Forty years' experience treating septic arteritis and vasculitis.

Area of Science:

• Vascular Surgery
• Infectious Diseases
• Wound Healing

Background:

• Septic arteritis and infected grafts are severe conditions with high patient morbidity and mortality.
• Current treatments often involve complex procedures like graft removal, prolonged antibiotic therapy, repeat grafting, and omental wraps.

Purpose of the Study:

• To review and present various therapeutic options for managing septic arteritis and infected grafts.
• To highlight successful techniques and outcomes from the authors' experience.

Main Methods:

• Review of clinical cases involving septic arteritis and infected grafts.
• Description of surgical techniques including graft explantation, repeat grafting, omental wraps, and aortic endografting.
• Discussion of antibiotic use (intravenous and irrigation) and open wound management (granulation).

Main Results:

• The authors' experience demonstrates a range of available procedures for managing these complex infections.
• Specific techniques and their outcomes are presented as examples.
• Successful management relies heavily on infection avoidance and appropriate therapeutic interventions.

Conclusions:

• Management of septic arteritis and infected grafts requires a multifaceted approach.
• Aortic endografting followed by future repair is a viable option when feasible.
• Open wound management promoting granulation is a successful strategy in certain anatomical locations.