Abstract
Autogenous reconstruction is a well-accepted alternative treatment for prosthetic infection after reconstructive arterial surgery. Because of its technical complexity and the lack of suitable substitutes, the procedure remains limited to a few selected centers. We describe four patients with prosthetic infection after reconstructive surgery for lower limb ischemia. Treatment consisted of prosthetic excision and aortofemoral grafting with the use of the superficial femoral vein. All patients survived the operation and infection was eradicated in all cases. We conclude that the superficial femoral vein represents an acceptable arterial conduit in the treatment of these difficult cases.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ehrenfeld WK, Wilbur BG, Olcott CN, et al. Autogenous reconstruction in the management of infected prosthetic grafts. Surgery 1979;85:82–92.
Quinõnes-Baldrich WJ, Gelabert HA. Autogenous tissue reconstruction in the management of aortoiliofemoral graft infection. Ann Vasc Surg 1990;4:223–228.
Moore WS, Blaisdell FW, Gardner M, et al. Effect of infection on autogenous vein arterial substitutes. Surg Forum 1962;13:235–237.
Moore WS, Swanson RJ, Campagna G, et al. The use of fresh arterial substitutes in infected fields. J Surg Res 1975;18:229–233.
Reilly LM, Altman H, Lusby RJ, et al. Late results following surgical management of graft infection. J Vasc Surg 1984;1:36–44.
Seeger JM, Wheeler JG, Gregory RT, et al. Autogenous graft replacement of infected prosthetic grafts in the femoral position. Surgery 1983;93:39–45.
Lorentzen JE, Nielsen OM. Aortobifemoral bypass with autogenous saphenous vein in treatment of paninfected aortic bifurcation graft. J Vasc Surg 1986;4:666–668.
Nevelsteen A, Suy R. Autogenous venous reconstruction in the treatment of aortobifemoral prosthetic infection. J Cardiovasc Surg 1988;29:315–317.
Lauwers G, Nevelsteen A, Kerremans R, et al. Paraprosthetic fistula after aortobifemoral prosthetic reconstruction: Treatment by autogenous saphenous venous replacement. A case report. Acta Chir Belg (in press).
Schulman ML, Badhey MR, Yatco R, et al. An 11-year experience with deep leg veins as femoropopliteal bypass grafts. Arch Surg 1986;121:1010–1015.
Noppeney T, Kasprzak P, Raithel D. Is there a true alternative for the greater saphenous vein in peripheral arterial surgery? Presented at the Fifteenth World Congress of the International Union of Angiology. Rome: September 17–22, 1989.
Snyder SO, Wheeler JR, Gregory RT, et al. Freshly harvested cadaveric venous homografts as arterial conduits in infected fields. Surgery 1987;101:283–291.
Schanzer H, Chiang K, Mabrouk M, et al. Use of lower extremity veins as arterial substitutes: Functional status of the donor leg. J Vasc Surg 1991;14:624–627.
Schulman ML, Badhey MR, schulman LG, et al. Distal anastomotic hyperplasia in superficial femoral-popliteal vein femoropopliteal bypass grafts. Vasc Surg 1991;25:618–627.
Author information
Authors and Affiliations
About this article
Cite this article
Nevelsteen, A., Lacroix, H. & Suy, R. The superficial femoral vein as autogenous conduit in the treatment of prosthetic arterial infection. Annals of Vascular Surgery 7, 556–560 (1993). https://doi.org/10.1007/BF02000150
Issue Date:
DOI: https://doi.org/10.1007/BF02000150