Autogenous Superficial Femoral Vein for Replacement of an Infected Aorto-ilio-femoral Prosthetic Graft

Czech version

Authors: R. Staffa ¹; Z. Kříž ¹; R. Vlachovský ¹; M. Dvořák ¹; T. Novotný ¹; J. Buček ¹; S. Šárník ²; B. Vojtíšek ³
Authors‘ workplace: II. chirurgická klinika LF MU a FN u sv. Anny v Brně, přednosta: prof. MUDr. R. Staffa, Ph. D. ¹; I. interní kardioangiologická klinika LF MU a FN u sv. Anny v Brně, přednosta: prof. MUDr. J. Vítovec, CSc., FESC. ²; Klinika zobrazovacích metod LF MU a FN u sv. Anny v Brně, přednosta: doc. MUDr. P. Krupa, CSc. ³
Published in: Rozhl. Chir., 2010, roč. 89, č. 1, s. 39-44.
Category: Monothematic special - Original

Overview

A group of 12 patients (10 men, 2 women; average age, 52.7 years; range, 50–79 years) with vascular prosthetic graft infection (n = 9) or with an increased risk of such infection (n = 3) underwent arterial aorto-ilio-femoral reconstruction using autogenous superficial femoral vein. None of the patients died or had to have revision surgery during the follow-up (mean ± SD, 14.1 ± 7.3 months; range, 3–27 months). No pulmonary embolism occurred, nor were any early or late complications such as recurrent infection, graft occlusion, limb amputation or aneurysmal dilatation of vein graft recorded. In one patient, benign oedema of the limb following deep vein harvest persists, but this is well managed with a compression stocking.

The findings reported in the international literature as well as the authors’ experience show that the use of autogenous femoral vein gives very good results in the treatment of an infected vascular prosthetic graft, one of the most feared and most serious complications of vascular surgery.

Key words:
prosthetic graft infection – superficial femoral vein – deep femoral vein – autogenous reconstruction

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