AI Article Synopsis
- The study investigated the effectiveness of conservative versus surgical treatment methods for aortic graft infections, noting a lack of guidelines in the field.
- Data from 48 patients were analyzed, revealing that those who underwent surgical treatment had a lower mortality rate and longer survival compared to those who received conservative treatment.
- Different surgical approaches, such as local treatment, in situ replacement, and bypass surgery, did not show significant differences in mortality rates among the surgical groups, indicating that surgical treatment is the preferable option overall.
Article Abstract
Background: There is still no guideline or consensus on the treatment of aortic graft infection. This study reported and compared conservative and surgical treatment and different surgical methods for aortic graft infection.
Methods: Data from aortic graft infections treated at our institution between February 2017 and June 2022 were retrospectively analyzed. Clinical data and surgical approaches were evaluated.
Results: This article retrospectively analyzed the treatment and prognosis of 48 patients (43 males) with aortic graft infection. The patients were divided into conservative treatment group (n = 15) and surgical treatment group (n = 33). During follow-up, the mortality rate of the conservative treatment group was significantly higher than that of the surgical treatment group (P<0.05). The survival curve also showed that the survival time of the surgical treatment group was longer than that of the conservative treatment group (P<0.05). The surgical treatment group included local treatment (n=5), in situ replacement (n=8) and bypass surgery (n=20) groups. There was no significant difference in the mortality rate at 1 month or final follow-up among the local treatment, in situ replacement and bypass surgery groups.
Conclusion: Surgical treatment is the optimal option for treating aortic graft infections compared to conservative treatment.
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| http://dx.doi.org/10.1055/a-2266-7574 | DOI Listing |
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