[Clinical experience with a new antimicrobially coated InterGard-IgK/AM vascular prosthesis in surgical treatment of deep wound infection with involvement of the synthetic bypass: report of 2 cases].
We report 2 cases of infected vascular prosthesis, where the infected alloplastic material was removed and the revascularisation of the lower extremity was done by implantation of the new antimicrobial surface-coated InterGard prosthesis in the area of the former infected graft. An extra-anatomical bypass was not promising in these cases. Clinical, bacteriological and granulocyte-scintigraphic examinations have provided no evidence for persisting infection 12 and 11 months after implantation of this prosthesis. We are aware that the postoperative observation periods are too short to allow definitive assessment. Nevertheless we still consider that this prosthesis means a new and promising option in the treatment of infected vascular graft.
Manouguian
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Sektion Gefässchirurgie, Krankenhaus Bethanien Moers.
D000792:Angiography; D000891:Anti-Infective Agents, Local; D001158:Arteries / Q000601:surgery; D001807:Blood Vessel Prosthesis; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000601:surgery*; D011552:Pseudomonas Infections / Q000000981:diagnostic imaging / Q000601:surgery*; D011550:Pseudomonas aeruginosa; D012086:Reoperation; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000601:surgery*; D013212:Staphylococcus epidermidis; D013530:Surgical Wound Infection / Q000000981:diagnostic imaging / Q000601:surgery*; D014260:Triclosan
D000891:Anti-Infective Agents, Local; D014260:Triclosan