Eradication of aortic infections with the use of cryopreserved arterial homografts

Détails

ID Serval
serval:BIB_130F69BBA7FE
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Eradication of aortic infections with the use of cryopreserved arterial homografts
Périodique
Annals of Thoracic Surgery
Auteur(s)
Vogt  P. R., von Segesser  L. K., Goffin  Y., Niederhauser  U., Genoni  M., Kunzli  A., Lachat  M., Turina  M. I.
ISSN
0003-4975
Statut éditorial
Publié
Date de publication
09/1996
Peer-reviewed
Oui
Volume
62
Numéro
3
Pages
640-645
Notes
Journal Article --- Old month value: Sep
Résumé
BACKGROUND: The surgical treatment of vascular infection is associated with a substantial early and late mortality. Cryopreserved homografts were evaluated for in situ reconstruction in aortic infections. METHODS: Between January 1991 and July 1995, homografts were used in 19 patients (mean age, 61 +/- 13 years; range, 40-85 years) with mycotic aneurysms (9/19; 47%) or infected grafts (10/19; 53%) in the thoracic (7/19; 37%) or abdominal (12/19; 63%) aorta. Sepsis was present preoperatively in 14 of 19 (74%) patients, and 18 of 19 (95%) had received antibiotic treatment for 6.4 +/- 6 months (range, 1-36 months). Up to ten previous vascular procedures had been done in 11 of 19 patients (58%). RESULTS: There was one (5.2%) early and two (11%) late deaths, with one (5.5%) of the late deaths being homograft related. The mean hospital stay was 27 +/- 26 days (range, 7-84 days). Antibiotics were given postoperatively for 30 +/- 12 days (range, 4-84 days). During the follow-up period of 18.6 +/- 13 months (range, 7-60 months), there were no instances of reinfection, suture line rupture, homograft stenosis, or anastomotic aneurysms. CONCLUSIONS: Cryopreserved arterial homografts allow safe in situ reconstruction, decrease early and midterm mortality, and reduce antibiotic requirements. Early and midterm reoperations are unnecessary.
Mots-clé
Adult Aged Aged, 80 and over Aneurysm, Infected/*surgery Antibiotic Prophylaxis Aortic Aneurysm/*surgery Aortic Diseases/*surgery Arteries/*transplantation *Cryopreservation Female Humans Length of Stay Male Middle Aged Polyethylene Terephthalates Postoperative Complications Prosthesis-Related Infections/*surgery Recurrence
Pubmed
Web of science
Création de la notice
14/02/2008 15:16
Dernière modification de la notice
20/08/2019 13:41
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