Skip navigation
  • 中文
  • English

DSpace CRIS

  • DSpace logo
  • Home
  • Organizations
  • Researchers
  • Research Outputs
  • Explore by
    • Organizations
    • Researchers
    • Research Outputs
  • Academic & Publications
  • Sign in
  • 中文
  • English
  1. NTU Scholars
  2. 醫學院
  3. 醫學系
Please use this identifier to cite or link to this item: https://scholars.lib.ntu.edu.tw/handle/123456789/471167
Title: Surgical treatment for primary infected aneurysm of the descending thoracic aorta, abdominal aorta, and iliac arteries
Authors: Hsu R.-B.
Tsay Y.-G.
SHOEI-SHEN WANG 
Chu S.-H.
Issue Date: 2002
Publisher: Mosby Inc.
Journal Volume: 36
Journal Issue: 4
Start page/Pages: 746-750
Source: Journal of Vascular Surgery
Abstract: 
Objective and Method: In this retrospective review, we report the surgical results of infected aortic aneurysms treated at a single center over 5 years. Results: From October 1996 to October 2001, 19 patients with infected aortic aneurysm were treated with surgery, nine with suprarenal infections (four proximal descending thoracic aortic aneurysms, two distal descending thoracic aortic aneurysms, and three suprarenal abdominal aortic aneurysms) and 10 with infrarenal infections (eight infrarenal abdominal aortic aneurysms and two iliac artery aneurysms). All had a positive blood or tissue culture; 89% were febrile, 89% had leukocytosis, and 32% were hemodynamically unstable. The most common responsible pathogens were Salmonella organisms (74%) followed by Streptococcus species (11%). Nine of 10 infrarenal infections were caused by Salmonella organisms. Both infrarenal and suprarenal infections were treated with wide debridement of infected aorta, in situ prosthetic graft or patch repair, and prolonged intravenous antibiotics. Hospital survival rate was 95%: 100% for infrarenal and 89% for suprarenal infections. There was no perioperative intestinal ischemia or perioperative limb loss. Acute renal failure occurred in two patients with suprarenal infection. Late deaths have occurred in three patients with one early graft infection (5%) resulting in the only one in-hospital death at 4 months. Sixteen patients remain alive at mean follow-up of 17.8 months (range, 4-47 months). There have been no late aortic or graft infections. During the same period, there were five unoperated patients, four of whom died of shock during hospitalization. Conclusions: Infected aortic aneurysm is common in Taiwan, and Salmonella species were the most common responsible microorganisms. With surgical intervention and prolonged intravenous antibiotics, in situ graft replacement provided a good outcome. The incidence of prosthetic graft infection was low, even in patients with infections due to Salmonella species and with in situ graft replacement. Copyright ? 2002 by The Society for Vascular Surgery and The American Association for Vascular Surgery.
URI: https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036781007&doi=10.1067%2fmva.2002.126557&partnerID=40&md5=4a0a8d70d906f65343b8ac390d397743
https://scholars.lib.ntu.edu.tw/handle/123456789/471167
ISSN: 0741-5214
DOI: 10.1067/mva.2002.126557
metadata.dc.subject.other: antibiotic agent; ceftriaxone; abdominal aorta aneurysm; acute kidney failure; adult; aged; aorta graft; article; blood culture; clinical article; death; debridement; descending aorta; endoprosthesis; female; fever; follow up; graft infection; hemodynamics; hospitalization; human; iliac artery; intestine ischemia; leukocytosis; male; perioperative period; primary infection; priority journal; retrospective study; Salmonella; shock; Streptococcus; survival rate; thoracic aorta aneurysm; tissue culture; abdominal aorta; aneurysm; bacterial infection; Enterobacter infection; iliac artery; microbiology; middle aged; salmonellosis; Staphylococcus infection; Streptococcus infection; thoracic aorta; treatment outcome; tuberculosis; Aged; Aged, 80 and over; Aneurysm, Infected; Aorta, Abdominal; Aorta, Thoracic; Bacteroides Infections; Escherichia coli Infections; Female; Humans; Iliac Artery; Male; Middle Aged; Retrospective Studies; Salmonella Infections; Staphylococcal Infections; Streptococcal Infections; Treatment Outcome; Tuberculosis
[SDGs]SDG3
Appears in Collections:醫學系

Show full item record

SCOPUSTM   
Citations

133
checked on Aug 8, 2022

WEB OF SCIENCETM
Citations

113
checked on Aug 14, 2022

Page view(s)

3
checked on Aug 13, 2022

Google ScholarTM

Check

Altmetric

Altmetric

Related Items in TAIR


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

總館學科館員 (Main Library)
醫學圖書館學科館員 (Medical Library)
社會科學院辜振甫紀念圖書館學科館員 (Social Sciences Library)

開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

  • 請確認所上傳的全文是原創的內容,若該文件包含部分內容的版權非匯入者所有,或由第三方贊助與合作完成,請確認該版權所有者及第三方同意提供此授權。
    Please represent that the submission is your original work, and that you have the right to grant the rights to upload.
  • 若欲上傳已出版的全文電子檔,可使用Sherpa Romeo網站查詢,以確認出版單位之版權政策。
    Please use Sherpa Romeo to find a summary of permissions that are normally given as part of each publisher's copyright transfer agreement.
  • 網站簡介 (Quickstart Guide)
  • 使用手冊 (Instruction Manual)
  • 線上預約服務 (Booking Service)
  • 方案一:臺灣大學計算機中心帳號登入
    (With C&INC Email Account)
  • 方案二:ORCID帳號登入 (With ORCID)
  • 方案一:定期更新ORCID者,以ID匯入 (Search for identifier (ORCID))
  • 方案二:自行建檔 (Default mode Submission)
  • 方案三:學科館員協助匯入 (Email worklist to subject librarians)
Build with DSpace-CRIS - Extension maintained and optimized by Logo 4SCIENCE Feedback