Arterial homografts in the management of infected axillofemoral prosthetic grafts.
Two lower limb amputees with infected contralateral axillofemoral prosthetic grafts received preserved human arteries after removal of the infected materials. Both grafts grew organisms (Enterococcus species, plus Staphylococcus species in one). Long length arterial conduits were fashioned from freshly harvested (in one patient) and cryopreserved (in another one) cadaveric iliac and femoral arteries. One arterial homograft had ABO-compatibility with the recipient. No immunosuppressive drugs were administered after repeat arterial reconstructions. After 12 and 15 months both grafts are still patent, without parietal changes at ultrasonography; the patients have a viable remaining lower extremity and are free of symptoms or re-infection.
Bracale
G C
GC
Department of Vascular Surgery, Medical School, University Federico II, Naples, Italy.
Porcellini
M
M
Bernardo
B
B
Bauleo
A
A
Capasso
R
R
D000368:Aged; D000369:Aged, 80 and over; D001366:Axillary Artery / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D013293:Enterococcus faecalis; D005263:Femoral Artery / Q000601:surgery*; D016905:Gram-Negative Bacterial Infections / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000601:surgery*; D013203:Staphylococcal Infections / Q000601:surgery*; D014184:Transplantation, Homologous