Vascular Prosthetic Infections: Collected Experience and Results of Treatment.
Status rept. no. 1, 1 Dec 75-31 May 76,
MEDICAL COLL OF VIRGINIA RICHMOND DEPT OF SURGERY
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A review of 178 published cases of infected vascular prosthetic grafts through 1974 disclosed 164 sufficiently well documented for review. The time and manner of presentation depended on location and most commonly included localized wound infection with graft exposure. Staphylococcus aureus was the most common organism cultured and predisposing infection in the foot or opposite groin was significant. The overall mortality rate was 52 of 153 patients 33.9 separating into 47.9 at the aorto-femoral af level and 9.9 for femoropopliteal FP infections. Amputation rate was 23 for AF and 36 for FP infections. Of five treatment plans utilized, best results were obtained with early exploration and revascularization. Conservative treatment of FP grafts was successful when the graft was patent. At the Medical College of Virginia, the graft infection rate was 2.6 and the mortality rate was 36. Conservative treatment efforts without revascularization resulted in 57 amputation rate.
- Medicine and Medical Research