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Treatment of Aortic Graft Infection in the Endovascular Era

  • Intra-abdominal Infections, Hepatitis, and Gastroenteritis (T Steiner, Section Editor)
  • Published:
Current Infectious Disease Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

This review provides an overview of the current literature surrounding the medical and surgical treatment of aortic graft infection with particular focus on the role of endovascular aortic grafts in the changing demographics and management of these infections.

Recent Findings

Definitive therapy for aortic graft infection continues to include parenteral antibiotics and surgical explantation and revascularization procedures, which are historically vast operations and sources of significant operative stress. Surgical management has evolved to include more options for infection resistant in situ conduits, attempts at partial explantations, and use of endovascular therapy to temporize the urgent sequelae of these infections, such as aortoenteric fistula.

Summary

Aortic graft infection continues to be a significant and morbid complication of graft placement even with the advent of endovascular therapy, and its treatment will only increase in difficulty as a more frail population has gained access to complex aortic repair. In the future, more flexible revascularization and partial explantation options are keys, along with long-term suppressive antibiotics where appropriate.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Division of Vascular Surgery and Endovascular Therapy, The Johns Hopkins Hospital, Halsted 668 600 N Wolfe Street, Baltimore, MD, 21287, USA

    Rebecca Sorber, Michael J. Osgood, Christopher J. Abularrage, James H. Black III & Ying Wei Lum

Authors
  1. Rebecca Sorber
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  2. Michael J. Osgood
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  3. Christopher J. Abularrage
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  4. James H. Black III
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  5. Ying Wei Lum
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Correspondence to Ying Wei Lum.

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Conflict of Interest

Drs Sorber, Osgood, Abularrage, Black and Lum declare that they have no conflicts of interests.

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This article does not contain any studies with human or animal subjects performed by the authors.

Additional information

This article is part of the Topical Collection on Intra-abdominal Infections, Hepatitis, and Gastroenteritis

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Sorber, R., Osgood, M.J., Abularrage, C.J. et al. Treatment of Aortic Graft Infection in the Endovascular Era. Curr Infect Dis Rep 19, 40 (2017). https://doi.org/10.1007/s11908-017-0598-1

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  • DOI: https://doi.org/10.1007/s11908-017-0598-1

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