Dacron patch infection after carotid angioplasty. A report of 6 cases.
OBJECTIVE
We describe our experience with Dacron patch infections after carotid endarterectomy (CEA).


METHODS
From 633 patients undergoing carotid endarterectomy with Dacron patching, six re-presented with prosthetic infections. In 3 of the 6 cases a neck haematoma had necessitated surgical revision after the original carotid surgery. Five patients underwent interposition vein grafting and 1 vein patch angioplasty. Postoperatively, 2 patients developed a repeat infection including the 1 patient with patch angioplasty. All patients were free of infection and neurological symptoms after a maximum follow-up of 56.5 months.


CONCLUSIONS
Following the development of haemorrhage or wound complications careful clinical surveillance should be carried out after carotid reconstruction.
Asciutto
G
G
St. Josef Hospital, Klinikum der Ruhr Universität Bochum, Klinik fur Gefässchirurgie, Gudrunstr. 56, 44791, Bochum, Germany. Guseppe.Asciutto@ruhr-uni-bochum.de
Geier
B
B
Marpe
B
B
Hummel
T
T
Mumme
A
A
D000368:Aged; D000369:Aged, 80 and over; D017130:Angioplasty / Q000379:methods; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery; D016893:Carotid Stenosis / Q000601:surgery*; D020216:Carotid-Cavernous Sinus Fistula / Q000150:complications; D016894:Endarterectomy, Carotid / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D012307:Risk Factors; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D011093:Polyethylene Terephthalates