[Cryopreserved arterial homografts. A treatment alternative for infected vascular reconstructions].
Deep wound infection or prosthetic vascular graft infection is one of the most challenging complications in vascular surgery with a substantial early and late morbidity and mortality. Surgical treatment usually consists of complete removal of infected vessels or prosthetic vascular grafts followed by extraanatomic bypass procedures. However, this method is associated with significant mortality and amputation rates. Herein, we report two patients with deep wound and prosthetic vascular graft infection who underwent successful in situ reconstruction with cryopreserved arterial homografts. Although the long-term results are missing, this approach may offer a possible treatment alternative for this potentially life-threatening complication.
Reber
P U
PU
Abteilung für Gefässchirurgie, Inselspital, Universität Bern.
Stauffer
E
E
Kipfer
B
B
Kniemeyer
H W
HW
D000368:Aged; D017130:Angioplasty / Q000009:adverse effects; D001158:Arteries / Q000378:metabolism* / Q000382:microbiology / Q000637:transplantation*; D015925:Cryopreservation / Q000639:trends*; D016983:Enterococcus / Q000378:metabolism; D004927:Escherichia coli Infections / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000628:therapy*; D013203:Staphylococcal Infections / Q000628:therapy; D014184:Transplantation, Homologous; D014652:Vascular Diseases / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods
Kryopräservierte arterielle Homografts. Therapeutische Alternative bei tiefer Gefässinfektion.