Abstract:
:Currently available conduits for in situ reconstruction after excision of infected aortic grafts have significant limitations. The Omniflow II vascular prosthesis is a biosynthetic graft associated with a low incidence of infection that has succesfully been used in the treatment of infected infrainguinal bypass. We report on the first use of the Omniflow II prosthesis for in situ reconstruction after aortic graft infection.A bifurcated biosynthetic bypass was created by spatulating and anastomosing two 8-mm tubular Omniflow II grafts. This bypass was used for in situ reconstruction after excision of infected aortic grafts in three cases. After a mean follow-up of 2.2 years, no occlusion, degeneration, or rupture of the Omniflow II grafts was observed. Although one patient suffered from graft reinfection, the bypass retained structural integrity and no anastomotic dehiscence was observed.Treatment of aortic graft infection by in situ reconstruction with the Omniflow II vascular prosthesis is feasible. Its resistance to infection and off-the-shelf availability make this graft a promising conduit for aortoiliac reconstruction.
journal_name
Vascularjournal_title
Vascularauthors
Krasznai AG,Snoeijs M,Siroen MP,Sigterman T,Korsten A,Moll FL,Bouwman LHdoi
10.1177/1708538115621195subject
Has Abstractpub_date
2016-12-01 00:00:00pages
561-566issue
6eissn
1708-5381issn
1708-539Xpii
1708538115621195journal_volume
24pub_type
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