Annals of Vascular Surgery

, Volume 8, Issue 6, pp 536–542 | Cite as

Healing of aortic prosthetic grafts: A study by magnetic resonance imaging

  • Carlo Spartera
  • Giuseppe Morettini
  • Carla Petrassi
  • Ernesto Di Cesare
  • Gaetano La Barbera
  • Marco Ventura
Original Articles
  • 4 Downloads

Abstract

Thirty-six patients with aortoiliac reconstruction were studied by magnetic resonance imaging (MRI) to determine the diameter, baseline signal, and subsequent magnetic signal characteristics of postoperative periprosthetic collection (PPC). Our study confirmed the presence of PCC in most cases (32/36). The diameter was significantly (p <0.05) correlated with the type of disease being treated, the type of proximal anastomosis created, and whether or not drainage and postoperative transfusion were used. PPC usually disappeared within 3 to 6 months postoperatively. Modifications of magnetic signals T1 and T2 require approximately the same amount of time to diminish. During follow-up investigations in this series, there was one case of prosthetic infection characterized by the persistence of PPC and a strong T2 signal 6 months after surgery, the latter corresponding to incomplete or delayed healing. The MRI aspects of normal healing of aortic grafts were analyzed to correctly interpret the MRI aspects of complications in surgery of the aorta.

Keywords

Public Health Magnetic Resonance Imaging Abdominal Surgery Signal Characteristic Magnetic Signal 

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References

  1. 1.
    Edwards WH, Martin RS III, Jenkins JM, et al. Primary graft infections. J Vasc Surg 1987;6:235–239.CrossRefPubMedGoogle Scholar
  2. 2.
    Goeau-Brissonière O, Pechère JC, Leport C. Comment prévenir les infections de prothèse. In Kieffer E, ed. Les Anévrysmes de l'Aorte Abdominale Sous-rénale. Paris: Association Expansion Recherche de Chirurgie Vasculaire, 1990, pp 129–141.Google Scholar
  3. 3.
    Pons VG, Wurtz R. Vascular graft infections: A 25-year experience of 170 cases. J Vasc Surg 1991;13:751–753.PubMedGoogle Scholar
  4. 4.
    Cole CW, Moore WS. Infection in vascular prosthesis. In Moore WS, ed. Vascular Surgery: A Comprehensive Review, 2nd ed. New York: Grune & Stratton, 1986, pp 939–957.Google Scholar
  5. 5.
    Reilly LM, Goldstone JM. The infected aortic graft. In Bergan JJ, Yao JST, eds. Reoperative Arterial Surgery. New York: Grune & Stratton, 1986, pp 231–253.Google Scholar
  6. 6.
    Hilton S, Megibow AJ, Naidich DP, et al. Computed tomography of the postoperative abdominal aorta. Radiology 1982;145:403–407.PubMedGoogle Scholar
  7. 7.
    Mark A, Moss AA, Lusby R, et al. CT evaluation of complications of abdominal aortic surgery. Radiology 1982;145:409–414.PubMedGoogle Scholar
  8. 8.
    Qvarfordt PG, Reilly LM, Mark AS, et al. Computerized tomographic assessment of graft incorporation after aortic reconstruction. Am J Surg 1985;150:227–231.CrossRefPubMedGoogle Scholar
  9. 9.
    Alexander ES, Colley DP, Clark PA. Computed tomography of retroperitoneal collections. Semin Roentgenol 1981;16:268–276.PubMedGoogle Scholar
  10. 10.
    Brown WO, Stanson AW, Pairolero PC, et al. Computerized tomography following abdominal aortic surgery. Surgery 1982;91:716–722.PubMedGoogle Scholar
  11. 11.
    Auffermann W, Olofsson P, Stoney R, et al. MR imaging of complications of aortic surgery. J Comput Assist Tomogr 1987;11:982–989.PubMedCrossRefGoogle Scholar
  12. 12.
    Auffermann W, Taveres NJ, Rabahie G, et al. MR imaging of normal aortic graft healing and perigraft infection. Radiology 1988;169(Suppl):107.Google Scholar
  13. 13.
    Auffermann W, Olofsson RA, Rabahie GN, et al. Incorporation versus infection of retroperitoneal aortic grafts: MR imaging features. Radiology 1989;172:359–362.PubMedGoogle Scholar
  14. 14.
    Gooding GAW, Effeney DJ, Goldstone J. The aortofemoral graft: Detection and identification of healing complications by ultrasonography. Surgery 1981;89:94–101.PubMedGoogle Scholar
  15. 15.
    Jerusalem C, Hess F. Healing of coated arterial vascular textile prostheses. In Kogel HC, ed. The Prosthetic Substitution of Blood Vessels: Actual State and Future Development. Munchen: Quintessenz Verlag, 1991, pp 49–56.Google Scholar
  16. 16.
    Guidoin R, Douville Y, Noel HP, et al. Le choix d'une prothèse dans la chirurgie des anévrysmes de l'aorte abdominale. In Kieffer E, ed. Les Anévrysmes de l'Aorte Abdominale Sousrénale. Paris: Association Expansion Recherche de Chirurgie Vasculaire, 1990, pp 143–153.Google Scholar
  17. 17.
    O'Harn PJ, Borkowski GP, Hertzer NR, et al. Natural history of periprosthetic air on computerized axial tomography examination of the abdomen following abdominal aortic aneurysm repair. J Vasc Surg 1984;1:429–433.CrossRefPubMedGoogle Scholar
  18. 18.
    Di Cesare E, Di Renzi P, Pavone P, et al. Evaluation of hematoma by MRI in follow-up of aorto-femoral bypass. Magn Reson Imaging 1991;9:247–253.CrossRefPubMedGoogle Scholar
  19. 19.
    Spartera C, Morettini G, Petrassi C, et al. Role of magnetic resonance imaging in the evaluation of aortic graft healing, perigraft fluid collection, and graft infection. Eur J Vasc Surg 1990;4:69–75.PubMedGoogle Scholar
  20. 20.
    Terrier F, Revel D, Pajannen H, et al. MR imaging of body fluid collections. J Comput Assist Tomogr 1986;10:953–962.PubMedGoogle Scholar
  21. 21.
    Bogelzang RL, Fisher MR. Computed tomography and magnetic resonance imaging in vascular surgical emergencies. In Bergan JJ, Yao JST, eds. Vascular Surgical Emergencies. New York: Grune & Stratton, 1987, p 77.Google Scholar
  22. 22.
    Fishman M, Haggar A, Kressel HY. Magnetic resonance imaging of body hematomas. In Book of Abstracts, vol 2. Society of Magnetic Resonance in Medicine, Fourth Annual Meeting, London, UK, 1985. Berkeley: Society of Magnetic Resonance in Medicine, 1985, p 1149.Google Scholar
  23. 23.
    Justich E, Amparo EG, Hricak H, et al. Infected aortoiliofemoral grafts: Magnetic resonance imaging. Radiology 1985;154:133–136.PubMedGoogle Scholar
  24. 24.
    Olofsson PA, Auffermann W, Higgins CB, et al. Diagnosis of prosthetic aortic graft infection by magnetic resonance imaging. J Vasc Surg 1988;8:99–105.CrossRefPubMedGoogle Scholar

Copyright information

© Annals of Vascular Surgery Inc. 1994

Authors and Affiliations

  • Carlo Spartera
    • 1
  • Giuseppe Morettini
    • 1
  • Carla Petrassi
    • 1
  • Ernesto Di Cesare
    • 2
  • Gaetano La Barbera
    • 1
  • Marco Ventura
    • 1
  1. 1.Department of Vascular SurgeryUniversity of l'Aquilal'AquilaItaly
  2. 2.Department of RadiologyUniversity of l'Aquilal'AquilaItaly

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