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Year 2007 Vol. 15 No 3

EXPERIENCE EXCHANGE

LYZIKOV A.A., PECHENKIN A.A., BONTSEVICH D.N.

PURULENT-SEPTIC COMPLICATIONS OF SYNTHETIC VASCULAR PROSTHESES IN CASE OF AORTO-ILIAC SEGMENT RECONSTRUCTIONS IN PATIENTS WITH CRITICAL ISCHEMIA OF LOWER EXTREMITIES

Treatment outcomes in the patients with vascular synthetic prostheses suppuration are viewed in the article. Retrospective analysis of 132 aorta-femoral reconstructions with vascular synthetic prostheses, performed at Gomel regional department of vascular surgery from 1992 to 1997, was carried out. Average time of observation was 11±4 years. Vascular synthetic prosthesis purulent complications were revealed in 6% of cases. All patients were men in average age of 57±6, initially operated on the 4th stage of chronic arterial insufficiency. All patients were urgently admitted to the department.
Resection of infected branch of prosthesis was performed in 85% of cases. Initial total elimination of infected prosthesis was performed in 37, 5% of cases. High level lower extremity amputations were performed in 57% of cases. Mortality rate composed 67%. In 50% of cases, the cause of death was septic condition with its manifestations; and in 50% of cases- acute renal insufficiency.

Keywords: aorta-femoralreconstructions, synthetic prosthesis, infection of synthetic prosthesis.
p. 97 - 101 of the original issue
References
  1. Реваскуляризация нижних конечностей при ишемической форме диабетической стопы с гнойно-некротическими поражениями тканей / Н. А. Шор [и др.]. // Ангиология и сосудистая хирургия. – 2004. – Т. 10, №4. – С. 85
  2. Червяков, Ю. В. Результаты лечения гнойных осложнений после сосудистых реконструкций с использованием синтетических протезов / Ю. В. Червяков // Ангиология и сосудистая хирургия. – 2002. – Т. 8, №3. – С. 96-101.
  3. Quinones-Baldrich, WT Iong-term results following surgical management of aortic graft infection / W. T. Quinones-Baldrich // Arch. Sug. – 1991. – Vol. 126. – P. 507.
  4. Bacterial and clinical criteria relating to the outcome of patients undergoing in situ replacement of infected abdominal aortic grafts / F. Speziale [et al.] // Eu. J. Vasc. Endovasc. Surg. – 1997. – Vol. I3, N 127.
  5. Allograft replacement for infrarenal aortic graft infection: early and late results in 179 patients / E. Kietra [et al.] // J. Vasc. Surg. – 2004. – Vol. 39, N 1009.
  6. Expanded application of in situ replacement for prosthetic graft infection / D. F Bandyk [et al.] // J. Vasc. Surg. – 2000. – Vol. 32, N 45l.
  7. The results of in situ prosthetic replacement for infected aortic grafts / R. L. Youg [et al.] // Am. J. Surg. – 1999. – Vol. 178, N l26.
  8. In situ vascularization with silver coated polyester graft to treat aortic infection: early and mid-term results / V. I. Batt [et al.] // J. Vasc. Surg. – 2001. – Vol. 38, N 983.
  9. Aortofemoral bypass in young patients with premature atherosclerosis: is superficial femoral vein superior to Dacron? / L. Jackson [et al.] // J. Vasc. Surg. – 2004. – Vol. 40, N 17.
  10. Clagett, G. P. Treatment of aortic graft infection / G. P. Clagett // Current Therapy in Vascular Surgery // C. B. Emst, J. C. Stenley; eds. C. V. Mosby. – 4th ed. – Philadelphia’ 2001. – 422 p.
  11. Polytetrafluoroethylene and bovine mesenterial vein grafts for haemodialysis access: a comparative study / V. B. Tahami [et al.] // J. Vasc. Access. – 2007. – Vol. 8, N. – P. 17-20.
  12. Terpling, S. Long-term home-based parenteral antibiotic treatment of a prosthetic vascular graft infection caused by Pseudomonas aeruginosa / S. Terpling, C. Schade Larsen, H. C. Schуnheyder // Scand. J. Infect. Dis. – 2006. – Vol. 38, N 5. – P. 388-392.
  13. Prosthetic vascular graft infection: a risk factor analysis using a case-control study / V. S. Antonios [et al.] // J. Infect. – 2006. – Vol. 53, N 1. – P. 49-55.
  14. Mediastinitis and cardiac surgery - an updated risk factor analysis in 10,373 consecutive adult patients / J. F. Gummert [et al.] // Thorac. Cardiovasc. Surg. – 2002. – Vol. 50, N 2. –P. 87-91.
  15. Risk factors associated with infection of lower extremity revascularization: analysis of 365 procedures performed at a teaching hospital / J. K. Chang [et al.] // Ann. Vasc. Surg. – 2003. –Vol. 17, N 1. – P. 91-96.
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