Angiology: Open Access
Open Access
ISSN: 2329-9495
+44 20 3868 9735
ISSN: 2329-9495
+44 20 3868 9735
Jocelyne Caillon
France
Research Article
A Meta-Analysis of Outcomes of In Situ Reconstruction after Total or Partial Removal of Infected Abdominal Aortic Grafts?
Author(s): Michel Batt, Fabrice Camou, Amandine Coffy, Patrick Feugier, Eric Senneville, Jocelyne Caillon, Brigitte Calvet, Christian Chidiac, Frederic Laurent, Matthieu Revest and Jean Pierre DauresMichel Batt, Fabrice Camou, Amandine Coffy, Patrick Feugier, Eric Senneville, Jocelyne Caillon, Brigitte Calvet, Christian Chidiac, Frederic Laurent, Matthieu Revest and Jean Pierre Daures
Objective: To determine the most appropriate indication for total resection (TR) or partial resection(PR) of infected aortic grafts.Methods: A meta-analysis was conducted on the rates of early/late mortality, amputations and reinfection. A meta-regression was performed with 8 variables: patient age, male prevalence, presence of prosthetic duodenal fistula (PDF), presence of virulent or nonvirulent organisms, urgency, omentoplasty and follow-up.Results: For TR and PR, the rates of early mortality and reinfection were 16.8% and 10.5%, 11% and 27% respectively.For TR, the rates of early mortality and reinfection for in situ reconstruction with allografts and veins were 23% and 10.7%, 10.5% and 2.8% respectively.For TR, urgency, male gender and omentoplasty all had a negative correlation with early mortality. Oment.. Read More»
DOI:
10.4172/2329-9495.1000209
