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Updated: Mar 27, 2026
Procurement for a Vascularized and Reinnervated Abdominal Wall Allotransplantation
Published on: July 18, 2025
An axillofemoral bypass graft transgressing the chest wall
Alicia Levena Skervin1, Robert Hywel Thomas2, Kaji Sritharan1
1Academic Department of Vascular Surgery St Mary's Hospital Imperial College Healthcare NHS Trust Praed Street London W2 1NY UK.
Insights
Explanting infected vascular grafts may not need immediate revascularization. Limb perfusion assessment after graft cross-clamping can determine the necessity of further procedures.
Area of Science:
- Vascular Surgery
- Infectious Disease Management
Background:
- Infected vascular grafts pose significant clinical challenges, often necessitating complex management strategies.
- Revascularization is frequently considered standard during explantation of infected grafts.
Observation:
- This case involves an infected axillofemoral graft with chest wall transgression in a high-risk patient.
- A key observation is the potential to avoid immediate revascularization.
Findings:
- Explantation of an infected patent vascular graft does not always require concomitant revascularization.
- Limb perfusion can be adequately assessed through trial cross-clamping of the graft.
Implications:
- This approach may simplify surgical management and reduce patient morbidity in select cases.
- Clinical assessment of limb perfusion is crucial for decision-making regarding revascularization during graft explantation.
Abstract:
Explantation of an infected patent vascular graft does not necessarily require concomitant revascularization procedures. The need for revascularization can be determined by a trial cross-clamping of the graft and clinical assessment of limb perfusion. We report a case of an infected axillofemoral graft transgressing the chest wall in a surgically high risk patient.
