[Complications of vascular prosthesis].

Area of Science:

• Vascular Surgery
• Biomaterials Science

Context:

• Complications following arterial reconstruction using vascular prostheses are significant concerns.
• Aorto-femoral and aorto-iliac reconstructions are common procedures with inherent risks.

Purpose:

• To analyze the incidence and characteristics of thrombosis, infection, and pseudoaneurysms after vascular reconstructions.
• To discuss the aetiopathogenesis and prevention strategies for these prosthetic complications.
• To present personal treatment results for patients experiencing these adverse events.

Summary:

• Prosthetic thrombosis occurred in 45 of 233 aorto-femoral bypasses, necessitating 66 reoperations.
• Infection was observed in 17 of 387 aorto-iliac reconstructions (11 early, 6 tardive).
• Pseudoaneurysms developed in 2.5% (28 cases) of 1118 total vascular reconstructions.

Impact:

• Highlights the critical need for improved prevention and management of vascular prosthesis complications.
• Provides valuable data for surgeons regarding the risks associated with different arterial reconstruction techniques.
• Informs the development of more durable and infection-resistant vascular grafts.