Autogenous reconstruction of infected arterial prosthetic grafts utilizing the superficial femoral vein

The Thoracic and Cardiovascular Surgeon
B DorweilerH Oelert

Abstract

Prosthetic infection after reconstructive vascular surgery is a most serious complication, associated with high mortality and amputation rates. Following excision of the infected graft, several methods of reconstruction are available. We present here our experience with autogenous reconstruction of infected prosthetic arterial grafts using the superficial femoral vein (SFV). From November 1995 to December 1999, we used the SFV in seven patients (mean age 70 years) for reconstruction of an infected aortobifemoral (n = 2), aortoiliac (n = 1), femorofemoral bypass (n = 1), femorotibial (n = 2) and carotid crossover bypass (n = 1). Treatment encompassed complete prosthetic excision and autogenous reconstruction with the SFV alone or as a spliced graft with the greater saphenous vein (GSV) or basilic vein. There were no perioperative deaths or amputations. Two patients exhibited transient moderate swelling of the donor limb. In the follow-up, six patients are alive and well without any signs of recurrent infection. One patient died with an unrelated cause 24 months postoperatively. All donor limbs were asymptomatic for venous congestion in the long-term follow-up. The SFV provides a reliable tool for autogenous reconstruction after ...Continue Reading

Citations

Jun 24, 2009·Transplantation Proceedings·F AlcocerJ Montes de Oca
Apr 4, 2007·Expert Review of Anti-infective Therapy·Firas F MussaPeter H Lin
Dec 18, 2013·Journal of Vascular Surgery·Bernhard DorweilerChristian-Friedrich Vahl
Feb 5, 2004·Vascular and Endovascular Surgery·Timothy W SwainMatthew D Dougherty
Dec 20, 2013·Vascular and Endovascular Surgery·LeAnn A ChavezJoseph L Mills
Mar 12, 2010·Vascular Medicine·Ivan Benaduce CasellaClaudio D Sabbag
Nov 26, 2003·International Journal of Oral and Maxillofacial Surgery·Zs NémethGy Szabó

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allogenic & Autologous Therapies

Allogenic therapies are generated in large batches from unrelated donor tissues such as bone marrow. In contrast, autologous therapies are manufactures as a single lot from the patient being treated. Here is the latest research on allogenic and autologous therapies.

Related Papers

Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
M A CardozoT P Bonamigo
European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
O Ehsan, C P Gibbons
Archives of Otolaryngology--head & Neck Surgery
R J Meleca, S C Marks
© 2021 Meta ULC. All rights reserved