28. Treatment for infection of vascular graft after arterial bypass surgery
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Abstract
Infected arterial grafts is a serious complication in vascular surgery with high failure results. Extra-anatomic bypass is one of solution in literature, but there is no research yet done in Vietnam. This report will share some experiences of Viet Duc Hospital by retrospective descripting 05 patients with infected arterial grafts after lower extremity vascular bypass surgery who were treated by conservation, resection of grafts or femoral artery ligation, perineal femorofemoral bypass or obturator foramen bypass for lower extremity revascularization, on-site wound care. The early result showed that primary patency rate is 100% after surgery, inguinal incision can be well healed. Re-examination after 6 months without any sign of infection or limb ischemia, the inguinal incision was completely healed. Then extra-anatomical bypass is one of effective method for revascularization of the lower extremities in the case of infected arterial grafts.
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Keywords
Vascular graft infection, extra anatomic bypass, Viet Duc
References
2. Bunt TJ. Synthetic vascular graft infections I Graft infections. Surgery. 1983; 93(6): 733-746.
3. Engin C, Posacioglu H, Ayik F, Apaydin AZ. Management of vascular infection in the groin. Tex Heart Inst J. 2005; 32(4): 529-534.
4. Hardy JD, Bane JW. Arterial injury and massive blood loss: a case report of management of pelvic gunshot injury with femoro subscrotal-femoral bypass and 166 units of blood. Ann Surg. 1975; 181: 245-246.
5. Giulio Illuminati, Francesco G. Caliò, Antonio D’Urso, Daniela Giacobbi, Vassilios Papaspyropoulos, Gianluca Ceccanei. Infrascrotal, Perineal, Femorofemoral Bypass for Arterial Graft Infection at the Groin. Arch Surg. 2004; 139: 1314-1319.
6. Turnipseed WD, Berkoff HA, Detmer DE, Acher CW, Belzer FO. Arterialgraft infections: delayed v immediate vascular reconstruction. Arch Surg. 1983; 118(4):410-414.
7. Kieffer E, Laurian C, Surugue P, Natali J. Femoro-femoral venous bypass via the perineum (6 cases). Chirurgie. 1976; 102: 420-428.
8. Kieffer E, Bahnini A, Koskas F, Ruotolo C, Le Blevec D, Plissonnier D. In situ allograft replacement of infected infrarenal aortic prosthetic grafts: results in fortythree patients. J Vasc Surg. 1993; 17: 349-356.