Surgical excision of infected arteriovenous grafts: technique and review.
Infected prosthetic arteriovenous grafts for hemodialysis present a profound risk to patient well being. Here we present five recent cases and describe our technique for total graft excision. We also review the literature and discuss the much debated role of partial, subtotal, and total graft excision.
Ceppa
Eugene P
EP
Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.
Sileshi
Bantayehu
B
Beasley
Georgia M
GM
Lawson
Jeffrey H
JH
D000328:Adult; D000368:Aged; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects* / Q000295:instrumentation; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D020878:Device Removal; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000382:microbiology / Q000601:surgery*; D006435:Renal Dialysis; D012086:Reoperation; D034941:Upper Extremity / Q000098:blood supply*