A Meta-Analysis of Outcomes After In Situ Reconstructions for Aortic Graft Infection - Université de Rennes Accéder directement au contenu
Article Dans Une Revue Angiology Année : 2018

A Meta-Analysis of Outcomes After In Situ Reconstructions for Aortic Graft Infection

Résumé

Objective - To confirm the advantage of in situ reconstruction (ISR) over extra-anatomic reconstruction (EAR) for aortic graft infection and determine the most appropriate conduit including autogenous veins, cryopreserved allografts, and synthetic prosthesis (standard, rifampicin of silver polyesters).

Methods - A meta-analysis was conducted with rate of mortality, graft occlusion, amputation, and reinfection. A meta-regression was performed with 4 factors: patients' age, presence of prosthetic-duodenal fistula (PDF), virulent organisms, or nonvirulent organisms.

Results - In situ reconstruction over EAR seems to favor all events. For the 5 conduits used for ISR, according to operative mortality, age of the patients looks to have a positive correlation only for silver polyester and no conduit present any advantage in the presence of PDF. Reinfection seems to be not significantly different for the 5 conduits, and only autogenous veins appear to have a positive correlation with infecting organisms.

Conclusion - In situ reconstruction may be considered as first-line treatment. Our results suggest that silver polyesters appear to be most appropriate for older patients, and in order to limit reinfection, autogenous veins are probably the most suitable conduit.
Fichier non déposé

Dates et versions

hal-01771414 , version 1 (19-04-2018)

Identifiants

Citer

Michel Batt, Patrick Feugier, Fabrice Camou, Amandine Coffy, Eric Senneville, et al.. A Meta-Analysis of Outcomes After In Situ Reconstructions for Aortic Graft Infection. Angiology, 2018, 69 (5), pp.370-379. ⟨10.1177/0003319717710114⟩. ⟨hal-01771414⟩
88 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More