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Year 2007 Vol. 15 No 3
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.
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