CT detection of infected synthetic grafts: preliminary report of a new sign

Haaga,; Baldwin, G. Nicholas; Ne, Reich; Beven, Edwin G.; Kramer, Aviv; Weinstein, A. J.; Havrilla, Thomas R.; Seidelmann, FE; Namba, AH; Cm, Parrish

doi:10.2214/ajr.131.2.317

Cited by 70 publications

(8 citation statements)

References 2 publications

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“…The CT scan was useful in the diagnosis of an abscess in the thrombotic AAA as it showed air in the AAA. Computed tomography has detected a perigraft abscess after an aortoiliac bypass as demonstrated by Haaga et al 10 Visceral ischemia developed in one of our patients. This patient had ischémie colitis and thrombosis of the left renal artery with a hemorrhagic infarct of the left kidney.…”

Section: Methodssupporting

confidence: 71%

Lethal Complications Associated With Nonrestrictive Treatment of Abdominal Aortic Aneurysms

Cho¹,

Johnson²,

Bush³

et al. 1982

Arch Surg

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Section: Methodssupporting

confidence: 71%

Lethal Complications Associated With Nonrestrictive Treatment of Abdominal Aortic Aneurysms

Cho¹,

Johnson²,

Bush³

et al. 1982

Arch Surg

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“…3,14 CT utility for graft infection has also been demonstrated previously. 3,7,20 CT is also able to detect other complications of vascular surgery such as retroperitoneal haematomas, aortoduodenal fistula, pseudoaneurism, vascular thrombosis, intestinal infarction, and postsurgical pancreatitis. 21,22 We have found no discrepancies between CT and Ga-67 scan, but our experience is limited.…”

Section: Discussionmentioning

confidence: 99%

Ga-67 citrate scan in vascular graft infection

et al. 1992

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The clinical utility of the Ga-67 scan has been studied in 9 patients with clinical suspicion of vascular graft infection. Eleven grafts were analyzed: 4 aortobifemoral, 2 iliofemoral, 3 femoropopliteal, 1 axillofemoral, and 1 axillobifemoral. The Ga-67 scan was positive in 8 grafts with bacteriological proof of infection and negative in 3 grafts in which infection was ruled out by clinical follow-up. A Ga-67 scan also demonstrated the spread of infection to the thigh in two patients and to the pelvis in another two patients. In 4 patients CT was performed. The CT findings included graft thrombosis, perigraft fluid collection and thickened graft wall. No discrepancies were found between the CT scan and Ga-67 scan. In three patients a control Ga-67 scan was carried out after specific antibiotic and surgical treatment. Two of these showed increased Ga-67 uptake and spreading of infection along the graft; in the other patient, a Ga-67 scan revealed normalization after resolution of an abdominal abscess. In conclusion, the Ga-67 scan proved useful in the diagnosis of vascular graft infection, the definition of location of the extent of the disease and in the evaluation of the efficiency of treatment.

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“…CT has been shown to be effective in detecting graft infections [4][5][6][7][8]. Excellent spatial and contrast resolution has permitted the delineation of normal and abnormal graft momphology.…”

Section: Methodsmentioning

confidence: 99%

“…This has facilitated the diagnosis of infectious cornplications, especially in the retropenitoneum [6,7]. On the basis of signs such as penignaft soft tissue, fluid or gas, anastomotic pseudoaneumysm, and graft occlusion, CT has been reported to be 1 00% sensitive in demonstrating graft infection [3][4][5][6][7][8].…”

Section: Methodsmentioning

confidence: 99%