Use of cryopreserved femoral vein for in situ replacement of infected femorofemoral prosthetic artery bypass.

Autor: Dosluoglu HH; Division of Vascular Surgery, State University of New York at Buffalo, Buffalo, New York, USA. dosluoglu@yahoo.com, Kittredge J, Cherr GS
Jazyk: angličtina
Zdroj: Vascular and endovascular surgery [Vasc Endovascular Surg] 2008 Feb-Mar; Vol. 42 (1), pp. 74-8.
DOI: 10.1177/1538574407308204
Abstrakt: Isolated groin infection following crossover femoral bypass is not uncommon, and its management may be challenging, especially in medically high-risk patients. When an in situ replacement is appropriate, using an autologous vein (femoral or saphenous) would be the preferred method; however, this may not always be feasible. The authors used cryopreserved femoral vein grafts for in situ replacement of femorofemoral bypass grafts with excellent results in 3 high-risk patients who developed early graft infections and failed graft preservation attempts. In situ replacement of infected femorofemoral grafts using a cryopreserved femoral vein graft can be considered as a second-line intervention when an adequately sized autologous vein is unavailable or unusable or is not feasible in high-risk patients.
Databáze: MEDLINE