[Prosthetic infections in the aorta and iliac vessels]

Central vascular graft or endograft infection is a rare but serious complication following open or endovascular aortic surgery. Diagnosis relies on clinical, radiological, and microbiological criteria: the Management of Aortic Graft Infection Collaboration criteria. Curative treatment includes surgical graft removal, reconstruction, and prolonged antibiotic therapy. In high-risk patients, endovascular approaches or suppressive antibiotic treatment may be considered. Diagnostic and therapeutic strategies must be individualized, and high-volume multidisciplinary teams are essential, as argued in this review.