Related Experiment Videos
[Late infections of aortic prostheses]
P Utíkal1, P Bachleda, M Köcher
1I. chirurgická klinika FN, I.P. Pavlova 67, 775 20 Olomouc.
Bratislavske Lekarske Listy
|June 10, 2000
Summary
Late infection of Dacron vascular prostheses in aortoiliacofemoral reconstructions occurs in 1.5% of cases. Radical graft removal is often necessary, with axillobifemoral bypass as a potential alternative.
Area of Science:
- Vascular Surgery
- Infectious Disease
Context:
- Late infection of Dacron vascular prostheses in aortoiliacofemoral reconstructions is a significant complication.
- This study reviews the experience with this complication between 1988 and 1998.
Purpose:
- To evaluate the incidence, diagnosis, and management of late Dacron graft infections in aortoiliacofemoral reconstructions.
- To highlight the role of imaging and surgical strategies in managing these infections.
Summary:
- A 1.5% incidence (8 of 620 cases) of late graft infection was observed.
- Scintigraphy (Le 99mTc-HMPAO) and CT scans are crucial for diagnosing the infection's location and extent.
- Conservative and local surgical treatments were often unsuccessful, necessitating radical graft removal.
- Axillobifemoral bypass with ePTFE grafts is presented as an alternative for infected bifurcation grafts.
Impact:
- This research underscores the importance of early and accurate diagnosis of graft infections.
- It emphasizes the need for aggressive surgical management, including graft explantation.
- The findings guide surgical decision-making for complex vascular graft infections.