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Surgical Technique for the Implantation of Tissue Engineered Vascular Grafts and Subsequent In Vivo Monitoring
Published on: April 3, 2015
[Treatment of vascular implants' infections in aortic position]
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.
Abstract:
Nowadays the infection of a vascular implants in abdominal aorta is the heaviest and terrible complication in vascular surgery. Frequency of suppuration of vascular implants in aortic position is from 1 up to 3,5%, with lethality from 21 up to 80%. Average age is 61,4 +/- 4,3 years. In 6 cases, bifurcated system was infected, in other 3--linear. From methods of tool diagnostics the certain value has fistulography. Visualization of an artificial limb at the given research is pathognomonic its attribute infection. The Most significant, exhaustive method in our supervision was a computer tomography with bolus contrast.
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