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Accepted VersionCC BY-NC-ND V4.0, Open Access
Journal article
Recommendations for Management of Infected Aortic Pathology Based on Current Evidence
Seminars in Vascular Surgery, Vol.32(1-2), pp.68-72
2019
Abstract
The management of infection involving the abdominal aorta requires clinical decisions based on patient factors and the nature of the infectious process. Any infection occurring after endovascular aortic aneurysm repair or open aortic replacement grafting should be promptly treated with appropriate systemic antibiotic therapy. Once a vascular prosthesis becomes infected surgical treatment is necessary. There should be a low threshold for graft excision and extra-anatomic bypass in the presence of fistula or abscess cavity, when feasible entire graft should be excised. In selected patients, graft excision with in-situ aorta reconstruction is an appropriate options using an autogenous femoral vein, cryopreserved allograft, or a prosthetic graft impregnated with antibiotic. The replaced in situ aortic graft should be covered with an omental pedicle. For primary aortic graft infections, endovascular treatment may act as a bridge to more definitive treatment; or in the absence of gross retroperitoneal infections, endovascular grafting alone with prolonged systemic antibiotic therapy is a viable option, particularly in patients not fit for open surgical procedures.
Details
- Title
- Recommendations for Management of Infected Aortic Pathology Based on Current Evidence
- Authors
- K M Stenson (Author) - St. George's Vascular InstituteM Grima (Author) - St. George's Vascular InstituteI M Loftus (Author) - St. George's Vascular InstituteRamesh K Tripathi (Author) - University of the Sunshine Coast
- Publication details
- Seminars in Vascular Surgery, Vol.32(1-2), pp.68-72
- Publisher
- W.B. Saunders Co.
- Date published
- 2019
- DOI
- 10.1053/j.semvascsurg.2019.07.003
- ISSN
- 0895-7967; 0895-7967
- Copyright note
- Copyright © 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
- Organisation Unit
- University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99451477802621
- Output Type
- Journal article
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- Domestic collaboration
- International collaboration
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- Peripheral Vascular Disease
- Surgery
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