creator | Fatima, Javairiah | - |
Autor(es): dc.creator | Sanford, Jennifer | - |
Autor(es): dc.creator | Yoshida, Winston | - |
Autor(es): dc.creator | Schermerhorn, Marc L | - |
Autor(es): dc.creator | Menard, Matthew | - |
Autor(es): dc.creator | Belkin, Michael | - |
Autor(es): dc.creator | Blackwood, Stuart | - |
Autor(es): dc.creator | Conrad, Mark | - |
Autor(es): dc.creator | Wang, Linda | - |
Autor(es): dc.creator | Crofts, Sara | - |
Autor(es): dc.creator | Nixon, Thomas | - |
Autor(es): dc.creator | Wu, Timothy | - |
Autor(es): dc.creator | Chiesa, Roberto | - |
Autor(es): dc.creator | Bose, Saideep | - |
Autor(es): dc.creator | Turner, Jason | - |
Autor(es): dc.creator | Moore, Ryan | - |
Autor(es): dc.creator | Smith, Justin | - |
Autor(es): dc.creator | Irshad, Ali | - |
Autor(es): dc.creator | Hsu, Jeffrey | - |
Autor(es): dc.creator | Czerny, Martin | - |
Autor(es): dc.creator | Cullen, Jonathan | - |
Autor(es): dc.creator | Kahlberg, Andrea | - |
Autor(es): dc.creator | Setacci, Carlo | - |
Autor(es): dc.creator | Joh, Jin Hyun | - |
Autor(es): dc.creator | Senneville, Eric | - |
Autor(es): dc.creator | Garrido, Pedro | - |
Autor(es): dc.creator | Sarac, Timur P. | - |
Autor(es): dc.creator | Rizzo, Anthony | - |
Autor(es): dc.creator | Go, Michael R. | - |
Autor(es): dc.creator | Bjorck, Martin | - |
Autor(es): dc.creator | Gavali, Hamid | - |
Autor(es): dc.creator | Wanhainen, Anders | - |
Autor(es): dc.creator | D'Oria, Mario | - |
Autor(es): dc.creator | Lepidi, Sandro | - |
Autor(es): dc.creator | Mastrorilli, Davide | - |
Autor(es): dc.creator | Veraldi, Gianfranco | - |
Autor(es): dc.creator | Piazza, Michele | - |
Autor(es): dc.creator | Squizzato, Francesco | - |
Autor(es): dc.creator | Beck, Adam | - |
Autor(es): dc.creator | St. John, Rebecca | - |
Autor(es): dc.creator | Wishy, Andrew | - |
Autor(es): dc.creator | Humphries, Misty | - |
Autor(es): dc.creator | Shah, Samir K. | - |
Autor(es): dc.creator | Back, Martin | - |
Autor(es): dc.creator | Chung, Jayer | - |
Autor(es): dc.creator | Lawrence, Peter F | - |
Autor(es): dc.creator | Bath, Jonathan | - |
Autor(es): dc.creator | Smeds, Matthew R. | - |
Data de aceite: dc.date.accessioned | 2025-08-21T18:45:29Z | - |
Data de disponibilização: dc.date.available | 2025-08-21T18:45:29Z | - |
Data de envio: dc.date.issued | 2022-04-28 | - |
Data de envio: dc.date.issued | 2022-04-28 | - |
Data de envio: dc.date.issued | 2021-10-01 | - |
Fonte completa do material: dc.identifier | http://dx.doi.org/10.1016/j.avsg.2021.07.002 | - |
Fonte completa do material: dc.identifier | http://hdl.handle.net/11449/222821 | - |
Fonte: dc.identifier.uri | http://educapes.capes.gov.br/handle/11449/222821 | - |
Descrição: dc.description | Introduction: Aortic graft infection remains a considerable clinical challenge, and it is unclear which variables are associated with adverse outcomes among patients undergoing partial resection. Methods: A retrospective, multi-institutional study of patients who underwent partial resection of infected aortic grafts from 2002 to 2014 was performed using a standard database. Baseline demographics, comorbidities, operative, and postoperative variables were recorded. The primary outcome was mortality. Descriptive statistics, Kaplan-Meier (KM) survival analysis, and Cox regression analysis were performed. Results: One hundred fourteen patients at 22 medical centers in 6 countries underwent partial resection of an infected aortic graft. Seventy percent were men with median age 70 years. Ninety-seven percent had a history of open aortic bypass graft: 88 (77%) patients had infected aortobifemoral bypass, 18 (16%) had infected aortobiiliac bypass, and 1 (0.8%) had an infected thoracic graft. Infection was diagnosed at a median 4.3 years post-implant. All patients underwent partial resection followed by either extra-anatomic (47%) or in situ (53%) vascular reconstruction. Median follow-up period was 17 months (IQR 1, 50 months). Thirty-day mortality was 17.5%. The KM-estimated median survival from time of partial resection was 3.6 years. There was no significant survival difference between those undergoing in situ reconstruction or extra-anatomic bypass (P = 0.6). During follow up, 72% of repairs remained patent and 11% of patients underwent major amputation. On univariate Cox regression analysis, Candida infection was associated with increased risk of mortality (HR 2.4; P = 0.01) as well as aortoenteric fistula (HR 1.9, P = 0.03). Resection of a single graft limb only to resection of abdominal (graft main body) infection was associated with decreased risk of mortality (HR 0.57, P = 0.04), as well as those with American Society of Anesthesiologists classification less than 3 (HR 0.35, P = 0.04). Multivariate analysis did not reveal any factors significantly associated with mortality. Persistent early infection was noted in 26% of patients within 30 days postoperatively, and 39% of patients were found to have any post-repair infection during the follow-up period. Two patients (1.8%) were found to have a late reinfection without early persistent postoperative infection. Patients with any post-repair infection were older (67 vs. 60 years, P = 0.01) and less likely to have patent repairs during follow up (59% vs. 32%, P = 0.01). Patients with aortoenteric fistula had a higher rate of any post-repair infection (63% vs. 29%, P < 0.01) Conclusion: This large multi-center study suggests that patients who have undergone partial resection of infected aortic grafts may be at high risk of death or post-repair infection, especially older patients with abdominal infection not isolated to a single graft limb, or with Candida infection or aortoenteric fistula. Late reinfection correlated strongly with early persistent postoperative infection, raising concern for occult retained infected graft material. | - |
Descrição: dc.description | University Hospitals Cleveland Medical Center Case Western Reserve University School of Medicine | - |
Descrição: dc.description | the Ronald Reagan UCLA Medical Center University of California Los Angeles | - |
Descrição: dc.description | SSM Healthcare | - |
Descrição: dc.description | Semmelweis University | - |
Descrição: dc.description | Keck School of Medicine University of Southern California | - |
Descrição: dc.description | University of North Carolina School of Medicine | - |
Descrição: dc.description | University of Arizona | - |
Descrição: dc.description | the Indiana University Health Physicians Vascular Surgery | - |
Descrição: dc.description | Michigan Medicine University of Michigan | - |
Descrição: dc.description | University Heart Center Hamburg University Medical Center Hamburg-Eppendorf | - |
Descrição: dc.description | Penn State Heart and Vascular Institute Milton S. Hershey Medical Center | - |
Descrição: dc.description | Johns Hopkins Hospital | - |
Descrição: dc.description | The Heart Hospital Baylor Plano | - |
Descrição: dc.description | the Cardiovascular Surgery Clinic | - |
Descrição: dc.description | University of Messina | - |
Descrição: dc.description | National & Kapodistrian University of Athens | - |
Descrição: dc.description | University of Patras | - |
Descrição: dc.description | Keio University | - |
Descrição: dc.description | University of Pennsylvania | - |
Descrição: dc.description | Vancouver General Hospital & University of British Columbia | - |
Descrição: dc.description | Mayo Clinic | - |
Descrição: dc.description | Christiana Health System | - |
Descrição: dc.description | University of Chicago | - |
Descrição: dc.description | Harborview Medical Center University of Washington | - |
Descrição: dc.description | Washington University | - |
Descrição: dc.description | Stanford University | - |
Descrição: dc.description | CHU de Poitiers | - |
Descrição: dc.description | Baylor College of Medicine | - |
Descrição: dc.description | MedStar Georgetown University Hospital | - |
Descrição: dc.description | SSM Health St. Louis University | - |
Descrição: dc.description | Faculdade de Medicina de Botucatu-Unesp | - |
Descrição: dc.description | Beth Israel Deaconness Medical Center | - |
Descrição: dc.description | Brigham and Women's Hospital | - |
Descrição: dc.description | St. Joseph's Hospital | - |
Descrição: dc.description | Massachusetts General Hospital | - |
Descrição: dc.description | Robert Wood Johnson Medical School Rutgers University | - |
Descrição: dc.description | Vita-Salute University School of Medicine San Raffaele Scientific Institute | - |
Descrição: dc.description | Kaiser Permanente | - |
Descrição: dc.description | University Heart Center Freiburg-Bad Krozingen Freiburg | - |
Descrição: dc.description | University of Virginia Medical Center | - |
Descrição: dc.description | University of Siena | - |
Descrição: dc.description | Kyung Hee University | - |
Descrição: dc.description | Gustave Dron Hospital | - |
Descrição: dc.description | Centro Hospitalar de Lisboa Norte | - |
Descrição: dc.description | Wexner Medical Center Ohio State University | - |
Descrição: dc.description | Uppsala University | - |
Descrição: dc.description | University Hospital of Trieste | - |
Descrição: dc.description | University Hospital of Verona | - |
Descrição: dc.description | University Hospital of Padova | - |
Descrição: dc.description | University of Alabama | - |
Descrição: dc.description | University of California Davis | - |
Descrição: dc.description | University of Florida | - |
Descrição: dc.description | Michael E. DeBakey Department of Surgery Baylor College of Medicine | - |
Descrição: dc.description | University Hospital University of Missouri | - |
Descrição: dc.description | Faculdade de Medicina de Botucatu-Unesp | - |
Formato: dc.format | 202-210 | - |
Idioma: dc.language | en | - |
Relação: dc.relation | Annals of Vascular Surgery | - |
???dc.source???: dc.source | Scopus | - |
Título: dc.title | Contemporary Outcomes After Partial Resection of Infected Aortic Grafts | - |
Tipo de arquivo: dc.type | livro digital | - |
Aparece nas coleções: | Repositório Institucional - Unesp |
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