The treatment of massive prosthetic grafts infections with the use of silver/collagen coated dacron vascular prosthesis.
In this paper the use of silver-coated medical prosthesis of massive aorto-bifemoral and ilio-femoral dacron graft infection with hemorrhage is presented. To solve this problem in situ replacement was attempted using silver-coated dacron vascular prosthesis more resistant to infection. 9 patients with this therapeutic method is reported. Although positive clinical effect was obtained, the scintigraphy and Duplex Doppler Ultrasound of implanted graft revealed its infection. In our opinion therefore application of silver-coated medical prosthesis should be very cautious and limited to the critical states.
Pupka
Artur
A
Department of Vascular, General and Transplantological, Wrocław Medical University. apupka@chirn.am.wroc.pl
Skóra
Jan
J
Janczak
Dariusz
D
Ruciński
Artur
A
Korta
Krzysztof
K
Barć
Piotr
P
Stepiński
Piotr
P
Szyber
Piotr
P
D019072:Antibiotic Prophylaxis; D001807:Blood Vessel Prosthesis; D020099:Coated Materials, Biocompatible; D006119:Groin / Q000098:blood supply*; D006801:Humans; D011093:Polyethylene Terephthalates; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000628:therapy*; D012834:Silver; D013203:Staphylococcal Infections / Q000628:therapy*
D020099:Coated Materials, Biocompatible; D011093:Polyethylene Terephthalates; D012834:Silver