title: In situ revascularisation for femoropopliteal graft infection: ten years of experience with silver grafts.
abstract: OBJECTIVE
  The purpose of this study was to analyze clinical outcome of patients for femoropopliteal graft infection who were treated by in situ reconstruction with a silver-coated prosthesis.
  
  
  METHODS
  From December 2001 to December 2011, 27 patients were treated for femoropopliteal graft infection. Twenty patients (74%) were male and seven (26%) were female. Mean age was 65 years. The primary endpoint was recurrence of infection. Secondary endpoints were early and late mortality and morbidity, primary graft patency, major amputation rates and patient survival.
  
  
  RESULTS
  Early reinfection occurred in 11% and late in 8% of patients. Perioperative mortality was 7% and late was 4%. Above-knee amputation was performed in 4% of patients during early postoperative course and in 12% of patients during follow-up. Early and late graft patency was 96% and 72%, respectively.
  
  
  CONCLUSIONS
  Results of in situ implantation of silver-coated grafts for femoropopliteal prosthesis infection are according to our opinion acceptable, but the risk of reinfection remains.
authors.affiliation: Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia pmpmatic@gmail.com.
authors.forename: P
authors.initials: P
authors.lastname: Matic
authors.affiliation: Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia.
authors.forename: S
authors.initials: S
authors.lastname: Tanaskovic
authors.affiliation: Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia.
authors.forename: S
authors.initials: S
authors.lastname: Babic
authors.affiliation: Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia.
authors.forename: P
authors.initials: P
authors.lastname: Gajin
authors.affiliation: Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia.
authors.forename: D
authors.initials: D
authors.lastname: Jocic
authors.affiliation: Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia.
authors.forename: D
authors.initials: D
authors.lastname: Nenezic
authors.affiliation: Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia.
authors.forename: N
authors.initials: N
authors.lastname: Ilijevski
authors.affiliation: Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia.
authors.forename: G
authors.initials: G
authors.lastname: Vucurevic
authors.affiliation: Cardiovascular Institute Dedinje, Vascular Surgery Clinic, Medical School, University of Belgrade, Belgrade, Serbia.
authors.forename: D J
authors.initials: DJ
authors.lastname: Radak
mesh_terms: D000368:Aged; D000671:Amputation, Surgical / Q000706:statistics & numerical data; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003646:Debridement; D004322:Drainage; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000601:surgery*; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D012008:Recurrence; D012834:Silver / Q000494:pharmacology*; D015996:Survival Rate; D016896:Treatment Outcome; D014654:Vascular Patency
chemical_list: D012834:Silver
keywords: Femoropopliteal graft infection; in situ revascularization; silver coated graft