title: Use of cryopreserved femoral vein for in situ replacement of infected femorofemoral prosthetic artery bypass.
abstract: Isolated groin infection following crossover femoral bypass is not uncommon, and its management may be challenging, especially in medically high-risk patients. When an in situ replacement is appropriate, using an autologous vein (femoral or saphenous) would be the preferred method; however, this may not always be feasible. The authors used cryopreserved femoral vein grafts for in situ replacement of femorofemoral bypass grafts with excellent results in 3 high-risk patients who developed early graft infections and failed graft preservation attempts. In situ replacement of infected femorofemoral grafts using a cryopreserved femoral vein graft can be considered as a second-line intervention when an adequately sized autologous vein is unavailable or unusable or is not feasible in high-risk patients.
authors.affiliation: Division of Vascular Surgery, State University of New York at Buffalo, Buffalo, New York, USA. dosluoglu@yahoo.com
authors.forename: Hasan H
authors.initials: HH
authors.lastname: Dosluoglu
authors.forename: Jonathan
authors.initials: J
authors.lastname: Kittredge
authors.forename: Gregory S
authors.initials: GS
authors.lastname: Cherr
mesh_terms: D000369:Aged, 80 and over; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D015925:Cryopreservation; D017809:Fatal Outcome; D005260:Female; D005268:Femoral Vein / Q000637:transplantation*; D006119:Groin; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed