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Infection of vascular prosthesis in aortofemoral area

M Scerba1, J Podlaha, Z Kriz

  • 12nd Department of Surgery, St. Anne's Faculty Hospital, Brno, Czech Republic.

Bratislavske Lekarske Listy
|November 2, 2007
PubMed
Abstract

Insights

Vascular prosthesis infection in the aortofemoral area is a rare but serious complication. Treatment is complex, often requiring prosthesis removal and revascularization, with significant morbidity and mortality.

Area of Science:

  • Vascular Surgery
  • Infectious Disease
  • Surgical Complications

Background:

  • Aortofemoral vascular reconstructions are susceptible to infection.
  • Prosthetic graft infection presents a significant challenge in vascular surgery.

Purpose of the Study:

  • To determine the incidence of vascular prosthesis infection in the aortofemoral region.
  • To analyze the clinical course, treatment strategies, and risk factors associated with these infections.

Main Methods:

  • Retrospective analysis of 7 patients operated for aortofemoral vascular reconstruction infection (2000-2004).
  • Evaluation of diagnostic methods, surgical procedures, and patient risk factors.
  • Comparison with vascular registry data and other surgical centers.

Main Results:

  • Infection occurred 13 months to 15 years post-implantation, often presenting as purulent groin discharge.
  • Staphylococcus was the most common pathogen; treatment involved prosthesis explantation (partial or total) and revascularization (extra-anatomic bypass in 4 cases).
  • High rates of sepsis, mortality (3 patients), and lower limb amputations (6 in 4 patients) were observed.

Conclusions:

  • Aortofemoral vascular prosthesis infection is infrequent but poses severe, difficult-to-manage complications.
  • Prompt diagnosis and aggressive surgical management are crucial, though outcomes remain challenging.

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