Clinical analysis of surgical treatment of infection after interventional operation for major iliac artery disease in 6 cases
10.3760/cma.j.cn112139-20230228-00087
- VernacularTitle:手术治疗主髂动脉疾病介入手术后感染6例临床分析
- Author:
Mengqiang ZHANG
1
;
Maimaitiaili SUBINUER
;
Zhipeng CHEN
;
Jing CAI
;
Cheng LIU
;
Xiaoqiang LI
;
Zhao LIU
;
Tong QIAO
Author Information
1. 南京大学医学院附属鼓楼医院血管外科，南京 210008
- Keywords:
Infection;
Stents;
Abdominal aorta;
Complications;
Surgical treatment
- From:
Chinese Journal of Surgery
2023;61(11):1005-1011
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the surgical treatment strategy of stent graft infection after interventional treatment of major iliac artery related diseases.Methods:Retrospective analysis was performed on the clinical data of 6 patients with secondary stent graft infection after interventional treatment for major iliac artery related diseases admitted to the Department of Vascular Surgery,Affiliated Drum Tower Hospital,Medical School of Nanjing University from November 2021 to August 2022.There were 5 males and 1 female,with a mean age of 64 years (range:49 to 79 years).The infection time was 53 days to 3 165 days.All the 6 patients received surgical treatment,including 3 patients who underwent anatomic bypass grafting (axillary arterial-femoral artery bypass,femoral arterial-femoral artery bypass) using artificial vessels,and 3 patients who underwent in situ abdominal aorta reconstruction using bovine pericardium.The perioperative situation,postoperative infection and the occurrence of serious adverse events were recorded,and the safety of different treatment methods and materials was evaluated.Results:All patients successfully completed the operation and no death occurred during hospitalization.Intraoperative blood loss was 2 000 to 5 000 ml,and intraoperative blood transfusion was 1 600 to 5 350 ml.All the patients were followed up for 81 to 395 days after surgery,and the incision healed well,and no reinfection occurred.Postoperative gastrointestinal bleeding occurred in 1 patient,secondary surgery (retroperitoneal hematoma removal) was performed in 1 patient due to postoperative bleeding at the vascular anastomosis,both lower limb amputations were performed in 1 patient due to postoperative lower limb ischemia,and intermittent claudication occurred in 2 patients.All patients were alive at the last follow-up.Conclusion:For patients with aortic stent graft infection,when the infection is not serious and there is enough space to block the proximal and distal aorta,in situ aortic reconstruction is an effective treatment,and different materials can achieve satisfactory results in a short period of time.
