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Titolo:
Infected aneurysms of necks and limb arteries: A retrospective multicenterstudy
Autore:
Patra, P; Ricco, JB; Costargent, A; Goueffic, Y; Pillet, JC; Chaillou, P;
Indirizzi:
CHU Nantes, Serv Chirurg Vasc, Hop G&R Laennec, F-44093 Nantes, France CHUNantes Nantes France F-44093 Hop G&R Laennec, F-44093 Nantes, France CHU Poitiers, Serv Chirurg Vasc, Hop J Bernard, Poitiers, France CHU Poitiers Poitiers France rurg Vasc, Hop J Bernard, Poitiers, France
Titolo Testata:
ANNALS OF VASCULAR SURGERY
fascicolo: 2, volume: 15, anno: 2001,
pagine: 197 - 205
SICI:
0890-5096(200103)15:2<197:IAONAL>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSLUMINAL CORONARY ANGIOPLASTY; EXTRACRANIAL CAROTID-ARTERY; MYCOTIC-ANEURYSM; SURGICAL-MANAGEMENT; SUBCLAVIAN ARTERY; POPLITEAL ARTERY; AORTIC-ANEURYSMS; FALSE ANEURYSMS; DRUG-ADDICTS; PALMAZ STENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
62
Recensione:
Indirizzi per estratti:
Indirizzo: Patra, P CHU Nantes, Serv Chirurg Vasc, Hop G&R Laennec, Blvd Jacques Monod, F-44093 Nantes, France CHU Nantes Blvd Jacques Monod Nantes France F-44093 ntes, France
Citazione:
P. Patra et al., "Infected aneurysms of necks and limb arteries: A retrospective multicenterstudy", ANN VASC S, 15(2), 2001, pp. 197-205

Abstract

Infected aneurysms (IA) of neck and limb arteries are uncommon. This report describes the results of a retrospective study undertaken by the University Association for Surgical Research (AURC) to evaluate etiology, bacteriology, location, diagnostic features, and therapeutic methods associated withIA. A total of 58 IA in 52 patients were reviewed. The lesion was located in a lower extremity artery in 47 patients (81%), internal carotid artery in 7 (12%), and upper extremity artery in 4 (6%). Eleven patients had multilocular aneurysm (21%). Symptoms of local infection were observed in 43 patients (82.6%). Rupture or splitting was the presenting manifestation in 13 patients (25%). Primary IA following bacteremia or septicemia without endocarditis was the most common type of IA observed in 34 patients (65.3%). Twelve patients (23%) presented mycotic IA secondary to bacterial endocarditis. In the remaining six patients (11.5%), IA resulted from direct contamination or spreading from a contiguous infection site. Surgical treatment included ligation of the artery without reconstruction in 19 patients and exclusion bypass in 33 patients. The duration of antibiotic treatment ranged from 15 days to 3 months. No recurrence of aneurysm was observed but th ree patients developed bypass infection. Primary IA was associated with high mortality due to severe septicemia.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/03/20 alle ore 10:49:46