In-situ bypass is associated with superior infection-free survival compared with extra-anatomic bypass for the management of secondary aortic graft infections without enteric involvement

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Autor(es): dc.contributorCase Western Reserve University School of Medicine-
Autor(es): dc.contributorUniversity of Florida-
Autor(es): dc.contributorSemmelweis University-
Autor(es): dc.contributorMayo Clinic-
Autor(es): dc.contributorMassachusetts General Hospital-
Autor(es): dc.contributorHarvard Medical School-
Autor(es): dc.contributorMayo Clinic Arizona-
Autor(es): dc.contributorIndiana University-
Autor(es): dc.contributorUniversity Heart Center Freiburg Bad Krozingen-
Autor(es): dc.contributorUC Davis Health-
Autor(es): dc.contributorThe Heart Hospital Plano-
Autor(es): dc.contributorKyung Hee University Hospital at Gangdong-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniversity of Siena-
Autor(es): dc.contributorSurgical Arts of St. Louis-
Autor(es): dc.contributorUniversity Hospital of Trieste-
Autor(es): dc.contributorSan Raffaele Scientific Institute-
Autor(es): dc.contributorThe Ohio State University College of Medicine-
Autor(es): dc.contributorJohns Hopkins Hospital-
Autor(es): dc.contributorUniversity of Southern California-
Autor(es): dc.contributorCedars-Sinai Medical Center-
Autor(es): dc.contributorUniversity of Alabama at Birmingham-
Autor(es): dc.contributorUppsala University-
Autor(es): dc.contributorHospital of the University of Pennsylvania-
Autor(es): dc.contributorUniversity of Arizona-
Autor(es): dc.contributorShinjuku-
Autor(es): dc.contributorBrooke Army Medical Center-
Autor(es): dc.contributorSaint Louis University-
Autor(es): dc.contributorSt Elizabeth's Hospital-
Autor(es): dc.contributorKaiser Permanente-
Autor(es): dc.contributorUniversity of California Los Angeles-
Autor(es): dc.contributorStanford University Medical Center-
Autor(es): dc.contributorNational & Kapodistrian University of Athens-
Autor(es): dc.contributorUniversity of North Carolina-
Autor(es): dc.contributorUniversity of Poitiers Medical School-
Autor(es): dc.contributorUniversity of Missouri-
Autor(es): dc.contributorPenn State Health Heart and Vascular Institute-
Autor(es): dc.contributorUniversity of Michigan-
Autor(es): dc.contributorGeorgetown University-
Autor(es): dc.contributorTufts University School of Medicine-
Autor(es): dc.contributorUniversity of Washington School of Medicine-
Autor(es): dc.contributorUniversity of Patras Medical School-
Autor(es): dc.contributorBaylor College of Medicine-
Autor(es): dc.creatorJanko, Matthew R.-
Autor(es): dc.creatorHubbard, Grant-
Autor(es): dc.creatorBack, Martin-
Autor(es): dc.creatorShah, Samir K.-
Autor(es): dc.creatorPomozi, Eniko-
Autor(es): dc.creatorSzeberin, Zoltan-
Autor(es): dc.creatorDeMartino, Randall-
Autor(es): dc.creatorWang, Linda J.-
Autor(es): dc.creatorCrofts, Sarah-
Autor(es): dc.creatorBelkin, Michael-
Autor(es): dc.creatorDavila, Victor J.-
Autor(es): dc.creatorLemmon, Gary W.-
Autor(es): dc.creatorWang, Shihuan K.-
Autor(es): dc.creatorCzerny, Martin-
Autor(es): dc.creatorKreibich, Maximilian-
Autor(es): dc.creatorHumphries, Misty D.-
Autor(es): dc.creatorShutze, William-
Autor(es): dc.creatorJoh, Jin Hyun-
Autor(es): dc.creatorCho, Sungsin-
Autor(es): dc.creatorBehrendt, Christian-Alexander-
Autor(es): dc.creatorSetacci, Carlo-
Autor(es): dc.creatorHacker, Robert I.-
Autor(es): dc.creatorSobreira, Marcone Lima-
Autor(es): dc.creatorYoshida, Winston Bonetti-
Autor(es): dc.creatorD'Oria, Mario-
Autor(es): dc.creatorLepidi, Sandro-
Autor(es): dc.creatorChiesa, Roberto-
Autor(es): dc.creatorKahlberg, Andrea-
Autor(es): dc.creatorGo, Michael R.-
Autor(es): dc.creatorRizzo, Anthony N.-
Autor(es): dc.creatorBlack, James H.-
Autor(es): dc.creatorMagee, Gregory A.-
Autor(es): dc.creatorElsayed, Ramsey-
Autor(es): dc.creatorBaril, Donald T.-
Autor(es): dc.creatorBeck, Adam W.-
Autor(es): dc.creatorMcFarland, Graeme E.-
Autor(es): dc.creatorGavali, Hamid-
Autor(es): dc.creatorWanhainen, Anders-
Autor(es): dc.creatorKashyap, Vikram S.-
Autor(es): dc.creatorStoecker, Jordan B.-
Autor(es): dc.creatorWang, Grace J.-
Autor(es): dc.creatorZhou, Wei-
Autor(es): dc.creatorFujimura, Naoki-
Autor(es): dc.creatorObara, Hideaki-
Autor(es): dc.creatorWishy, Andrew M.-
Autor(es): dc.creatorBose, Saideep-
Autor(es): dc.creatorSmeds, Matthew-
Autor(es): dc.creatorLiang, Patric-
Autor(es): dc.creatorSchermerhorn, Marc-
Autor(es): dc.creatorConrad, Mark F.-
Autor(es): dc.creatorHsu, Jeffrey H.-
Autor(es): dc.creatorPatel, Rhusheet-
Autor(es): dc.creatorLee, Jason T.-
Autor(es): dc.creatorLiapis, Christos D.-
Autor(es): dc.creatorMoulakakis, Konstantinos G.-
Autor(es): dc.creatorFarber, Mark A.-
Autor(es): dc.creatorMotta, Fernando-
Autor(es): dc.creatorRicco, Jean-Baptiste-
Autor(es): dc.creatorBath, Jonathan-
Autor(es): dc.creatorCoselli, Joseph S.-
Autor(es): dc.creatorAziz, Faisal-
Autor(es): dc.creatorColeman, Dawn M.-
Autor(es): dc.creatorDavis, Frank M.-
Autor(es): dc.creatorFatima, Javairiah-
Autor(es): dc.creatorIrshad, Ali-
Autor(es): dc.creatorShalhub, Sherene-
Autor(es): dc.creatorKakkos, Stavros-
Autor(es): dc.creatorZhang, Qianzi-
Autor(es): dc.creatorLawrence, Peter F.-
Autor(es): dc.creatorWoo, Karen-
Autor(es): dc.creatorChung, Jayer-
Data de aceite: dc.date.accessioned2025-08-21T21:34:08Z-
Data de disponibilização: dc.date.available2025-08-21T21:34:08Z-
Data de envio: dc.date.issued2023-03-01-
Data de envio: dc.date.issued2023-03-01-
Data de envio: dc.date.issued2022-08-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/j.jvs.2022.03.869-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/241082-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/241082-
Descrição: dc.descriptionObjective: The optimal revascularization modality following complete resection of aortic graft infection (AGI) without enteric involvement remains unclear. The purpose of this investigation is to determine the revascularization approach associated with the lowest morbidity and mortality using real-world data in patients undergoing complete excision of AGI. Methods: A retrospective, multi-institutional study of AGI from 2002 to 2014 was performed using a standardized database. Baseline demographics, comorbidities, and perioperative variables were recorded. The primary outcome was infection-free survival. Descriptive statistics, Kaplan-Meier survival analysis, and univariate and multivariable analyses were performed. Results: A total of 241 patients at 34 institutions from seven countries presented with AGI during the study period (median age, 68 years; 75% male). The initial aortic procedures that resulted in AGI were 172 surgical grafts (71%), 66 endografts (27%), and three unknown (2%). Of the patients, 172 (71%) underwent complete excision of infected aortic graft material followed by in situ (in-line) bypass (ISB), including antibiotic-treated prosthetic graft (35%), autogenous femoral vein (neo-aortoiliac surgery) (24%), and cryopreserved allograft (41%). Sixty-nine patients (29%) underwent extra-anatomic bypass (EAB). Overall median Kaplan-Meier estimated survival was 5.8 years. Perioperative mortality was 16%. When stratified by ISB vs EAB, there was a significant difference in Kaplan-Meier estimated infection-free survival (2910 days; interquartile range, 391-3771 days vs 180 days; interquartile range, 27-3750 days; P < .001). There were otherwise no significant differences in presentation, comorbidities, or perioperative variables. Multivariable Cox regression showed lower infection-free survival among patients with EAB (hazard ratio [HR], 2.4; 95% confidence interval [CI], 1.6-3.6; P < .001), polymicrobial infection (HR, 2.2; 95% CI, 1.4-3.5; P = .001), methicillin-resistant Staphylococcus aureus infection (HR, 1.7; 95% CI, 1.1-2.7; P = .02), as well as the protective effect of omental/muscle flap coverage (HR, 0.59; 95% CI, 0.37-0.92; P = .02). Conclusions: After complete resection of AGI, perioperative mortality is 16% and median overall survival is 5.8 years. EAB is associated with nearly a two and one-half-fold higher reinfection/mortality compared with ISB. Omental and/or muscle flap coverage of the repair appear protective.-
Descrição: dc.descriptionDivision of Vascular Surgery and Endovascular Therapy University Hospitals Cleveland Medical Center Case Western Reserve University School of Medicine-
Descrição: dc.descriptionDivision of Vascular Surgery Department of Surgery University of Florida-
Descrição: dc.descriptionDepartment of Vascular and Endovascular Surgery Semmelweis University-
Descrição: dc.descriptionDivision of Vascular and Endovascular Surgery Mayo Clinic-
Descrição: dc.descriptionDepartment of Vascular and Endovascular Surgery Massachusetts General Hospital-
Descrição: dc.descriptionDepartment of Vascular and Endovascular Surgery Brigham and Women's Hospital Harvard Medical School-
Descrição: dc.descriptionDivision of Vascular Surgery Department of General Surgery Mayo Clinic Arizona-
Descrição: dc.descriptionDivision of Vascular Surgery Department of Surgery Indiana University-
Descrição: dc.descriptionDepartment of Cardiovascular Surgery University Heart Center Freiburg Bad Krozingen-
Descrição: dc.descriptionDivision of Vascular Surgery Department of Surgery UC Davis Health-
Descrição: dc.descriptionTexas Vascular Associates The Heart Hospital Plano-
Descrição: dc.descriptionDivision of Vascular Surgery Department of Surgery Kyung Hee University Hospital at Gangdong-
Descrição: dc.descriptionGermanVasc Research Group Department of Vascular Medicine University Medical Center Hamburg-Eppendorf-
Descrição: dc.descriptionDepartment of Vascular and Endovascular Surgery University of Siena-
Descrição: dc.descriptionDivision of Vascular Surgery Surgical Arts of St. Louis-
Descrição: dc.descriptionDepartment of Surgery and Orthopedics Botucatu School of Medicine Paulista State University-
Descrição: dc.descriptionDivision of Vascular and Endovascular Surgery Cardiovascular Department University Hospital of Trieste-
Descrição: dc.descriptionDepartment of Vascular Surgery San Raffaele Scientific Institute-
Descrição: dc.descriptionDivision of Vascular Diseases and Surgery Department of Surgery The Ohio State University College of Medicine-
Descrição: dc.descriptionDivision of Vascular Surgery and Endovascular Therapy Department of Surgery Johns Hopkins Hospital-
Descrição: dc.descriptionDivision of Vascular Surgery and Endovascular Therapy Department of Surgery University of Southern California-
Descrição: dc.descriptionDivision of Vascular Surgery Department of Surgery Cedars-Sinai Medical Center-
Descrição: dc.descriptionDivision of Vascular Surgery and Endovascular Therapy University of Alabama at Birmingham-
Descrição: dc.descriptionSection of Vascular Surgery Department of Surgical Sciences Uppsala University-
Descrição: dc.descriptionDivision of Vascular Surgery and Endovascular Therapy Department of Surgery Hospital of the University of Pennsylvania-
Descrição: dc.descriptionDivision of Vascular Surgery Department of Surgery University of Arizona-
Descrição: dc.descriptionDepartment of Surgery Keio University School of Medicine Shinjuku-
Descrição: dc.descriptionDivision of Vascular and Endovascular Surgery Brooke Army Medical Center-
Descrição: dc.descriptionDivision of Vascular Surgery Department of Surgery Saint Louis University-
Descrição: dc.descriptionDivision of Vascular and Endovascular Surgery Beth Israel Deaconess Medical Center Harvard Medical School-
Descrição: dc.descriptionDivision of Vascular Surgery St Elizabeth's Hospital-
Descrição: dc.descriptionDivision of Vascular Surgery Kaiser Permanente-
Descrição: dc.descriptionDivision of Vascular Surgery and Endovascular Therapy Department of Surgery David Geffen School of Medicine University of California Los Angeles-
Descrição: dc.descriptionDivision of Vascular Surgery Department of Surgery Stanford University Medical Center-
Descrição: dc.descriptionDepartment of Vascular Surgery Attikon University Hospital National & Kapodistrian University of Athens-
Descrição: dc.descriptionDivision of Vascular Surgery Department of Surgery University of North Carolina-
Descrição: dc.descriptionDepartment of Clinical Research University of Poitiers Medical School-
Descrição: dc.descriptionCardiovascular Surgical Clinics University of Missouri-
Descrição: dc.descriptionDivision of Vascular Surgery Penn State Health Heart and Vascular Institute-
Descrição: dc.descriptionSection of Vascular Surgery Department of Surgery University of Michigan-
Descrição: dc.descriptionMedStar Heart and Vascular Institute Georgetown University-
Descrição: dc.descriptionCardiovascular Center at Tufts Medical Center Tufts University School of Medicine-
Descrição: dc.descriptionDivision of Vascular Surgery Department of Surgery University of Washington School of Medicine-
Descrição: dc.descriptionDepartment of Vascular Surgery University of Patras Medical School-
Descrição: dc.descriptionDivision of Vascular and Endovascular Therapy Michael E. DeBakey Department of Surgery Baylor College of Medicine-
Descrição: dc.descriptionDepartment of Surgery and Orthopedics Botucatu School of Medicine Paulista State University-
Formato: dc.format546-555.e3-
Idioma: dc.languageen-
Relação: dc.relationJournal of Vascular Surgery-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectAntibiotic-soaked Dacron-
Palavras-chave: dc.subjectAortic graft infection-
Palavras-chave: dc.subjectAxillofemoral bypass-
Palavras-chave: dc.subjectCryopreserved allograft-
Palavras-chave: dc.subjectExtra-anatomic bypass-
Palavras-chave: dc.subjectIn situ bypass-
Palavras-chave: dc.subjectNeo-aortoiliac surgery (NAIS)-
Título: dc.titleIn-situ bypass is associated with superior infection-free survival compared with extra-anatomic bypass for the management of secondary aortic graft infections without enteric involvement-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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