PMID: 9194534Jun 1, 1997Paper

Management of abdominal aortic prosthetic graft infection requiring emergent treatment

Angiology
A MingoliA Cavallaro

Abstract

The purpose of this study was to investigate mortality and morbidity rates and long-term outcome of patients who underwent emergency treatment of abdominal aortic prosthetic graft infection. Between January 1984 and December 1993, 18 men aged fifty-nine +/- sixteen years were operated on as an emergency for an acute life-threatening complication of aortic prosthetic graft infection. The grafts had been implanted for abdominal aortic aneurysm in 9 patients and aortoiliac occlusive disease in 9, from one to one hundred seventy months previously. Five (28%) patients presented with a hemorrhagic shock due to a fistula between the vascular reconstruction and the small bowel (4 patients) or the right ureter (1 patient) and 13 (72%) had generalized sepsis. The grafts were always radically explanted. Extraanatomic revascularization procedures included 6 axillopopliteal and 12 axillofemoral bypass grafts. Operative mortality was 39% (7 patients), and 3 (9%) limbs were amputated within thirty days. Two (11%) patients died after seven and twelve months, respectively, of septic complications, and 1 (5%) patient died after six months from an unrelated cause. Eight (73%) patients are still alive at a mean follow-up of fifty +/- thirty-four m...Continue Reading

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Citations

Aug 9, 2001·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·S KrämerJ Görich
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Jun 6, 2017·Angiology·Michel BattUNKNOWN Research Group for Vascular Graft Infection

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