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Simple Method of Infected Vascular Prosthesis Removal


Authors: K. Bartík;  P. Šedivý;  P. Štádler
Authors‘ workplace: Oddělení cévní chirurgie, Nemocnice Na Homolce, primář: doc. MUDr. Petr Štádler, Ph. D.
Published in: Rozhl. Chir., 2011, roč. 90, č. 1, s. 73-74.
Category: Monothematic special - Original

Overview

Introduction:
Removal of infected vascular prosthesis from aortofemoral or femoropopliteal positions may be technically demanding due to their strong fibrous attachment to surrounging tissues.

Material and Methods:
The authors describe a simple method of vascular prosthesis inversion and removal from the fibrous tissue using instrumentation for tunelization.

Discussion:
The authors successfully used the method in a patient with firmly attached and thrombotized vascular prosthesis.

Conclusion:
The procedure reduced duration of the procedure and resulted in reduced traumatization of the surrounding tissue.

Key words:
vascular prosthesis infection – removal


Sources

1. Ozal, E., Oz, B. S., Kucukarslan, N., Gunay, C., Yilmaz, A. T., Tatar, H. Removal of the thrombosed prosthetic axillofemoral graft. Am. J. Surg., 2001: 181; 28–29.

2. Harvey, D. R., Bliss, B. P. Late infection in Dacron arterial grafts. Ann. R. Coll. Surg. Engl., 1975; 56 (6): 334–336.

3. Haimovici, H. Removal of a thrombosed graft. Surg. Gynecol., 1983; 156 (6): 800–801.

4. Shifrin, E. G., Eid, A., Anner, H., Witz, M. The use of the venous stripper for graft removal in arterial reoperations. Eur. J. Vasc. Surg., 1987; 1(5): 351–352.

5. Marsan, B. U., Curl, G. R., Pillai, L., Gutierrez, I. Z., Ricotta, J. J. The thrombosed prosthetic graft is a risk for infection for an adjacent graft. Am. J. Surg., 1996; 172(2): 175–177.

Labels
Surgery Orthopaedics Trauma surgery

Article was published in

Perspectives in Surgery

Issue 1

2011 Issue 1

Most read in this issue
Topics Journals
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