Patch Infection Following Carotid Endarterectomy: A Single-Center Audit and Literature Review
Konstantinos Roditis1, Sofia Tzamtzidou1, Konstantinos Maltezos2
1Department of Vascular Surgery, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, GRC.
Cureus
|August 26, 2024
Summary
Patch infections after carotid endarterectomy (CEA) are rare but serious. Prompt surgical intervention, including patch excision and vein grafting, leads to successful outcomes with no re-infections in most patients.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Surgical Outcomes
Background:
- Carotid endarterectomy (CEA) carries a risk of rare but serious patch infections.
- Prosthetic patch infections following CEA require specific management strategies.
- Understanding outcomes is crucial for optimizing patient care.
Purpose of the Study:
- To examine the management and outcomes of prosthetic patch infections after CEA.
- To review the literature on CEA patch infections.
- To identify common pathogens and treatment efficacy.
Main Methods:
- Retrospective audit of CEA patients with patch infections (1999-2022).
- Literature review of prosthetic patch infections post-CEA (1992-2022).
- Analysis of patient demographics, pathogens, interventions, and outcomes.
Main Results:
- Seven patients with CEA patch infections were identified.
- Common pathogens included *Staphylococcus epidermidis* and *Staphylococcus aureus*.
- Successful treatment involved debridement, patch excision, and vein grafting in 86% of patients, with no peri-operative deaths or strokes.
Conclusions:
- Excision of infected material and revascularization with a vein graft is the established treatment for CEA patch infections.
- This approach demonstrates favorable outcomes, including low re-infection rates.
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