[Treatment of vascular implants' infections in aortic position]

Voenno-Meditsinskii Zhurnal
|December 11, 2012
PubMed

Insights

Infection of abdominal aortic vascular implants is a severe complication. Computer tomography with contrast is the most effective diagnostic method for identifying these infections.

Area of Science:

  • Vascular Surgery
  • Medical Imaging
  • Infectious Diseases

Background:

  • Vascular implant infections in the abdominal aorta are a severe complication in vascular surgery.
  • The frequency of these infections ranges from 1% to 3.5%, with a high mortality rate of 21% to 80%.
  • The average patient age is 61.4 years.

Purpose of the Study:

  • To evaluate diagnostic methods for abdominal aortic vascular implant infections.
  • To determine the most effective imaging technique for identifying implant suppuration.

Main Methods:

  • Review of cases involving infected abdominal aortic vascular implants.
  • Utilized fistulography as a diagnostic tool.
  • Employed computer tomography with bolus contrast for detailed imaging.

Main Results:

  • Fistulography showed diagnostic value in identifying implant infection.
  • Visualization of the artificial limb during imaging was pathognomonic for infection.
  • Computer tomography with bolus contrast proved to be the most significant and exhaustive diagnostic method.

Conclusions:

  • Infection of abdominal aortic vascular implants is a critical surgical complication.
  • Computer tomography with bolus contrast is the superior method for diagnosing these infections.
  • Early and accurate diagnosis is crucial for managing these severe cases.

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