Academic Journal
Superior vena cava graft infection in thoracic surgery: a retrospective study of the French EPITHOR database
| العنوان: | Superior vena cava graft infection in thoracic surgery: a retrospective study of the French EPITHOR database |
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| المؤلفون: | Filaire, Laura, Mercier, Olaf, Seguin-Givelet, Agathe, Tiffet, Olivier, Falcoz, Pierre Emmanuel, Mordant, Pierre, Brichon, Pierre-Yves, Lacoste, Philippe, Aubert, Axel, Thomas, Pascal, Le Pimpec-Barthes, Françoise, Molnar, Ioana, Vidal, Magali, Filaire, Marc, Galvaing, Géraud |
| المساهمون: | Faculté de Médecine - Clermont-Auvergne (FM - UCA), Université Clermont Auvergne 2017-2020 (UCA 2017-2020 ), Hôpital Marie-Lannelongue, Hypertension pulmonaire : physiopathologie et innovation thérapeutique (HPPIT), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, Institut Mutualiste de Montsouris (IMM), UFR Médecine Santé - Université Paris Cité (UFR Médecine UPCité), Université Paris Cité (UPCité), Université Jean Monnet - Saint-Étienne (UJM), Nouvel Hôpital Civil de Strasbourg, Les Hôpitaux Universitaires de Strasbourg (HUS), Service de Chirurgie Thoracique et Vasculaire Hôpital Bichat, AP-HP - Hôpital Bichat - Claude Bernard Paris, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service de Chirurgie thoracique, Centre Hospitalier Universitaire CHU Grenoble (CHUGA), ITX - unité de recherche de l'institut du thorax (ITX), Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université de Nantes - UFR de Médecine et des Techniques Médicales (UFR MEDECINE), Université de Nantes (UN)-Université de Nantes (UN), Department of Vascular Surgery, Université Joseph Fourier - Grenoble 1 (UJF)-Centre Hospitalier Universitaire CHU Grenoble (CHUGA), Service de chirurgie thoracique Hôpital Nord - APHM, Assistance Publique - Hôpitaux de Marseille (APHM)-Hôpital Nord CHU - APHM, Hôpital Européen Georges Pompidou APHP (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Imagerie Moléculaire et Stratégies Théranostiques (IMoST), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Clermont Auvergne 2017-2020 (UCA 2017-2020 ), Centre Jean Perrin Clermont-Ferrand (UNICANCER/CJP), UNICANCER, Infection Inflammation et Interaction Hôtes Pathogènes CHU Clermont-Ferrand (3IHP ), Direction de la recherche clinique et de l’innovation CHU Clermont-Ferrand (DRCI), CHU Clermont-Ferrand-CHU Clermont-Ferrand, Infectious and Tropical Diseases Department, CHU Clermont-Ferrand, Unité de Nutrition Humaine (UNH), Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Université Clermont Auvergne (UCA) |
| المصدر: | ISSN: 1569-9293 ; Interactive Cardiovascular and Thoracic Surgery ; https://hal.science/hal-04522441 ; Interactive Cardiovascular and Thoracic Surgery, 2022, 34 (3), pp.378-385. ⟨10.1093/icvts/ivab337⟩. |
| بيانات النشر: | HAL CCSD Oxford University Press (OUP) |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | [SDV]Life Sciences [q-bio] |
| الوصف: | International audience ; Abstract OBJECTIVES To report our experience on the management of superior vena cava graft infection. METHODS Between 2001 and 2018, patients with superior vena cava synthetic graft or patch reconstruction after resection of intrathoracic tumours or benign disease were selected retrospectively from the French EPITHOR database and participating thoracic centres. Our study population includes patients with superior vena cava graft infection, defined according to the MAGIC consensus. Superior vena cava synthetic grafts in an empyema or mediastinitis were considered as infected. RESULTS Of 111 eligible patients, superior vena cava graft infection occurred in 12 (11.9%) patients with a polytetrafluoroethylene graft secondary to contiguous contamination. Management consisted of either conservative treatment with chest tube drainage and antibiotics (n = 3) or a surgical graft-sparing strategy (n = 9). Recurrence of infection appears in 6 patients. Graft removal was performed in 2 patients among the 5 reoperated patients. The operative mortality rate was 25%. CONCLUSIONS Superior vena cava graft infection may develop as a surgical site infection secondary to early mediastinitis or empyema. Graft removal is not always mandatory but should be considered in late or recurrent graft infection or in infections caused by aggressive microorganisms (virulent or multidrug resistant bacteria or fungi). |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | hal-04522441; https://hal.science/hal-04522441; https://hal.science/hal-04522441/document; https://hal.science/hal-04522441/file/ivab337.pdf |
| DOI: | 10.1093/icvts/ivab337 |
| الاتاحة: | https://hal.science/hal-04522441 https://hal.science/hal-04522441/document https://hal.science/hal-04522441/file/ivab337.pdf https://doi.org/10.1093/icvts/ivab337 |
| Rights: | info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.318EAEA5 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/icvts/ivab337 |
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