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Zhonghua Yi Xue Za Zhi. 2012 Dec 18;92(47):3364-6.

[Management strategies of arterial prosthetic graft infection in lower extremity:a report of 5 cases].

[Article in Chinese]

Author information

  • 1Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China. Email: lixing_qi@yahoo.com.cn.

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.

CONCLUSION:

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.

PMID:
23328601
[PubMed - indexed for MEDLINE]
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