title: Hybrid Endovascular Solutions for Supra-Aortic Vessels Extra-Anatomic Bypass Infection.
abstract: The use of extra-anatomic bypasses for the hybrid repair of thoracic aortic pathologies should consider the risk of vascular graft infection. Graft infections at cervical level are extremely rare and are associated with high mortality and morbidity rates. We report 2 cases of infected extra-anatomic bypasses for supra-aortic vessels debranching treated with a hybrid approach: re-extra-anatomical bypass with the Viabahn Open Revascularization Technique (VORTEC) in the first patient and the EndoVAC approach in the second case. Endovascular techniques may offer bail-out solutions in a hybrid fashion to treat vascular graft infection in patients considered unfeasible for the conventional surgical repair, associated with appropriate antibiotic therapy.
authors: Department of Surgery, Vascular Surgery Unit, "San Francesco" Hospital, Nuoro, Italy.
authors: Gian Franco
authors: GF
authors: Fadda
authors: Department of Surgery, Vascular Surgery Unit, "San Francesco" Hospital, Nuoro, Italy; Department "Paride Stefanini", Vascular Surgery Unit, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
authors: Mario
authors: M
authors: Marino
authors: Department of Surgery, Vascular Surgery Unit, "San Francesco" Hospital, Nuoro, Italy; Department "Paride Stefanini", Vascular Surgery Unit, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy. Electronic address: kasemiholta@libero.it.
authors: Holta
authors: H
authors: Kasemi
authors: Department of Surgery, Vascular Surgery Unit, "San Francesco" Hospital, Nuoro, Italy.
authors: Costantino Luca
authors: CL
authors: Di Angelo
authors: Department of Surgical Specialities, Vascular Surgery Unit, "San Filippo Neri" Hospital, Rome, Italy.
authors: Sonia
authors: S
authors: Ronchey
authors: Department of Surgical Specialities, Vascular Surgery Unit, "San Filippo Neri" Hospital, Rome, Italy.
authors: Eugenia
authors: E
authors: Serrao
authors: Department of Surgical Specialities, Vascular Surgery Unit, "San Filippo Neri" Hospital, Rome, Italy.
authors: Matteo
authors: M
authors: Orrico
authors: Department of Surgical Specialities, Vascular Surgery Unit, "San Filippo Neri" Hospital, Rome, Italy.
authors: Nicola
authors: N
authors: Mangialardi
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*
chemical_list: D000900:Anti-Bacterial Agents