This paper is only available as a PDF. To read, Please Download here.
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.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Infected aortic bifurcation grafts: Experience with fourteen patients.Surgery. 1976; 80: 544-549
- Axillary-femoral artery bypass for lower extremity ischemia.Surgery. 1963; 54: 563-568
- The differential response to infection of autogenous vein versus Dacron arterial prosthesis.Chest. 1970; 58: 566-570
- Comparison of Dacron and aortic autografts in wounds contaminated with fecal matter.Am Surg. 1974; 40: 439-442
- Infection in vascular surgery: Surgical management and alternate routes for revascularization.in: Bernhard VM Towne JB Complications in vascular surgery. Grune & Stratton, New York1980: 503-516
- Autogenous tissue reconstruction in the management of infected prosthetic grafts.Surgery. 1979; 85: 82-92
- Distally based sartorius muscle flap in the treatment of infected femoral arterial prostheses.J Cardiovasc Surg. 1980; 21: 628-631
- An experimental study of arterial replacement in the presence of bacterial infection.Surg Gynecol Obstet. 1959; 108: 141-148
- Infection in vascular prostheses: Clinical manifestations and surgical management.Am J Surg. 1974; 128: 225-233
- Is axillo-bilateral femoral graft an effective substitute for aortic-bilateral iliac/femoral graft? An analysis of ten years experience.Ann Surg. 1977; 186: 123-129
- Propagation of sepsis in vascular grafts.Arch Surg. 1980; 115: 878-879
- Use of substitute conduits in traumatic vascular injury.J Trauma. 1977; 17: 541-546
- Vascular prosthetic infections: Collected experience and results of treatment.Surgery. 1977; 81: 335-342
- The late results of axillo-femoral grafts.Surgery. 1970; 68: 1038-1043
- Effect of infection on autogenous vein arterial substitutes.in: Surg Forum. 13. 1962: 235-237
- The use of fresh tissue arterial substitutes in infected fields.J Surg Res. 1975; 18: 229-233
- Infected prosthetic grafts. Local therapy with graft preservation.Arch Surg. 1980; 115: 203-205
- Management of sepsis complicating arterial reconstructive surgery.Surgery. 1963; 53: 75-86
- Infection in arterial reconstruction with synthetic grafts.Ann Surg. 1972; 176: 321-333
- New approaches to limb salvage by extended extra-anatomic bypasses and prosthetic reconstruction to foot arteries.Surgery. 1978; 84: 764-774
☆Presented at the Sixth Annual Meeting of the Southern Association for Vascular Surgery, Marco Island, Fla., Jan. 29–30, 1982.
© 1983 Published by Elsevier Inc.