Autogenous reconstruction with the lower extremity deep veins: An alternative treatment of prosthetic infection after reconstructive surgery for aortoiliac disease

Abstract

Harvesting of the lower extremity deep veins is well tolerated. Autogenous reconstruction with these veins provides good potential for salvage of life and limbs in case of prosthetic infection. A longer period of follow-up is required to study the long-term behavior of these grafts and to allow definite comparison with more conventional approaches.

<i>Campylobacter Fetus</i> Infection of the Aorta: A Case Report and Review of Literature

“…Aortic resection with extraanatomic bypass carries a low risk of postsurgical infection but is associated with poor patency rates of the bypass graft despite anticoagulation and adverse outcomes including aortic stump disruption, bleeding, a higher rate of lower extremity amputation and compromised blood supply to the pelvis, colon and rectum (Oderich et al, 2011). Case reports have shown that in situ reconstruction with various types of grafts lead to good long-term results (Noel et al, 2002;Nevelsteen et al, 1995;Bandyk et al, 2001;Batt et al, 2003) but this has not been supported by randomized controlled trials. Weis- Muller et al (2011) described a 42% mortality with the use of grafts and dacron patches for in-situ reconstruction of mycotic aortic aneurysm infected with various other organisms.…”

Current Management of Vascular Infections

“…[32] In these cases, superficial femoral vein harvesting has a strong indication. [33,34] Preoperative vein mapping is important. In cases of aortic reconstruction, with larger aortic diameter, "pantaloon technique" can be applied.…”

Late Complications Following Aortic Aneurysm Repair

“…Postoperative mortality rates were 10% and 7%, respectively, in these studies, and early amputation rates were 5% and 7%. Furthermore, Clagett reported that primary and secondary graft patency rates at 5 years were 83% and 100%, 5-year limb salvage was 86%, and significant lower extremity edema was uncommon (Clagett et al, 1997;Nevelsteen et al, 1995). A Dutch group produced excellent results with spiralised great saphenous veins as an aortic replacement for and infected prosthesis (van Zitteren et al 2011).…”