Zusammenfassung
Für den Gefäßersatz in infiziertem Gewebe sollte zur Vermeidung einer Bypassinfektion wenn möglich die extraanatomische Bypassführung bevorzugt werden. Bei fehlenden geeigneten autologen Gefäßen bietet die Verwendung eines Gefäßes von einem allogenen Spender (Allograft, Homograft) eine geeignete Alternative. Bei einer 59 Jahre alten Patientin erfolgte die Anlage eines extraanatomischen iliakopoplitealen Bypasses mit einem Allograft. Im Verlauf über 3 Jahre kam es zum Bypassverschluss durch Stenosen im Anastomosenbereich und zur Ruptur eines Aneurysmas, was den Einsatz endovaskulärer Techniken erforderte.
Abstract
For vascular reconstructions in infected tissues extra-anatomic bypass grafting should be preferred if possible to avoid bypass infections. In the absence of adequate autologous vessels, arteries from an allogenic donor (allograft, homograft) could serve as a suitable alternative bypass material. A 59-year-old female patient underwent an extra-anatomic ilio-popliteal bypass grafting with an allograft. In the follow-up period over 3 years a bypass occlusion due to stenoses in the anastomoses and rupture of an aneurysm occurred, which were treated by endovascular techniques.
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Danksagung
Die abgebildeten Aufnahmen der Angio-CT-Untersuchung wurden uns freundlicherweise von der radiologischen Abteilung des St.-Willehad-Hospitals Wilhelmshaven, Chefarzt Dr. med. Raab, für die Veröffentlichung in diesem Artikel überlassen.
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Aper, T., Söchtig, E., Oehlert, G. et al. Der extraanatomische iliakopopliteale Homograft-Bypass. Gefässchirurgie 16, 257–261 (2011). https://doi.org/10.1007/s00772-010-0828-4
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DOI: https://doi.org/10.1007/s00772-010-0828-4