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Successful treatment of early postoperative aortic graft infection by percutaneous catheter drainage

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Annals of Vascular Surgery

Abstract

Successful treatment by percutaneous catheter drainage of an acute aortic graft infection with an associated pancreatic fistula is reported. Percutaneous catheter drainage can be considered in selected patients when the risk of reoperation is deemed unacceptable or when other reasonable treatment options do not exist.

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References

  1. O'Brien T, Collin J. Prosthetic vascular graft infection. Br J Surg 1992;79:1262–1267.

    PubMed  Google Scholar 

  2. Liekweg WG, Greenfield LJ. Vascular prosthetic infections: Collected experience and results of treatment. Surgery 1977;81:335–342.

    PubMed  Google Scholar 

  3. O'Hara PJ, Hertzer NR, Beven EG, et al. Surgical management of infected abdominal aortic grafts: Review of a 25-year-experience. J Vasc Surg 1986;3:725–731.

    Article  PubMed  Google Scholar 

  4. Schmitt DD, Seabrook GR, Bandyk DF, et al. Graft excision and extra-anatomic revascularization: The treatment of choice for the septic aortic prosthesis. J Cardiovasc Surg 1990;31:327–332.

    Google Scholar 

  5. Szilagyi DE, Smith RF, Elliott JP, et al. Infection in arterial reconstruction with synthetic grafts. Ann Surg 1972;176:321–333.

    PubMed  Google Scholar 

  6. Yeager RA, Moneta GL, Taylor LM Jr, et al. Improving survival and limb salvage in patients with aortic graft infection. Am J Surg 1990;159:466–469.

    PubMed  Google Scholar 

  7. Mueller PE, van Sonnenberg E, Ferrucci JT Jr. Percutaneous drainage of 250 abdominal abscesses and fluid collections. Part II. Radiology 1984;151:343–347.

    PubMed  Google Scholar 

  8. Gerzof SG, Robbins AH, Birkett DH, et al. Percutaneous catheter drainage of abdominal abscesses guided by ultrasound and computed tomography. AJR 1979;133:1–8.

    PubMed  Google Scholar 

  9. van Sonnenberg E, Mueller PR, Ferrucci JT Jr. Percutaneous drainage of 250 abdominal abscess and fluid collections. Part I. Radiology 1984;151:337–341.

    PubMed  Google Scholar 

  10. Vogelzang RL, Limpert JD, Yao JST. Detection of prosthetic vascular complications: Comparison of CT and angiography. AJR 1987;148:819–823.

    PubMed  Google Scholar 

  11. Qvarfordt PG, Reilly LM, Mark AS, et al. Computerized tomographic assessment of graft incorporation after aortic reconstruction. Am J Surg 1985;150:227–231.

    Article  PubMed  Google Scholar 

  12. Low RN, Wall SD, Jeffrey RB, et al. Aortoenteric fistula and perigraft infection: Evaluation with CT. Radiology 1990;175:157–162.

    PubMed  Google Scholar 

  13. Katz BH, Black RA, Colley DP. CT-guided fine needle aspiration of a periaortic collection. J Vasc Surg 1987;5:762–764.

    Article  PubMed  Google Scholar 

  14. Cunat JS, Haaga JR, Rhodes R, et al. Periaortic fluid aspiration for recognition of infected graft: Preliminary report. AJR 1982;139:251–253.

    PubMed  Google Scholar 

  15. Mark A, Moss AA, Lusby R, et al. CT evaluation of complications of abdominal aortic surgery. Radiology 1982;145:409–414.

    PubMed  Google Scholar 

  16. Mark AS, McCarthy SM, Moss AA, et al. Detection of abdominal aortic graft infection: Comparison of CT and In-labeled white blood cell scans. AJR 1985;144:315–318.

    PubMed  Google Scholar 

  17. Lambiase RE, Dorfman GS, Cronan JJ. Percutaneous management of abscesses that involve native arteries or synthetic arterial grafts. Radiology 1989;173:815–818.

    PubMed  Google Scholar 

  18. Matley PJ, Beningfield SJ, Lourens S, et al. Successful treatment of infected thoracoabdominal aortic graft by percutaneous catheter drainage. J Vasc Surg 1991;13:513–515.

    Article  PubMed  Google Scholar 

  19. Tobin KD. Aortobifemoral perigraft abscess: Treatment by percutaneous catheter drainage. J Vasc Surg 1988;8:339–343.

    Article  PubMed  Google Scholar 

  20. Bandyk DF, Berni GA, Thiele BL, et al. Aortofemoral graft infection due toStaphylococcus epidermidis. Arch Surg 1984;119:102–108.

    PubMed  Google Scholar 

  21. Mixter RC, Turnipseed WD, Smith DJ Jr, et al. Rotational muscle flaps: A new technique for covering infected vascular grafts. J Vasc Surg 1989;9:472–478.

    Article  PubMed  Google Scholar 

  22. Kwaan JHM, Connolly JE. Successful management of prosthetic graft infection with continuous povidone-iodine irrigation. Arch Surg 1981;116:716–720.

    PubMed  Google Scholar 

  23. Morris GE, Friend PJ, Vassallo DJ, et al. Antibiotic irrigation and conservative surgery for major aortic graft infection. J Vasc Surg 1994;20:88–95.

    PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. From the Department of Radiology and the Division of Vascular Surgery, Seattle Division Veterans Affairs Puget Sound Health Care System and the University of Washington, Seattle, Wash.

    David J. Glickerman MD, Peter J. Dickhoff MD, R. Eugene Zierler MD, John D. Harley MD & David L. Dawson MD

Authors
  1. David J. Glickerman MD
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  2. Peter J. Dickhoff MD
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  3. R. Eugene Zierler MD
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  4. John D. Harley MD
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  5. David L. Dawson MD
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Additional information

The views expressed herein are those of the authors and do not represent the views of the Department of Defense or other departments of the U.S. government.

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Glickerman, D.J., Dickhoff, P.J., Zierler, R.E. et al. Successful treatment of early postoperative aortic graft infection by percutaneous catheter drainage. Annals of Vascular Surgery 10, 486–489 (1996). https://doi.org/10.1007/BF02000598

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  • DOI: https://doi.org/10.1007/BF02000598

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