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Original communication| Volume 81, ISSUE 3, P335-342, March 1977

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Vascular prosthetic infections: Collected experience and results of treatment

  • W.G. Liekweg Jr.
    Affiliations
    From the Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, Va. USA
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  • L.J. Greenfield
    Correspondence
    Reprint requests: Lazar J. Greenfield, M.D., Department of Surgery, Medical College of Virginia, P. O. Box 786, Virginia Commonwealth University, Richmond, Va. 23298.
    Affiliations
    From the Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond, Va. USA
    Search for articles by this author
DOI:https://doi.org/10.5555/uri:pii:0039606077902392
Vascular prosthetic infections: Collected experience and results of treatment
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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

      DOI: https://doi.org/10.5555/uri:pii:0039606077902392

      Copyright

      © 1977 Published by Elsevier Inc.

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