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Related Experiment Videos

Infected aortobifemoral prosthesis--a dreaded complication.

J Schellack1, M T Stewart, R B Smith

  • 1Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.

The American Surgeon
|March 1, 1988
PubMed
Summary

Infected aortofemoral grafts require prompt surgical intervention. Early graft excision and revascularization significantly improve limb salvage rates, though amputation and mortality remain risks.

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Area of Science:

  • Vascular Surgery
  • Infectious Disease Management

Background:

  • Infected aortofemoral grafts pose a significant challenge in vascular surgery.
  • Predisposing factors include prior femoral procedures and perioperative infections.

Purpose of the Study:

  • To evaluate the outcomes of managing infected aortofemoral grafts.
  • To identify factors influencing limb salvage and mortality.

Main Methods:

  • Retrospective review of 13 patients with infected aortofemoral grafts (1980-1985).
  • Analysis of management strategies including graft excision and revascularization.
  • Assessment of predisposing factors, presentation, and outcomes.

Main Results:

  • Suppurative groin infections (11) and ruptured pseudoaneurysms (2) were common presentations.

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  • Graft excision with revascularization achieved 79% limb salvage.
  • Major amputation was required in 38% of patients, with a 23% mortality rate.

    • Conclusions:

    • Early graft excision and prompt revascularization are crucial for managing infected aortofemoral grafts.
    • Aggressive surgical management is necessary despite associated risks of amputation and mortality.