Zusammenfassung
Ein Protheseninfekt gehört zu den am meisten gefürchteten gefäßchirurgischen Komplikationen. Die Therapie erfolgt individuell. Neben autologen Rekonstruktionen ist das therapeutische Konzept vielfältig. Wir berichten über unser alternatives Behandlungskonzept unter Verwendung von bovinem Perikard als prothetischem Ersatzmaterial. Das einfache Vorgehen zum Herstellen von Gefäßtransplantaten nahezu jeglicher Größe und Länge wird anhand einer Kasuistik beschrieben.
Abstract
Prosthetic graft infection is one of the most common vascular complications. It must be treated individually. In addition to autologous reconstruction, numerous therapeutic concepts are available. An alternative treatment includes bovine pericardium as a prosthetic replacement material. A case study documents the simple process for making vascular transplants of any size.
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Literatur
Bandyk DF, Novotney ML, Back MR et al (2001) Expanded application of in situ replacement for prosthetic graft infection. J Vasc Surg 34(3):411–419
Brøyn T, Christensen O, Fossdal JE et al (1986) Early complications with a new bovine arterial graft (Solcograft-P). Acta Chir Scand 152:263–266
Dulbecco E, Camporrotondo M, Blanco G, Haberman D (2010) In situ reconstruction with bovine pericardial tubular graft for aortic graft infection. Rev Bras Cir Cardiovasc 25(2):249–252
Erasmi H, Horsch S, Müller J et al (1983) Gefäßersatz bei kleinkalibrigen Arterien – eine neue bovine Kollagenprothese. Langenbecks Arch Chir 360(2):97–107
Kieffer E, Gomes D, Chiche L et al (2004) Allograft replacement for infrarenal aortic graft infection: early and late results in 179 patients. J Vasc Surg 39(5):1009–1017
Li X, Guo Y, Ziegler KR et al (2011) Current usage and future directions for the bovine pericardial patch. Ann Vasc Surg 25(4):561–568
McMillan WD, Leville CD, Hile CN (2012) Bovine pericardial patch repair in infected fields. J Vasc Surg 55(6):1712–1715
Odero A, Argenteri A, Cugnasca M, Pirrelli S (1997) The crimped bovine pericardium bioprosthesis in graft infection: preliminary experience. Eur J Vasc Endovasc Surg 14(Suppl A):99–101
O’Hara PJ, Hertzer NR, Beven EG, Krajewski LP (1986) Surgical management of infected abdominal aortic grafts: review of a 25-year experience. J Vasc Surg 3(5):725–731
Somogyi E, Sotonyi P, Nemes A, Soltesz L (1980) Experimental observations regarding the applicability of calf carotid xenograft in vascular surgery. J Cardiovasc Surg (Torino) 21(6):723–726
Töpel I, Betz T, Uhl C et al (2012) Use of biosynthetic prosthesis (Omniflow II®) to replace infected infrainguinal prosthetic grafts – first results. Vasa 41(3):215–220
Zühlke H (2011) Infektionen in der Gefäßchirurgie. In: Luther B (Hrsg) Kompaktwissen Gefäßchirurgie, 2. Aufl. Springer, Berlin Heidelberg New York Tokio, S 461–482
Compliance with Ethics Guidelines
Conflict of Interest. T. Bürger and T. Gebauer declare that they have no conflict of interest.
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent was obtained from all patients for being included in the study.
Additional informed consent was obtained from all patients for whom identifying information is included in this article.
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Bürger, T., Gebauer, T. Boviner Perikardpatch als Bypassmaterial in der Infektsituation. Gefässchirurgie 18, 126–130 (2013). https://doi.org/10.1007/s00772-013-1147-3
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DOI: https://doi.org/10.1007/s00772-013-1147-3