Carotid Endarterectomy 之后的补丁感染:一个单一中心的审计和文献审查
Konstantinos Roditis1, Sofia Tzamtzidou1, Konstantinos Maltezos2
1Department of Vascular Surgery, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, GRC.
Cureus
|August 26, 2024
概括
关节内关节切除术 (CEA) 后的补丁感染很少见,但严重. 迅速的手术干预,包括贴片切除和静脉移植,在大多数患者中导致成功的结果,没有再感染.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 外科手术的结果
背景情况:
- Carotid Endarterectomy (CEA) 携带罕见但严重的补丁感染的风险.
- 在CEA之后的假肢贴片感染需要特定的管理策略.
- 了解结果对于优化患者护理至关重要.
研究的目的:
- 检查CEA后的假肢贴片感染的管理和结果.
- 审查关于CEA贴片感染的文献.
- 为了识别常见的病原体和治疗疗效.
主要方法:
- 对CEA患者患有补丁感染 (1999-2022) 的回顾性审计.
- 在CEA (1992-2022) 后对假肢贴片感染的文献综述.
- 对患者人口统计,病原体,干预措施和结果的分析.
主要成果:
- 确定了7名患有CEA补丁感染的患者.
- 常见的病原体包括 * Staphylococcus epidermidis * 和 * Staphylococcus aureus *.
- 在86%的患者中,成功的治疗涉及脱bridement,补丁切除和静脉移植,没有术前死亡或中风.
结论:
- 感染物质的切除和用静脉移植的再血管化是CEA补丁感染的既定治疗方法.
- 这种方法表明了有利的结果,包括低的再感染率.
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