Abstract：
BACKGROUND:Prosthetic graft occlusion following vascular reconstruction is a major cause of morbidity commonly necessitating further limb-salvage revascularization or life-saving amputation. It is therefore surprising that there is scant data in the literature regarding the optimal management of any remnant prosthetic grafts left in situ. We present a case series of 3 patients with remnant prosthetic graft infection following revisional arterial reconstruction for limb salvage and a literature review on this topic. METHODS:Three patients presented to our institution with remnant prosthetic graft infection between March 2012 and January 2013. They had all undergone previous infrainguinal bypass surgery with polytetrafluorethylene (PTFE) grafts, which had subsequently thrombosed. Further limb salvage operations with autogenous long saphenous vein bypass in 2 cases and above-knee amputation in 1 case were performed. In all cases, the focus of infection was confirmed to have originated in the redundant remnant PTFE graft left in situ. These grafts were completely excised and the infected wounds were debrided. All patients made a full recovery. RESULTS AND CONCLUSIONS:Remnant prosthetic grafts left in situ are shown in this series to be a proven nidus for infection. Published data indicate that these infection rates are greatest in revision vascular surgery and when performing amputations. We propose that routine excision of any occluded remnant prosthetic grafts in revision surgery be considered at the time of revascularization to mitigate against the risk of subsequent infection.
journal_name
Ann Vasc Surgjournal_title
Annals of vascular surgeryauthors
Shenouda M,Molena E,Maftei N,Ali Tdoi
10.1016/j.avsg.2013.12.034subject
Has Abstractpub_date
2014-08-01 00:00:00pages
1566.e11-5issue
6eissn
0890-5096issn
1615-5947pii
S0890-5096(14)00083-1journal_volume
28pub_type
杂志文章,评审abstract：:We illustrate the safety and feasibility of the application of fenestrated stent-grafts for the preservation of spinal artery flow during endovascular repair of thoracoabdominal aortic aneurysms (TAAA) in 2 patients deemed high-risk for spinal cord ischemia (SCI). In one case, an unstented fenestration was used in a 7...
journal_title：Annals of vascular surgery
pub_type：
doi：10.1016/j.avsg.2020.08.005
更新日期：2021-01-01 00:00:00
abstract：:Beginning in April 1989, we have performed eight upper thoracic chemical sympathectomies by transthoracic endoscopy. The indications were occlusive arterial disease in four patients and Raynaud's syndrome and palmar hyperhidrosis in two patients each. Transthoracic endoscopy was performed under general anesthesia, thr...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/BF02008799
更新日期：1992-07-01 00:00:00
abstract：:Weakness in the musculotendinous barrier of the abdominal wall leads to inguinal herniation. Fiber degeneration by increased metabolism has been described recently as a causative factor. In previous investigations heightened elastase was detected in abdominal aneurysms. In order to investigate a possible relationship ...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/BF02042733
更新日期：1992-03-01 00:00:00
abstract：:Infection of an aortic endoprosthesis is a potentially lethal complication of an endovascular abdominal aortic aneurysm repair (EVAR). Surgical treatment usually involves excision of the infected endograft and vascular reconstruction, either in-line or extraanatomic. We present a case of severe infection of an endogra...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2012.09.007
更新日期：2013-07-01 00:00:00
abstract：:A 10 year retrospective study of 103 patients with amaurosis fugax was done. Sixty-two patients with symptoms of amaurosis fugax underwent arteriography, which demonstrated ulcerated carotid plaque in 36 and hemodynamically significant stenoses (greater than 75% diameter reduction) in 26. These 62 patients underwent c...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/BF02000275
更新日期：1992-05-01 00:00:00
abstract：BACKGROUND:Carotid endarterectomy (CEA) prevents the occurrence of stroke in the future, although its efficacy depends on the detection and control of high perioperative risk factors. We aimed to analyze the association between preoperative neurological deficit and the 30-day risk of major adverse cardiovascular events...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2020.11.045
更新日期：2021-01-04 00:00:00
abstract：:We prospectively evaluated all patients with superficial foot necrosis of 1-3 cm and transcutaneous oxygen tension (TcPO2) values of <30 mmHg who received a sympathectomy as the primary treatment of their vascular occlusive disease. Preoperatively, and every 2-3 days in the postoperative period, measurement of TcPO2 o...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/s100169900118
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:The durability of endovascular aortic aneurysms repair (EVAR) is highly related to several anatomical constraints. The term "hostile neck" describes several anatomical features that usually make EVAR treatment technically demanding despite having higher risk of failure. The aim of the study was to describe a...
journal_title：Annals of vascular surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.avsg.2019.01.017
更新日期：2019-10-01 00:00:00
abstract：BACKGROUND:We apply an innovative and novel analytic approach, based on reliability engineering (RE) principles frequently used to characterize the behavior of manufactured products, to examine outcomes after peripheral endovascular intervention. We hypothesized that this would allow for improved prediction of outcome ...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2012.05.002
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:The cumulative amount of iodinated contrast medium necessary for endovascular repair (EVAR) planning, operative procedure, and subsequent follow-up is a threat for the onset of end-stage renal disease in patients with preoperative impaired kidney function. The purpose of this study was to describe a mini-inv...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2017.06.050
更新日期：2018-02-01 00:00:00
abstract：BACKGROUND:Chronic venous insufficiency (CVI) is an important cause of morbidity in Western countries. The aim of this study is to demonstrate the heredity of CVI, focusing on molecular and genetic aspects of the disease. METHODS:The study depended on the recruitment of informative families, accurate determination of ...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2011.11.036
更新日期：2012-07-01 00:00:00
abstract：:The search for vessel substitutes to replace small-/medium-caliber vessels is an ongoing concern for vascular surgeons. Engineered vessels were designed for use as arterial equivalents and assessed in an in vivo model in dog. Three study groups were established: clinical expanded polytetrafluoroethylene (ePTFE; contro...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2007.12.007
更新日期：2008-03-01 00:00:00
abstract：BACKGROUND:Unintentional renal artery occlusion after endovascular aortic aneurysm repair (EVAR) is an uncommon phenomenon. The sequelae from this specific complication are severe; consequently, the topic of renal artery coverage is a pertinent issue. We present a case series of patients undergoing EVAR with unintentio...
journal_title：Annals of vascular surgery
pub_type： 杂志文章,评审
doi：10.1016/j.avsg.2012.02.018
更新日期：2012-11-01 00:00:00
abstract：:We report the endovascular management of a patient with a type B aortic dissection complicated by renal ischemia and resultant severe hypertension. A 69-year-old male presented with acute type B aortic dissection with proximal extension complicated by severe renovascular hypertension secondary to left renal ischemia. ...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/s10016-001-0184-7
更新日期：2002-05-01 00:00:00
abstract：:We report a case of secondary rupture of a common iliac artery aneurysm into the common iliac vein. Exclusion of the iliac aneurysm had been performed 2 years earlier in association with reconstruction of an aortic aneurysm that had ruptured into the interior vena cava. After closure of the aortocaval fistula by the e...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/BF02001897
更新日期：1996-05-01 00:00:00
abstract：:Successful treatment by percutaneous catheter drainage of an acute aortic graft infection with an associated pancreatic fistula is reported. Percutaneous catheter drainage can be considered in selected patients when the risk of reoperation is deemed unacceptable or when other reasonable treatment options do not exist....
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/BF02000598
更新日期：1996-09-01 00:00:00
abstract：:We present endovascular treatment of abdominal aortic aneurysm in a 26-year-old man with a 10-year follow-up. A young patient presenting with an abdominal aortic aneurysm is extremely rare, and data describing this population are limited. Open aneurysm repair (OAR) is the treatment of choice in these patients. However...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2015.01.025
更新日期：2015-07-01 00:00:00
abstract：:The most common anatomical variation of the superficial femoral artery (SFA) is hypoplasia or aplasia, associated with persistent sciatic artery. Duplication of SFA remains uncommon. We report a case of SFA duplication discovered on an angiogram performed for critical limb ischemia, in an 80-year-old man. ...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2009.09.010
更新日期：2010-04-01 00:00:00
abstract：:Stimulation of vascular growth to treat limb ischemia is promising, and early results obtained from uncontrolled clinical trials using angiogenic agents, e.g., vascular endothelial growth factor, led to high expectations. However, negative results from recent placebo-controlled trials warrant further research. Here, c...
journal_title：Annals of vascular surgery
pub_type： 杂志文章,评审
doi：10.1016/j.avsg.2008.02.017
更新日期：2008-07-01 00:00:00
abstract：:This report details our diagnostic and management protocol derived from experience with 11 consecutive shotgun injuries. The injured vessels in nine men and one woman were: brachial artery (6), femoral artery (2), iliac artery (1), tibioperoneal trunk (1), and axillary vein (1). All those with arterial injuries had ev...
journal_title：Annals of vascular surgery
pub_type： 杂志文章,评审
doi：10.1016/S0890-5096(06)60149-0
更新日期：1989-10-01 00:00:00
abstract：BACKGROUND:Historically, carotid procedures incur a readmission rate of approximately 6%; however, these studies are not nationally representative and are limited to tracking only the index hospitals. We sought to evaluate a nationally representative database for readmission rates (including different hospitals) after ...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2020.04.025
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:The fistula first initiative has promoted arteriovenous fistulas (AVFs) as the vascular access of choice. To preserve as many future access options as possible, multiple guidelines advocate that the most distal AVF possible should be created in the first place. Generally, snuff box and radiocephalic (RC) are...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2015.09.027
更新日期：2016-04-01 00:00:00
abstract：:Bronchial artery aneurysms (BAA) are a rarely noted. Asymptomatic cases of BAA are very rare. Most patients are correctly diagnosed only after BAA ruptures. The conventional treatment includes aneurysm resection through thoracotomy or transcatheter arterial embolization. In the present report, we describe a case of an...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2013.12.021
更新日期：2014-07-01 00:00:00
abstract：BACKGROUND:Significant national variation exists in defining the degree of stenosis that requires intervention in patients with asymptomatic carotid artery stenosis (ACAS). We aimed to evaluate the risk of perioperative and 2-year stroke and death in ACAS patients undergoing carotid endarterectomy (CEA) and carotid art...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2018.10.001
更新日期：2019-01-01 00:00:00
abstract：:Sixty-two first episodes of aortofemoral (eight patients) or aortobifemoral (42 patients) bypass thrombosis were operated upon in 50 patients between 1980 and 1985. There were 47 men and three women whose mean age was 58 years. Retrograde thrombectomy through the distal anastomosis was achieved in all cases by using e...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/BF02021771
更新日期：1991-01-01 00:00:00
abstract：:Resistance to activated protein C (RAPC) is a newly recognized hypercoagulable state that was first described in 1993. It has become apparent that RAPC is even more common than deficiencies in protein C, protein S, or antithrombin III (AT-III) and affects an estimated 5% of the general population. The majority of pati...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1007/BF02000762
更新日期：1996-03-01 00:00:00
abstract：:Perforation of inferior vena cava (IVC) by filter struts ranges from 9% to 24%, and clinical sequelae and complications are unpredictable. The aim of this article was to report an unusual case of late complication of IVC filter that caused an IVC wall perforation and penetration of the filter's hooks in the aorta, whi...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2011.11.044
更新日期：2012-08-01 00:00:00
abstract：BACKGROUND:Considering new guidelines for retrievable inferior vena cava filters (IVCFs), we examine our initial experience after establishing a comprehensive filter removal program in our level 1 trauma center. We evaluated the technical and financial feasibility of this program and barriers to IVCF retrieval, includi...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2014.05.018
更新日期：2015-01-01 00:00:00
abstract：BACKGROUND:The purpose of this study is to evaluate 2 patients who underwent endovascular repair directly after acute life-threatening vascular injury complicating lumbar disc surgery, and to update an overview of the literature from 2002 to gain insights into characteristics, diagnosis, treatment, and outcomes of this...
journal_title：Annals of vascular surgery
pub_type： 杂志文章,评审
doi：10.1016/j.avsg.2012.07.019
更新日期：2013-08-01 00:00:00
abstract：BACKGROUND:To assess the peripheral blood flow of patients with peripheral arterial disease (PAD) by indocyanine green (ICG) arteriography (ICGA) with intraarterial injection of ICG and evaluate the efficacy of the ICGA tests. METHODS:This study was undertaken from a retrospective review of patients with PAD who under...
journal_title：Annals of vascular surgery
pub_type： 杂志文章
doi：10.1016/j.avsg.2013.12.036
更新日期：2014-07-01 00:00:00
