Reference : Prosthetic vascular infection complicated or not by aortoenteric fistula: comparison of ...
Scientific journals : Article
Human health sciences : Cardiovascular & respiratory systems
http://hdl.handle.net/2268/41220
Prosthetic vascular infection complicated or not by aortoenteric fistula: comparison of treatment with and without cryopreserved allograft (homograft).
English
Lavigne, Jean-Paul [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie cardio-vasculaire >]
Postal, Alain [Centre Hospitalier Universitaire de Liège - CHU > > Chirurgie abdominale- endocrinienne et de transplantation >]
Kolh, Philippe mailto [Université de Liège - ULg > Département des sciences biomédicales et précliniques > Biochimie et physiologie générales, humaines et path. >]
Limet, Raymond mailto [Université de Liège - ULg > Département des sciences cliniques > Département des sciences cliniques >]
2003
European Journal of Vascular and Endovascular Surgery
Elsevier
25
5
416-23
Yes (verified by ORBi)
International
1078-5884
1532-2165
London
United Kingdom
[en] Aged ; Aortic Diseases/complications/mortality/surgery ; Blood Vessel Prosthesis/adverse effects ; Chi-Square Distribution ; Cryopreservation ; Female ; Fistula/complications/mortality/surgery ; Humans ; Male ; Middle Aged ; Odds Ratio ; Prosthesis Failure ; Prosthesis-Related Infections/complications/microbiology/mortality/surgery ; Reoperation ; Transplantation, Homologous ; Treatment Outcome
[en] OBJECTIVES: in patients with vascular prosthesis infection, to compare surgical outcome and long-term results of cryopreserved allograft implantations to conventional surgery. DESIGN: retrospective study. MATERIAL AND METHODS: two asynchronous series of 44 [series I: 1980-1994; 8 patients with aortoenteric fistula (AEF)] and 22 (series II: 1994-1997; 4 patients with AEF) patients were treated for prosthesis infection. All patients had prosthesis excision. In series I, there were 4 in situ reparations, 26 extra-anatomic bypass, 13 excision only, and one death at laparotomy. In series II, in situ cryopreserved allografts were implanted in all patients. RESULTS: operative mortality was 16% in series I and 13.6% in series II. For AEF patients, mortality was 37% in series I and 50% in series II. Among hospital survivors, infection-related late mortality was 13.5% in series I and 5% in series II. For AEF patients, late mortality was 20% in series I and 50% in series II. Incidence of reoperations was 54% in series I and 10.5% in series II (p<0.01). Hospital stay was 47.2+/-26.4 days in series I and 16.6+/-11.5 days in series II (p<0.001). CONCLUSIONS: compared to conventional treatment, incidence of reoperations and length of hospital stay are significantly decreased after cryopreserved allograft implantation. However, closure of aortic stump and extra-anatomic bypass gives better results for patients with AEF.
Researchers ; Professionals
http://hdl.handle.net/2268/41220
10.1053/ejvs.2002.1865

File(s) associated to this reference

Fulltext file(s):

FileCommentaryVersionSizeAccess
Open access
Lavigne_Eur J Vasc Endovasc Surg_2003_25_416.pdfAuthor postprint146.59 kBView/Open

Bookmark and Share SFX Query

All documents in ORBi are protected by a user license.