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Prosthetic vascular graft infection.

T O'Brien1, J Collin

  • 1Nuffield Department of Surgery, John Radcliffe Hospital, Oxford, UK.

The British Journal of Surgery
|December 1, 1992
PubMed
Summary

Prosthetic vascular graft infection is often caused by surgical contamination, with Staphylococcus epidermidis being a common culprit. Prevention focuses on surgical technique, antibiotics, and avoiding groin incisions.

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Area of Science:

  • Vascular surgery
  • Infectious diseases
  • Medical device-related infections

Background:

  • Prosthetic vascular graft infection (PVGI) is a serious complication.
  • Understanding the causes and risk factors is crucial for effective management.

Purpose of the Study:

  • To review the etiology, diagnosis, and management of PVGI.
  • To highlight key preventative strategies and diagnostic modalities.

Main Methods:

  • Literature review of studies on prosthetic vascular graft infection.
  • Analysis of etiological factors, diagnostic methods, and treatment outcomes.

Main Results:

  • Surgical contamination is a primary etiological factor.
  • Staphylococcus epidermidis is the most common causative organism (>50%).
  • Effective prevention includes sound surgical technique, prophylactic antibiotics, and avoiding groin incisions.

Conclusions:

  • PVGI diagnosis can be challenging, requiring assessment of various imaging methods.
  • Graft excision with extra-anatomic revascularization is the standard surgical approach.
  • Less radical surgical options and non-operative management are also discussed as potential strategies.

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