Blood vessel reconstruction infections: a practical view
Authors:
M. Krejčí; Z. Gregor; Z. Kříž; J. Podlaha; Z. Konečný; M. Dvořák
Authors‘ workplace:
II. chirurgická klinika Lékařské fakulty MU a FN u sv. Anny Brno, přednosta doc. MUDr. Zdeněk Gregor, CSc.
Published in:
Vnitř Lék 2008; 54(2): 178-182
Category:
Review
Overview
Infection represents a serious complication in vascular surgery. The average of 2-3 % of reconstructions are involved. The article offers a review of current diagnosis and treatment of infection after vascular reconstruction. Emphasis is put on early diagnosis and its impact on prognosis of patients. We summarize the practical potential of surgical treatment. The situation is illustrated by our results from the years 2004-2006. During the last 3 years 19 patients were operated on for infection of the arterial reconstruction (15ways aorto-femoral and 4ways femoro-popliteal bypass). The main agent was Staphylococcus aureus (9 patients, i.e. 47.4 %). In most cases explantation of the whole infected reconstruction was performed (13 patients). The early mortality rate is 26.3 %. Amputation was necessary in 6 patients (i.e. 31.5 %). Our results are fully comparable to those from other centres of vascular surgery.
Key words:
infection - vascular prosthesis - reconstruction - sepsis
Sources
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Labels
Diabetology Endocrinology Internal medicineArticle was published in
Internal Medicine
2008 Issue 2
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