Lower Extremity Deep Vein as Arterial Replacement in the Treatment of Prosthetic Graft Infection
Authors:
R. Staffa; Z. Kříž; R. Vlachovský
Authors‘ workplace:
II. chirurgická klinika LF MU a FN u sv. Anny v Brně, přednosta: doc. MUDr. Z. Gregor, CSc.
Published in:
Rozhl. Chir., 2008, roč. 87, č. 4, s. 186-189.
Category:
Monothematic special - Original
Overview
In June 2007, an autologous lower extremity deep vein was used for arterial reconstruction for the first time in the Czech Republic. For this procedure, the superficial femoral vein was harvested in its full length, including part of the popliteal vein. Due to previous explantation of an infected prosthesis, the patient had critical ischemia and progressive gangrene of the lower extremity. His condition required an iliac-femoral artery reconstruction. Because of the high risk of recurrent infection, none of the conventional approaches involving a vascular prosthesis could be used. The implantation of a lower extremity deep vein appears to be very efficient in the treatment of prosthetic graft infection, which is one of the most serious and feared complications in vascular surgery.
Key words:
prosthetic graft infection – superficial femoral vein – lower extremity deep vein –autogenous reconstruction
Sources
1. Calligaro, K. D., Veith, F. J., Juan, J. G. Intra-abdominal aortic graft infection: complete or partial graft preservation in patients at very high risk. J. Vasc. Surg., 2003, 38, 1199–1205.
2. Dorweiler, B., Neufang, A., Schmiedt, W., Oelert, H. Autogenous Reconstruction of Infected Arterial Prosthetic Grafts Utilizing the Superficial Femoral Vein. Thorac. Cardiov. Surg., 2001, 49, 107–111.
3. Cardozo, M. A., Frankini, A. D., Bonamigo, T. P. Use of superficial femoral vein in the treatment of infected aortoiliofemoral prosthetic grafts. Cardiovasc. Surg., 2002, 10(4), 304–310.
4. Bacourt, F., Koskas, F. and the French University Association for research in surgery. Axillobifemoral bypass and aortic exclusion for vascular septic lesions: a multicenter retrospective study of 98 cases. Ann. Vasc. Surg., 1992, 6, 119–126.
5. Quinones-Baldrich, W. J., Hernandes, J. J., Moore, W. S. Long-term results following surgical management of aortic graft infection. Arch. Surg., 1991, 126, 507–511.
6. Chiche, L., Pitre, J., Sarfati, P. O. In situ repair of a secondary aorto-appendiceal fistula with a rifampin-bonded Dacron graft. Ann. Vasc. Surg., 1999, 13, 225–228.
7. D‘Addio, V. J., Clagett, G. P. Surgical Treatment of the Infected Aortic Graft: Introduction. ACS Surgery Online, 2002; ©2002.
8. Zhou, W., Lin, P. H., Bush, R. L., Terramani, T. T., Matsumura, J. H., Cox, M., et al. In situ reconstruction with cryopreserved arterial allografts for management of mycotic aneurysms or aortic prosthetic graft infection: a multi-institutional experience. Tex. Heart Inst. J., 2006, 33, 14–18.
9. Clagett, G. P., Bowers, B. L., Polez-Viego, M. A., et al. Creation of neo-aortoiliac system from lower extremity deep and superficial veins. Ann. Surg., 1993, 218, 239–249.
10. Seeger, J. M., Wheeler, J. R., Gregory, R. T. Autogenous graft replacement of infected prosthetic grafts in the femoral position. Surgery, 1983, 93, 39–45.
11. Clagett, G. P., Valentine, R. J., Hagino, R. T. Autogenous aortoiliac/femoral reconstruction from superficial femoral-popliteal veins: feasibility and durability. J. Vasc. Surg., 1997, 25(2), 255–266, discussion 267–270.
12. Nevelsteen, A., Lacroix, H., Suy, R. Autogenous reconstruction with lower extremity deep veins: an alternative treatment of prosthetic infection after reconstructive surgery for aortoiliac disease. J. Vac. Surg., 1995, 22, 129–134.
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Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
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