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Abstract
A review of 178 published cases of infected vascular prosthetic grafts through 1974
disclosed 164 sufficiently well documented for review. The time and manner of presentation
depended on location and most commonly included localized wound infection with graft
exposure. Staphylococcus aureus was the most common organism cultured and predisposing infection in the foot or opposite
groin was significant. The over-all mortality rate was 52 of 153 patients (33.9 percent),
separating into 47.9 percent, at the aortojemoral (AF) level and 9.9 percent for femoropopliteal
(FP) infections. Amputation rate was 23 percent for AF and 36 percent for FP infections.
Of five treatment plans utilized, best results were obtained with early exploration
and revascularization. Conservative treatment of FP grafts was successful when the
graft was patent. At the Medical College of Virginia, the graft infection rate was
2.6 percent and the mortality rate was 36 percent. Conservative treatment efforts
without revascularization resulted in a 57 percent amputation rate and justifies a
more aggressive approach to suspected graft infection.
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Article info
Publication history
Accepted:
May 11,
1976
Footnotes
☆Supported in part by United States Navy Contract No. N00014-76-C-0422.
Identification
Copyright
© 1977 Published by Elsevier Inc.