title: [Surgical management of patients with infected vascular prostheses].
abstract: We evaluated the therapeutic efficacy of surgical management of patients with infected vascular prostheses. Eight cases of infected vascular prosthetic grafts from 250 prosthetic bypasses were reviewed. The rate of graft infection was 3.2%. Clinical manifestations were localized wound infection with prosthetic graft exposure, anastomotic hemorrhage and gangrene in lower extremity. Treatment included graft removal and debridement; graft removal and primary amputation; graft removal and revascularization; debridement and local graft irrigation. Two cases died from anastomotic hemorrhage and the others recovered. The predisposing factors of vascular prosthetic infection are diabetes mellitus, secondary hemotoma and reoperation in the same position. Conservative treatment efforts without revascularization justifies a more aggressive approach to suspected graft infection.
authors.affiliation: Zhongshan Hospital, Shanghai Medical University.
authors.forename: W
authors.initials: W
authors.lastname: Fu
authors.forename: Y
authors.initials: Y
authors.lastname: Wang
authors.forename: F
authors.initials: F
authors.lastname: Chen
mesh_terms: D000328:Adult; D000368:Aged; D000671:Amputation, Surgical; D001162:Arteriosclerosis Obliterans / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D003646:Debridement; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000601:surgery*; D012086:Reoperation