Autologous basilic vein for in situ replacement of infected prosthetic vascular grafts: initial experience.
Successful treatment of prosthetic vascular infection usually requires graft removal with or without replacement. A variety of materials have been used for in situ replacement, with femoral vein being the preferred autologous conduit in the literature for the aortoiliac segment. We present three cases of prosthetic infection treated successfully by in situ replacement with autologous basilic vein harvested from the upper arm. This vessel, which closely matches the iliofemoral arteries in diameter, may be a suitable alternative to femoral vein for in situ replacement of infected iliac and femoral grafts.
Parmar
Chetan D
CD
Department of Vascular Surgery, University Hospital Aintree, Liverpool, UK.
Kumar
Senthil
S
Torella
Francesco
F
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001132:Arm / Q000098:blood supply* / Q000000981:diagnostic imaging; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply / Q000601:surgery; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D012086:Reoperation; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014654:Vascular Patency
D000900:Anti-Bacterial Agents