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The Use of V.A.C. System for the Treatment of Infected Vascular Prosthesis – A Case Report


Authors: P. Gladiš;  R. Holub;  T. Novotný
Authors‘ workplace: II. chirurgická klinika LF MU a FN u sv. Anny v Brně, přednosta: prof. MUDr. R. Staffa, Ph. D.
Published in: Rozhl. Chir., 2010, roč. 89, č. 8, s. 504-507.
Category: Monothematic special - Original

Overview

Infected vascular prosthesis is a serious therapeutic issue and a dreaded complication in vascular surgery. We present a case of an 87-year-old man with an infected femoroprofundal crossover PTFE bypass. In this case of a high-risk patient not suitable for surgery, we used a conservative approach using a V.A.C. system. After 4 weeks of conservative therapy the inflammation markers went down and the groin, where the vascular prosthesis was exposed in the beginning, had fully healed up. Follow-up CT scan of both regions of the groin and hypogastria is without fluid collection or other signs of infection of the crossover bypass.

Key words:
infected crossover femoroprofundal bypass – infected prosthesis explantation – extraanatomical bypass – autologous femoral vein – V.A.C.


Sources

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