Perigraft Seromas Complicating Prosthetic Bridge Arteriovenous Fistula – Solution with Autogenous Vein Interposition

Sobrinho, Gonçalo; Henriques, Sara

doi:10.1053/ejvs.2001.1482

Cited by 8 publications

(4 citation statements)

References 9 publications

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“…1) Although not confirmed by prospective case studies with long-term follow-up, prosthetic material changing (from Dacron to ePTFE and vice versa) has proved to be a practice used by several Authors with good results. 3,6) Other therapies have been proposed: replacement with homograft 7) or native vein, 6) fibrin glue wrapping, 5) microfibrillar collagen injection into the periprosthetic space. 8) We presented a case of large symptomatic PS after an AxBF bypass.…”

Section: Introductionmentioning

confidence: 99%

Giant Perigraft Seroma after Axillobifemoral Bypass for Leriche’s Syndrome: A Case Report

Bissacco

Domanin

Alessandro

et al. 2016

Annals of Vascular Diseases

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Perigraft seroma is a rare complication occurs after placement of any vascular graft. It is defined as the collection of a sterile, clear and acellular liquid around prosthesis. It can appear years after surgery as a soft, palpable and painless mass. We present a perigraft seroma occurred in a 75-years-patient underwent Dacron right axillo-bifemoral bypass for Leriche's syndrome. Ultrasound and computed tomography scan revealed involvement of graft left branch and bifurcation. Although several treatment options have been proposed, removal and replacement of prosthetic affected tract with another of a different material has been proved the choice with best result.

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Section: Introductionmentioning

confidence: 99%

Giant Perigraft Seroma after Axillobifemoral Bypass for Leriche’s Syndrome: A Case Report

Bissacco

Domanin

Alessandro

et al. 2016

Annals of Vascular Diseases

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“…Pseudocapsule's removal and surgical drainage alone should be avoided, since not curative and causing a high rate of infection. 10 Replacement with homograft 28 or native vein, 29 saphenous vein wrapping, 30 interposition of covered stents, 31 and MFC injection into the periprosthetic space 12 are alternative therapies tested in a very limited number of cases. Plasmapheresis 24 and intravenous fibrinogen administration 32 were performed to wash out hypothetical serum factors regarded as likely to modify the normal graft permeability.…”

Section: Discussionmentioning

confidence: 99%

Perigraft Seroma after Extra-anatomic Bypass: Case Series and Review of the Literature

Bissacco

Domanin

Romagnoli

et al. 2017

Annals of Vascular Surgery

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Our case series and the literature confirm that the most widely used therapy is the surgical drainage with primary or secondary replacement of the graft of a different material. Percutaneous drainage has proved to be ineffective because not conclusive and potential to increase risk of graft infection. Careful follow-up, even years after surgery, remains necessary for PS diagnosis and management, to prevent complications and potential infection.

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“…Management options for persistent seromas include conservative, interventional and surgical therapies. Conservative management consists of repeated aspiration, topical application of microfibrillar collagen or histoacryl tissue, wrapping with collagen fleece soaked in fibrin glue or absorbable collagen, intraluminal injection of hemostatic fibrin glue, plasmapheresis (10-12 sessions), or stent implantation [15-17]. However, repeated aspiration increases graft infection risk to 12% [18] and should be performed with strict sterile precautions.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical seroma treatment is only indicated when conservative management has failed, the recurring fluid collection is > 2 cm in diameter, there is impending skin necrosis, or the graft is infected [11,18,19]. In such cases, surgical treatment consists of excision of the sac and replacement of the graft using a new synthetic graft or an umbilical vein or homograft iliac artery [17,19]. Conservative management is successful in only 65-70% of cases, due to high rates of recurrence and infection [16].…”

Section: Discussionmentioning

confidence: 99%

Postoperative peri-axillary seroma following axillary artery cannulation for surgical treatment of acute type A aortic dissection

Apostolakis

Baikoussis

Κατσάνος

et al. 2010

J Cardiothorac Surg

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The arterial cannulation site for optimal tissue perfusion and cerebral protection during cardiopulmonary bypass (CPB) for surgical treatment of acute type A aortic dissection remains controversial. Right axillary artery cannulation confers significant advantages, because it provides antegrade arterial perfusion during cardiopulmonary bypass, and allows continuous antegrade cerebral perfusion during hypothermic circulatory arrest, thereby minimizing global cerebral ischemia. However, right axillary artery cannulation has been associated with serious complications, including problems with systemic perfusion during cardiopulmonary bypass, problems with postoperative patency of the artery due to stenosis, thrombosis or dissection, and brachial plexus injury. We herein present the case of a 36-year-old Caucasian man with known Marfan syndrome and acute type A aortic dissection, who had direct right axillary artery cannulation for surgery of the ascending aorta. Postoperatively, the patient developed an axillary perigraft seroma. As this complication has, not, to our knowledge, been reported before in cardiothoracic surgery, we describe this unusual complication and discuss conservative and surgical treatment options.

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Perigraft Seromas Complicating Prosthetic Bridge Arteriovenous Fistula – Solution with Autogenous Vein Interposition

Cited by 8 publications

References 9 publications

Giant Perigraft Seroma after Axillobifemoral Bypass for Leriche’s Syndrome: A Case Report

Giant Perigraft Seroma after Axillobifemoral Bypass for Leriche’s Syndrome: A Case Report

Perigraft Seroma after Extra-anatomic Bypass: Case Series and Review of the Literature

Postoperative peri-axillary seroma following axillary artery cannulation for surgical treatment of acute type A aortic dissection

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