Skip to main content
SpringerLink
Log in

Aortofemoral Graft Infection

  • Chapter
Book cover Vascular Surgery

  • 228 Accesses

Abstract

A hypertensive 54-year-old man with an infrarenal aortic occlusion and short-distance claudication underwent an aortobifemoral graft in 1988. Four years later, in June 1992, he presented with a right groin mass measuring about 3 cm. The mass was asymptomatic, nonpulsatile and nonadherent to the underlying layers.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Szilagyi DE, Smith RE, Elliot JP, Vrandecic MP. Infection in arterial reconstruction with synthetic grafts. Ann Surg 1972; 176: 321–33.

    Article  PubMed  CAS  Google Scholar 

  2. Goldstone J, Moore WS. Infection in vascular prostheses: clinical manifestation and surgical management. Am J Surg 1974; 128: 225–33.

    Article  PubMed  CAS  Google Scholar 

  3. Lorentzen JE, Nielsen OM, Arendrup H, Kimose HH, Bille S, Andersen J, et al. Vascular graft infection: an analysis of sixty-two graft infections in 2411 consecutively implanted synthetic vascular grafts. Surgery 1985; 98: 81–6.

    PubMed  CAS  Google Scholar 

  4. O’Hara PJ, Hertzer NR, Beven EG, Krajewski LP. Surgical management of infected abdominal aortic grafts: review of a 25-year experience. J Vasc Surg 1986; 3: 725–31.

    PubMed  Google Scholar 

  5. Bandyk DF, Bergamini TM. Infection in prosthetic vascular grafts. In: Rutheford RB, editor. Vascular surgery. Philadelphia: WB Saunders, 1994; 588–604.

    Google Scholar 

  6. Bergamini T, Bandyk D, Govostis D, Kaebnick HW, Towne JB. Infection of vascular prostheses caused by bacterial biofilms. J Vasc Surg 1988; 7: 21–30.

    PubMed  CAS  Google Scholar 

  7. Olofsson P, Auffermann W, Higgins C, Rabahie G, Tavares N, Stoney R. Diagnosis of prosthetic aortic graft infection by magnetic resonance imaging (MRI). J Vasc Surg 1988; 8: 99–105.

    PubMed  CAS  Google Scholar 

  8. Spartera C, Morettini G, Petrassi C, Marino G, Minuti U, Pavone P, et al. The role of MRI in the evaluation of aortic graft healing, perigraft fluid collection and graft infection. Eur J Vasc Surg 1990; 4: 69–73.

    Article  PubMed  CAS  Google Scholar 

  9. Merrell SW, Lawrence PF. Diagnosis of graft infection: anatomic and functional imaging techniques. Semin Vasc Surg 1990; 3: 89–100.

    Google Scholar 

  10. Mark A, Moss A, Lusby R, Kaiser J. CT evaluation of complications of abdominal aortic surgery. Radiology 1982; 145: 409–14.

    PubMed  CAS  Google Scholar 

  11. Fiorani P, Speziale F, Rizzo L, De Santis F, Massimi GJ, Taurino M, Faraglia V, et al. Detection of aortic graft infection with leukocytes labeled with technetium 99m-hexametazime. J Vasc Surg 1993; 17: 87–96.

    Article  PubMed  CAS  Google Scholar 

  12. Insall RL, Keavey PM, Hawkins T, Hayes N, Jones NA, Chamberlain J. The specificity of technetium-labeled leukocyte imaging of aortic grafts in the early postoperative period. Eur J Vasc Surg 1991; 5: 571–6.

    Article  PubMed  CAS  Google Scholar 

  13. Bergamini TM. Vascular prostheses infection caused by bacterial biofilms. Semin Vasc Surg 1990; 3: 101–12.

    Google Scholar 

  14. Reilly LM, Stoney RJ, Goldstone J, Ehrenfeld WK. Improved management of aortic graft infection: the influence of operation sequence and staging. J Vasc Surg 1987; 5: 421–31.

    PubMed  CAS  Google Scholar 

  15. Bandyk DF. Vascular graft infection. In: Davies AH, editor. Vascular surgery highlights. Oxford: Health Press, 1999; 21–8.

    Google Scholar 

  16. Agrifoglio G, Bonalumi F, Scalamogna M, Piccolo G, Sirchia G. Aortic allograft replacement: North Italy Transplant Programme (NITp). Eur J Vasc Endovasc Surg 1997; 14 (Suppl A): 108–10.

    Article  PubMed  Google Scholar 

  17. Kieffer E, Bahnini A, Koskas F, Ruotolo C, Le Blevec D, Plissonnier D. In situ allograft replacement of infected infrarenal aortic prosthetic grafts: results in forty-three patients. J Vasc Surg 1993; 17: 349–56.

    Article  PubMed  CAS  Google Scholar 

  18. Nevelsteen A, Lacroix H, Suy R. Autogenous reconstruction with the lower extremity deep veins: an alternative treatment of prosthetic infection after reconstructive surgery for aortoiliac disease. J Vasc Surg 1995; 22: 129–34.

    Article  PubMed  CAS  Google Scholar 

  19. Walker WE, Cooley DA, Duncan JM, Hallman GL, Ott DA, Reul GJ. The management of aortoduodenal fistula by in situ replacement of the infected abdominal aortic graft. Ann Surg 1987; 205: 727–32.

    Article  PubMed  CAS  Google Scholar 

  20. Bandyk DF, Bergamini TM, Kinney EV, Seabrook GR, Towne JB. In situ replacement of vascular prostheses infected by bacterial biofilm. J Vasc Surg 1991; 13: 575–83.

    Article  PubMed  CAS  Google Scholar 

  21. Speziale F, Rizzo L, Sbarigia E, Giannoni MF, Massucci M, Maraglino C, et al. Bacterial and clinical criteria relating to the outcome of patients undergoing in situ replacement of infected abdominal aortic grafts. Eur J Vasc Endovasc Surg 1997; 13: 127–33.

    Article  PubMed  CAS  Google Scholar 

  22. Torsello G, Sandman W, Ghert A, Jungblut R. In situ replacement of infected vascular prosthesis with rifampin-soaked vascular grafts: early results. J Vasc Surg 1993; 17: 768–73.

    Article  PubMed  CAS  Google Scholar 

  23. Hayes PD, Nicholas JM, Sayers RD, Barrie WW, Bell PRF, Naylor AR. In situ replacement of infected aortic grafts with rifampicin-bonded prostheses: the Leicester experience (1992 to 1998). J Vasc Surg 1999; 30: 92–8.

    Article  PubMed  CAS  Google Scholar 

  24. Mixter RC, Turnipseed WD, Smith DJ Jr, Acher CW, Rao VK, Dibbell DG. Rotational muscle flaps: a new technique for covering infected vascular grafts. J Vasc Surg 1989; 9: 472–8.

    PubMed  CAS  Google Scholar 

  25. Calligaro KD, Veith FJ, Gupta SK, Ascer E, Dietzek AM, Franco CD, Wengerter KR. A modified method for management of prosthetic graft infections involving an anastomosis to the common femoral artery. J Vasc Surg 1990; 11: 485–92.

    PubMed  CAS  Google Scholar 

  26. Kwaan JHM, Connolly JE. Successful management of prosthetic graft infection with continuous povidone-iodine irrigation. Arch Surg 1981; 1168: 16–20.

    Google Scholar 

  27. Towne JB, Seabrook GR, Bandyk D, Freischlag JA, Edmiston CE. In-situ replacement of arterial prosthesis infected by bacterial biofilms: long-term follow-up. J Vasc Surg 1994; 19: 226–33.

    Article  PubMed  CAS  Google Scholar 

  28. Fiorani P, Speziale F, Rizzo L, Taurino M, Giannoni MF, Lauri D. Long-term follow-up after in situ graft replacement in patients with aortofemoral graft infections. Eur J Vasc Endovasc Surg 1997; 14 (A): 111–14.

    Article  PubMed  Google Scholar 

Download references

Authors
  1. L. Rizzo
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. Fiorani
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Imperial College of Science, Technology and Medicine, Charing Cross Hospital and Ealing Hospital, London, UK

    George Geroulakos MD, FRCS, DIC, PhD (Consultant Vascular Surgeon and Senior Lecturer) (Consultant Vascular Surgeon and Senior Lecturer)

  2. University Hospital Rotterdam, Rotterdam, The Netherlands

    Hero van Urk MD, PhD, FRCS (Professor of Vascular Surgery) (Professor of Vascular Surgery)

  3. Division of Vascular Surgery, UMDNJ-NJMS, Newark, New Jersey, USA

    Robert W. Hobson II MD (Professor of Surgery and Physiology, Director) (Professor of Surgery and Physiology, Director)

  4. Section of Vascular Surgery, Pennsylvania Vascular Associates, Pennsylvania Hospital, Philadelphia, Pennsylvania, USA

    Keith D. Calligaro MD (Chief) (Chief)

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag London

About this chapter

Cite this chapter

Rizzo, L., Fiorani, P. (2003). Aortofemoral Graft Infection. In: Geroulakos, G., van Urk, H., Hobson, R.W., Calligaro, K.D. (eds) Vascular Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-3870-9_38

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-3870-9_38

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3872-3

  • Online ISBN: 978-1-4471-3870-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation