<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0003-3170</journal-id>
<journal-title><![CDATA[Angiología]]></journal-title>
<abbrev-journal-title><![CDATA[Angiología]]></abbrev-journal-title>
<issn>0003-3170</issn>
<publisher>
<publisher-name><![CDATA[Arán Ediciones S.L.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0003-31702021000500002</article-id>
<article-id pub-id-type="doi">10.20960/angiologia.00289</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Infección de prótesis aórtica abdominal convencional: resultados del tratamiento mediante resección y revascularización extraanatómica]]></article-title>
<article-title xml:lang="en"><![CDATA[Aortic graft infection: outcomes of graft excision and extra anatomic revascularization]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yáñez Moya]]></surname>
<given-names><![CDATA[Hugo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Echenique]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mariné Massa]]></surname>
<given-names><![CDATA[Leopoldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bergoeing Reid]]></surname>
<given-names><![CDATA[Michel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kramer Schumacher]]></surname>
<given-names><![CDATA[Albrecht]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas Serrano]]></surname>
<given-names><![CDATA[José Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torrealba Fonck]]></surname>
<given-names><![CDATA[José Ignacio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mertens Martín]]></surname>
<given-names><![CDATA[Renato]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontificia Universidad Católica de Chile Escuela de Medicina Departamento de Cirugía Vascular y Endovascular]]></institution>
<addr-line><![CDATA[Santiago ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2021</year>
</pub-date>
<volume>73</volume>
<numero>5</numero>
<fpage>220</fpage>
<lpage>227</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0003-31702021000500002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0003-31702021000500002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0003-31702021000500002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: la infección de prótesis después de cirugía abierta de aorta abdominal es infrecuente (0,7-3 %) y potencialmente mortal. El manejo clásico ha sido mediante revascularización extraanatómica y retiro del material protésico, y actualmente existen alternativas de reparación in situ. La mortalidad perioperatoria global es entre 4 y 40 % dependiendo de la serie y del tipo de reparación.  Objetivos: reportar nuestra experiencia con revascularización extraanatómica y resección de la prótesis infectada.  Metodología: estudio retrospectivo entre 1977 y 2020. Se incluyeron solo pacientes con infección de prótesis tratados mediante resección y reconstrucción extraanatómica. Se consideraron variables demográficas, comorbilidades, presentación clínica y agente microbiano. Como resultado primario utilizamos mortalidad posoperatoria y para resultados secundarios: reoperaciones, complicaciones precoces y tardías, amputación mayor, permeabilidad y sobrevida alejada. Se realizaron estadísticas descriptivas y asociaciones dicotómicas con chi-cuadrado.  Resultados: dieciséis pacientes, todos masculinos. Edad promedio 69,2 años (55-82). Tiempo promedio de cirugía a infección de 27,8 meses (1-84). Fue más frecuente la infección en pacientes intervenidos por aneurisma roto que por otras causas (p &lt; 0,05). Once pacientes (68,8 %) presentaban fiebre, 6 (37,5 %) debutaron con dolor abdominal o lumbar, 5 (31,3 %) con signos inflamatorios cutáneos (región inguinal o lumbar). Doce pacientes (75 %) presentaron comunicación aortoduodenal: 6 fístulas y 6 erosiones. Tres pacientes (18,8 %) debutaron con isquemia de miembros inferiores. Siete pacientes (43,8 %) presentaron complicaciones posoperatorias mayores y 2 pacientes fallecieron en el posoperatorio (12,5 %). La sobrevida actuarial al año y a 5 años fue de 86,7 % y 64,3 % respectivamente. Las permeabilidades primaria y secundaria de la reconstrucción extraanatómica a 5 años fue 77,8 % y 100 %, respectivamente.  Conclusiones: la infección de prótesis aórtica es una entidad grave, cuyo tratamiento conlleva una morbimortalidad significativa. La revascularización extraanatómica y resección de prótesis infectada continúa siendo una alternativa de manejo y permite solucionar de forma segura y efectiva el foco séptico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: aortic graft infection (AGI) after aortic open repair is an unusual (0.7-3 %) and potentially lethal complication. Standard treatment has been excision of infected graft and extra anatomic bypass, although currently there are in situ repair techniques. Global perioperative mortality is 4-40 % according to the series and the repair technique.  Objectives: to report our experience with extra anatomic revascularization and excision of infected graft in AGI.  Methodology: retrospective study between 1977 and 2020. Were included patients with AGI treated with extra anatomic revascularization and excision of infected graft only. Demographics, morbidities, clinical presentation and microbiological agents were considered. Primary outcome was postoperative mortality. Secondary outcomes were reinterventions, postoperative complications, major amputations, bypass patency and long-term survival. Descriptive statistics were performed and dycotomical asociations were established with chi-squared test.  Results: sixteen patients, all male. Average age 69.2 years (55-82). Average time to infection from surgery was 27.8 months (1-84). AGI was more frequent in patients with ruptured aortic aneurysm (p &lt; 0.05). Eleven patients (68.8 %) had fever, 6 (37.5 %) consulted with abdominal or lumbar pain, 5 (31.3 %) had inflammatory changes of local skin. Twelve patients (75 %) had aortoduodenal communications. Three patients (18.8 %) had lower limb ischemia. Seven patients (43.8 %) presented postoperative complications and 2 patients expired (12.5 %). Actuarial one-year and five-year survival were 86.7 % and 64.3 %, respectively. Five-year primary and secondary patency of the axillofemoral bypass were 77.8 % and 100 %, respectively.  Conclusions: AGI is a serious condition, which treatment carries significant morbidity and mortality. Axillofemoral bypass grafting and infected graft excision currently is a safe alternative of treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infección de prótesis aórtica]]></kwd>
<kwd lng="es"><![CDATA[Bypass axilofemoral]]></kwd>
<kwd lng="es"><![CDATA[Resección y revascularización anatómica]]></kwd>
<kwd lng="en"><![CDATA[Aortic graft infection]]></kwd>
<kwd lng="en"><![CDATA[Axillofemoral bypass grafting]]></kwd>
<kwd lng="en"><![CDATA[Excision and extra anatomic revascularization]]></kwd>
</kwd-group>
</article-meta>
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