Diagnosis and surgical treatment of abdominal aortic vascular endograft infections: an analysis of 13 cases
10.3760/cma.j.cn113855-20211223-00738
- VernacularTitle:13例腹主动脉腔内移植物感染的诊断及外科治疗
- Author:
Zhibin HE
1
;
Qingle LI
;
Yang JIAO
;
Xuemin ZHANG
;
Wei LI
;
Xiaoming ZHANG
Author Information
1. 北京大学人民医院血管外科，北京 100044
- Keywords:
Aortic aneurysm ,abdominal;
Bacterial infections;
Vascular endograft;
Axillobifemoral bypass;
Antibiotics
- From:
Chinese Journal of General Surgery
2022;37(3):193-196
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the diagnosis and surgical treatment of abdominal aortic vascular endograft infections.Methods:Clinical data of 13 patients of abdominal aortic vascular endograft infections undergoing surgical treatment at Department of Vascular Surgery, Peking University People's Hospital from Jan 2015 to Jan 2021 was retrospectively analyzed.Results:All 13 patients underwent infected graft resection under axillobifemoral bypass. Three patients died perioperatively and 10 recovered. Eight patients were followed-up,with bypass graft being occluded and another one with bypass graft infections exposure.Conclusions:Abdominal aortic vascular endograft infections are catastrophic diseases with high surgical difficulty and risk. Extra-anatomic reconstruction with graft removal is a safe and effective treatment for the eradication of infection.
