Successful treatment of infected thoracoabdominal aortic graft by percutaneous catheter drainage

Matley, Philip J.; Beningfield, Steve; Lourens, Steven; Immelman, E. J.

doi:10.1016/0741-5214(91)90308-h

Cited by 15 publications

(8 citation statements)

References 14 publications

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“…The treatment of wound infection generally consists of wound re‐opening, removal of alloplastic material, and open wound care. Further steps range from exclusive treatment with saline‐moistened gauze to local or systemic application of antibiotics, and are supported by conventional drainage or percutaneous catheter drainage [1]. The goal of these various treatments is to accelerate wound cleansing and thus to support wound healing.…”

Section: Introductionmentioning

confidence: 99%

Functional T lymphocytes infiltrate implanted polyvinyl alcohol foams during surgical wound closure therapy

Gouttefangeas

Eberle

Ruck

et al. 2001

Clinical and Experimental Immunology

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SUMMARYVacuum-assisted closure involving the implantation of polyvinyl alcohol foam is a technique recently developed for the treatment of patients suffering from either wound infection or chronic wounds. This method has been shown to improve and accelerate wound healing. However, little is known about the cell populations that infiltrate the foam, and their potential role in resolving the infection and promoting granulation tissue formation. Our study demonstrates that wound-implanted foams are mainly infiltrated with granulocytes, but that mononuclear cells, including macrophages and minor populations of T, B and natural killer lymphocytes, are also present. We show that foam-infiltrating T cells, especially CD41 T cells, constitute a phenotypically and functionally heterogeneous population influenced by woundinfecting bacteria. Thus, T lymphocytes could play a role in wound cleansing. In addition, our data indicate that implanted polyvinyl alcohol foams might be suitable microenvironments for manipulating T cell-mediated immune responses in patients.

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Section: Introductionmentioning

confidence: 99%

Functional T lymphocytes infiltrate implanted polyvinyl alcohol foams during surgical wound closure therapy

Gouttefangeas

Eberle

Ruck

et al. 2001

Clinical and Experimental Immunology

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“…In the literature, systemic and local application of antibiotics are discussed 1,13 , 14 . Continuous catheter irrigation and drainage have been reported 15–17 . Muscle flaps with M. sartorius, M. rectus abdominis or M. rectus femoris have been shown to cover prosthetic material in the groin successfully 18–20 …”

mentioning

confidence: 99%

Treatment of periprosthetic soft tissue infection of the groin following vascular surgical procedures by means of a polyvinyl alcohol‐vacuum sponge system

Pinocy¹,

Albes

Wicke³

et al. 2003

Wound Repair Regeneration

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Deep groin infections after prosthetic vascular surgical procedures represent a serious complication of surgical practice. Septicemia and/or erosive hemorrhage can both be consequences. In this situation, removal of the graft appears to be the only option. However, if the infection is detected early (type Szilagyi III), local treatment to eradicate the infection could serve as an alternative. Twenty-four patients with confirmed infection of the soft tissue adjacent to the prosthetic material in the groin were treated locally by implantation of a vacuum sponge system. Duration of this treatment was 2 weeks. All patients showed excellent tissue granulation of the wound area and the microbial stains were negative at the end of therapy. In 21 patients the wound could be primarily closed after explantation of the sponge. Three patients underwent open treatment because of a skin defect. After 12 months, the wounds had healed well in all patients. Histologic evaluation revealed a physiological healing process. Deep soft tissue infections of the groin adjacent to prosthetic vascular material (type Szilagyi III) can be treated effectively and safely with the vacuum sponge system. The treatment is inexpensive, easy to perform, and the initial vascular reconstruction can be preserved.

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“…Coselli et al [3] emphasized the importance of graft coverage and elimination of dead space with viable tissue flaps. Percutaneous drainage prior to an open surgical repair or the treatment of abdominal or thoracoabdominal aortic graft infection has been reported [4][5][6]. To the best of our knowledge, although percutaneous drainage of an abdominal aortic aneurysm sac has been previously reported, drainage of an abscess located at the aortic arch is rare.…”

Section: Discussionmentioning

confidence: 99%

Successful treatment using percutaneous drainage for aortic arch prosthetic graft infection

Matsuyama

Kurabayashi

Koizumi

et al. 2014

Journal of Cardiology Cases

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Successful treatment of infected thoracoabdominal aortic graft by percutaneous catheter drainage

Cited by 15 publications

References 14 publications

Functional T lymphocytes infiltrate implanted polyvinyl alcohol foams during surgical wound closure therapy

Functional T lymphocytes infiltrate implanted polyvinyl alcohol foams during surgical wound closure therapy

Treatment of periprosthetic soft tissue infection of the groin following vascular surgical procedures by means of a polyvinyl alcohol‐vacuum sponge system

Successful treatment using percutaneous drainage for aortic arch prosthetic graft infection

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