28. Treatment for infection of vascular graft after arterial bypass surgery

Duong Ngoc Thang, Nguyen Huu Uoc, Doan Quoc Hung, Do Thi Thu Hien

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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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References

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