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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
A Journal on Vascular and Endovascular Surgery
Giornale Italiano di Chirurgia Vascolare 2000 December;7(4):267-78
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
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.