Evidence map›Paper›PMID 36458920›Full record

ArticleEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2022

Thoracic aortic vascular graft infection: outcome after conservative treatment without graft removal.

Ilse J E Kouijzer, Celine T Baranelli, Ianthe Maat, Frederik M A van den Heuvel, Erik H J G Aarntzen, Tim Smith, Quirijn de Mast, Guillaume S C Geuzebroek

Open access · hybridAbstract read
In one paragraph

Article in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Outcomes of conservative treatment for thoracic vascular graft infections.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Significance and current approaches to vascular graft infection.Indian journal of thoracic and cardiovascular surgery · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Ilse J E KouijzerDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands.ORCID 0000-0002-1808-4076
Celine T BaranelliDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands.
Ianthe MaatDepartment of Medical Microbiology, Radboud University Medical Center, Nijmegen, Netherlands.
Frederik M A van den HeuvelDepartment of Cardiology, Radboud University Medical Center, Nijmegen, Netherlands.
Erik H J G AarntzenDepartment of Medical Imaging, Radboud University Medical Center, Nijmegen, Netherlands.
Tim SmithDepartment of Cardio-Thoracic Surgery, Radboud University Medical Center, Nijmegen, Netherlands.
Quirijn de MastDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands.
Guillaume S C GeuzebroekDepartment of Cardio-Thoracic Surgery, Radboud University Medical Center, Nijmegen, Netherlands.ORCID 0000-0003-0407-2901
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSurgical debridement with aortic graft removal is considered the preferred treatment for thoracic aortic vascular graft infection (VGI). Conservative treatment with antibiotics only is usually reserved for inoperable patients. Due to Outpatient Parenteral Antimicrobial Therapy (OPAT) and better understanding of the antibiotic impact on biofilms, long-term targeted antibiotic therapy without graft removal may be an alternative treatment option for selected thoracic aortic VGI patients. The aim of this case series was to evaluate the outcome in patients with thoracic aortic VGI who were treated without graft removal.

methodsThis single-centre retrospective cohort study evaluated patients with a thoracic aortic VGI diagnosed between 2008 and 2021 and who were treated without graft removal. The primary outcome parameter was the 6-month mortality rate after VGI diagnosis. Secondary outcome parameters were cure rates and relapse of infection.

resultsTwenty-four patients with thoracic aortic VGI who were managed without graft removal were identified. The mortality rate 6 months after VGI diagnosis was 8% (2/24); one of these deaths was infection related. The median antibiotic treatment duration was 13 months (interquartile range 15). A total of 16 patients (67%) were cured. No relapses occurred after a median of 24-month (interquartile range 32) follow-up.

conclusionsIntensive antibiotic treatment, without graft removal, may be a non-inferior option in patients with a thoracic aortic VGI who are not considered for surgery.

Indexed as

Blood Vessel Prosthesis ImplantationProsthesis-Related InfectionsVascular DiseasesAnti-Bacterial AgentsBlood Vessel ProsthesisConservative TreatmentHumansNeoplasm Recurrence, LocalRetrospective StudiesTreatment OutcomeAnti-Bacterial AgentsConservative treatmentOutcomeThoracic aortic vascular graft infection

Identifiers

PMID36458920
PMCPMC9872445
OpenAlexW4310600752

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.