Vacuum-assisted conservative treatment for the management and salvage of exposed prosthetic hemodialysis access.
Recurrent puncture of dialysis grafts can cause erosion and ulcer formation in the skin over the prosthetic material. Contamination of the wound can lead to infection of the graft, and the necessity to remove it. We describe four cases where agressive treatment with debridement, intravenous antibiotics and negative pressure therapy allowed prosthesis salvage without discontinuation of hemodialysis.
Vallet
C
C
Department of Thoracic and Vascular Surgery, University Hospital, Lausanne, Switzerland.
Saucy
F
F
Haller
C
C
Meier
P
P
Rafoul
W
W
Corpataux
J-M
JM
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D002405:Catheterization, Central Venous / Q000009:adverse effects; D020099:Coated Materials, Biocompatible / Q000009:adverse effects; D003131:Combined Modality Therapy; D003646:Debridement; D005260:Female; D006406:Hematoma / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene / Q000009:adverse effects; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000628:therapy; D006435:Renal Dialysis / Q000009:adverse effects*; D016879:Salvage Therapy; D013203:Staphylococcal Infections / Q000209:etiology / Q000628:therapy; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000628:therapy; D014619:Vacuum Curettage
D000900:Anti-Bacterial Agents; D020099:Coated Materials, Biocompatible; D011138:Polytetrafluoroethylene