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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY

A Journal on Vascular and Endovascular Surgery


Official Journal of the Italian Society of Vascular and Endovascular Surgery
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Giornale Italiano di Chirurgia Vascolare 2000 December;7(4):267-78

Copyright © 2001 EDIZIONI MINERVA MEDICA

language: English, Italian

Treatment of aorto-iliac graft infection with autologous superficial femoral veins

Mangialardi N., Tuccimei I., Serrao E., Costa P., Cavazzini C., Giordano A. G., Podda I., Ramacci R., Iovino C.

From the Vascular Surgery Operating Unit, San Filippo Neri Hospital, Rome, Italy


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Aim. To eval­u­ate the imme­di­ate and ­long-­term ­results of the treat­ment of ­graft infec­tions of the aor­toi­liac dis­trict ­through the ­total exci­sion of the infect­ed ­graft and revas­cu­lar­isa­tion of the extrem­ities ­using autol­o­gous super­fi­cial femo­ral ­veins.
Methods. A ret­ro­spec­tive ­study was ­made ­between January 1994 and March 2000 of 9 ­patients diag­nosed ­with ­graft infec­tion of the aor­toi­liac dis­trict under­go­ing sur­gi­cal exci­sion (8 in elec­tion and ­only 1 emer­gen­cy) of the ­graft and revas­cu­lar­isa­tion of the low­er ­limbs ­using autol­o­gous super­fi­cial femo­ral ­veins at the Vascular Surgery depart­ment of San Filippo Neri Hospital in Rome.
Results. One ­death ­occurred (11.1%) on post­op­er­a­tive day 10 for car­diac rea­sons. The ­patient pre­sent­ed an asso­ciat­ed sec­on­dary aor­to-enter­ic fis­tu­la and under­went emer­gen­cy sur­gery. No rein­fec­tions ­were report­ed ­after a ­mean fol­low-up of 20.7 ­months (­range 1-73); paten­cy of the autol­o­gous ­venous ­grafts and ­limb sal­vage ­were report­ed in all cas­es. No ­patient pre­sent­ed clin­i­cal and instru­men­tal ­signs of chron­ic ­venous insuf­fi­cien­cy dur­ing the fol­low-up.
Conclusions. Autologous super­fi­cial femo­ral ­veins are arte­ri­al sub­sti­tutes ­able to ­ensure effec­tive and last­ing ­results, ­even ­when implant­ed in ­situ at the lev­el of the infec­tion and ­their use ­does not ­lead to sig­nif­i­cant com­pli­ca­tions affect­ing the ­venous ­system.

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