Successful total graft preservation for an infected thoracoabdominal aortic graft
Infection of thoracoabdominal prosthetic grafts is a devastating complication. It is often not feasible to fully avoid the bed of infected bypass grafts, so the traditional approach with resection and replacement of infected grafts has a high morbidity and mortality rate. This technique has recently...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2016-12-01
|
| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428716300570 |
| _version_ | 1819075078008078336 |
|---|---|
| author | Joseph Liechty, MD Graham N. Albert, BA John J. Squiers, BSE J. Michael DiMaio, MD William T. Brinkman, MD Dennis R. Gable, MD |
| author_facet | Joseph Liechty, MD Graham N. Albert, BA John J. Squiers, BSE J. Michael DiMaio, MD William T. Brinkman, MD Dennis R. Gable, MD |
| author_sort | Joseph Liechty, MD |
| collection | DOAJ |
| description | Infection of thoracoabdominal prosthetic grafts is a devastating complication. It is often not feasible to fully avoid the bed of infected bypass grafts, so the traditional approach with resection and replacement of infected grafts has a high morbidity and mortality rate. This technique has recently been challenged by several case reports describing success with graft-preserving strategies. Herein, we report a successful case of total graft preservation with decontamination by iodine washout and microdébridement, bactericidal bead and glue placement, and omental wrapping. This technique represents a novel strategy in the armamentarium of surgeons faced with infected thoracoabdominal prosthetic grafts. |
| first_indexed | 2024-12-21T18:19:41Z |
| format | Article |
| id | doaj.art-6b478c9b3166411697b46a487de6029e |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-12-21T18:19:41Z |
| publishDate | 2016-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-6b478c9b3166411697b46a487de6029e2022-12-21T18:54:35ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872016-12-012417818010.1016/j.jvscit.2016.08.007Successful total graft preservation for an infected thoracoabdominal aortic graftJoseph Liechty, MD0Graham N. Albert, BA1John J. Squiers, BSE2J. Michael DiMaio, MD3William T. Brinkman, MD4Dennis R. Gable, MD5Baptist East Regional Medical Center, Louisville, KyBaylor Scott & White Research Institute, The Heart Hospital Baylor Plano, Plano, TexBaylor Scott & White Research Institute, The Heart Hospital Baylor Plano, Plano, TexBaylor Scott & White Research Institute, The Heart Hospital Baylor Plano, Plano, TexDepartment of Cardiothoracic Surgery, The Heart Hospital Baylor Plano, Plano, TexDepartment of Vascular Surgery, The Heart Hospital Baylor Plano, Plano, TexInfection of thoracoabdominal prosthetic grafts is a devastating complication. It is often not feasible to fully avoid the bed of infected bypass grafts, so the traditional approach with resection and replacement of infected grafts has a high morbidity and mortality rate. This technique has recently been challenged by several case reports describing success with graft-preserving strategies. Herein, we report a successful case of total graft preservation with decontamination by iodine washout and microdébridement, bactericidal bead and glue placement, and omental wrapping. This technique represents a novel strategy in the armamentarium of surgeons faced with infected thoracoabdominal prosthetic grafts.http://www.sciencedirect.com/science/article/pii/S2468428716300570 |
| spellingShingle | Joseph Liechty, MD Graham N. Albert, BA John J. Squiers, BSE J. Michael DiMaio, MD William T. Brinkman, MD Dennis R. Gable, MD Successful total graft preservation for an infected thoracoabdominal aortic graft Journal of Vascular Surgery Cases and Innovative Techniques |
| title | Successful total graft preservation for an infected thoracoabdominal aortic graft |
| title_full | Successful total graft preservation for an infected thoracoabdominal aortic graft |
| title_fullStr | Successful total graft preservation for an infected thoracoabdominal aortic graft |
| title_full_unstemmed | Successful total graft preservation for an infected thoracoabdominal aortic graft |
| title_short | Successful total graft preservation for an infected thoracoabdominal aortic graft |
| title_sort | successful total graft preservation for an infected thoracoabdominal aortic graft |
| url | http://www.sciencedirect.com/science/article/pii/S2468428716300570 |
| work_keys_str_mv | AT josephliechtymd successfultotalgraftpreservationforaninfectedthoracoabdominalaorticgraft AT grahamnalbertba successfultotalgraftpreservationforaninfectedthoracoabdominalaorticgraft AT johnjsquiersbse successfultotalgraftpreservationforaninfectedthoracoabdominalaorticgraft AT jmichaeldimaiomd successfultotalgraftpreservationforaninfectedthoracoabdominalaorticgraft AT williamtbrinkmanmd successfultotalgraftpreservationforaninfectedthoracoabdominalaorticgraft AT dennisrgablemd successfultotalgraftpreservationforaninfectedthoracoabdominalaorticgraft |