title: Infrascrotal, perineal, femorofemoral bypass for arterial graft infection at the groin.
abstract: OBJECTIVE
  Infrascrotal, perineal, femorofemoral bypass is an acceptable procedure for treating infection of a prosthetic arterial graft limited to a unilateral groin.
  
  
  METHODS
  A consecutive sample clinical study with a mean follow-up of 29 months.
  
  
  METHODS
  The surgical department of an academic tertiary care center and an affiliated secondary care center.
  
  
  METHODS
  Nineteen patients with a mean age of 68 years with prosthetic graft infection at the outflow anastomosis on a femoral artery at the Scarpa triangle underwent an infrascrotal, perineal, femorofemoral bypass, with excision of the graft material limited at the groin. The recipient artery was the profunda femoris artery in 12 cases, the superficial femoral in 5, and the distal common femoral artery in 2.
  
  
  METHODS
  Cumulative survival, recurrence of sepsis, primary graft patency, and limb salvage rates expressed by standard life-table analysis.
  
  
  RESULTS
  Postoperative mortality rate was 5%. Cumulative (SE) survival rate was 65% (11.6%) at 3 years. Cumulative (SE) rate of freedom from recurrent sepsis was 88% (8.6%) at 3 years. Cumulative (SE) primary patency and limb salvage rates were 86% (9.4%) and 91% (7.9%), respectively, at 3 years.
  
  
  CONCLUSIONS
  Femorofemoral bypass with an infrascrotal perineal approach is a valuable procedure for the treatment of femoral arterial graft infection limited at a unilateral groin.
authors.affiliation: Francesco Durante Department of Surgical Sciences and Applied Technologies, University of Rome La Sapienza, Rome, Italy. giulio.illuminati@uniroma1.it
authors.forename: Giulo
authors.initials: G
authors.lastname: Illuminati
authors.forename: Francesco G
authors.initials: FG
authors.lastname: Caliò
authors.forename: Antonio
authors.initials: A
authors.lastname: D'Urso
authors.forename: Daniela
authors.initials: D
authors.lastname: Giacobbi
authors.forename: Vassilios
authors.initials: V
authors.lastname: Papaspyropoulos
authors.forename: Gianluca
authors.initials: G
authors.lastname: Ceccanei
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005263:Femoral Artery / Q000601:surgery*; D006085:Graft Survival; D006119:Groin / Q000098:blood supply*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000601:surgery; D011183:Postoperative Complications; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000601:surgery*; D016019:Survival Analysis; D014654:Vascular Patency; D014656:Vascular Surgical Procedures / Q000379:methods*