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Given this significant reduction, vascular surgery training programs may need to introduce advanced training programs or fellowships in OAR at high-volume centers to ensure that trainees have the expertise to perform such a high-risk procedure safely and independently.
same setting, leaving the skin open. She was continued on 6 weeks of intravenous antibiotics and discharged home with wet-to-dry local wound care for both groins. No signs of infection were noted, and both wounds healed completely (Fig 2). Duplex ultrasound scanning revealed a patent graft with no evidence of perigraft or anastomotic fluid collections.Conclusions: The use of calcium sulfate beads impregnated with slowreleasing antibiotics has proved to be safe and effective for treating a groin wound infection with exposed prosthetic graft while maintaining graft patency. Antibiotic-impregnated calcium sulfate beads offer a less invasive approach to the salvage of locally infected prosthetic bypass grafts and may serve as a feasible alternative to graft explantation and revascularization in selected patients.
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