title: [Management strategies of arterial prosthetic graft infection in lower extremity:a report of 5 cases].
abstract: OBJECTIVE
  To explore the management strategies of pyogenic vascular prosthetic graft infection.
  
  
  METHODS
  The clinical data of 5 cases of prosthetic vascular graft infection in lower extremity between 2003 and 2010 were retrospectively analyzed.
  
  
  RESULTS
  All of them were treated by antibiotics, debridement and drainage. One patient died from acute myocardial infarction and septic shock. Two patients were cured by extra-anatomic arterial bypass and removal of infected graft after a basic control of infections. And another two patients had the diseased limb amputated after the removal of infected vascular graft without blood reconstruction.
  
  
  CONCLUSIONS
  Pyogenic infection of vascular graft is hard to treat with conservative measures. Revascularization prior to removal of infected graft is recommended for a better outcome.
authors: Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China. Email: lixing_qi@yahoo.com.cn.
authors: Li-xing
authors: LX
authors: Qi
authors: Zheng
authors: Z
authors: Xu
authors: Heng-xi
authors: HX
authors: Yu
authors: Yong-quan
authors: YQ
authors: Gu
authors: Xue-feng
authors: XF
authors: Li
authors: Lian-rui
authors: LR
authors: Guo
authors: Shi-jun
authors: SJ
authors: Cui
authors: Tao
authors: T
authors: Luo
authors: Ying-feng
authors: YF
authors: Wu
authors: Jian-xin
authors: JX
authors: Li
authors: Zhong-hao
authors: ZH
authors: Wang
mesh_terms: D000328:Adult; D000368:Aged; D001807:Blood Vessel Prosthesis / Q000382:microbiology*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply; D008297:Male; D016459:Prosthesis-Related Infections / Q000628:therapy*; D012189:Retrospective Studies