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Abstract
Infected prosthetic grafts in the femoral position remain among the most challenging
problems in vascular surgery. Over the past 2 years, 11 patients with this critical
condition have undergone graft reconstruction with autogenous tissue as described
by Ehrenfeld. All infected prosthetic material was removed and replaced by an autogenous
graft. The autogenous grafts were constructed with endarterectomized superficial femoral,
iliac, and aortic segments as well as portions of saphenous and cephalic veins. This
procedure has proven successful, resulting in only one amputation (undertaken with
a still functioning autogenous graft) in the series. There was one postoperative death.
Six grafts failed in long-term follow-up, due in all cases to inadequate flow because
of stenosis of the saphenous vein portion of the autogenous reconstruction. However,
the patients were usually free of infection by this time and underwent successful
prosthetic reconstruction.
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Article info
Footnotes
☆Presented at the Sixth Annual Meeting of the Southern Association for Vascular Surgery, Marco Island, Fla., Jan. 29–30, 1982.
Identification
Copyright
© 1983 Published by Elsevier Inc.
