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Zusammenfassung

Die Infektionen, insbesondere aber der Protheseninfekt, stellen in der rekonstruktiven Gefäßchirurgie eine der am meisten gefürchteten Komplikationen dar. Am häufigsten ist die Leistenregion von einer solchen Infektion betroffen. Da alloplastische Implantate normalerweise keine Infektresistenz aufweisen, sind Infekte in diesem Fall als weitaus bedenklicher einzustufen als bei Verwendung von autologen oder homologen Venentransplantaten. Nicht selten bieten die Krankengeschichten eine nahezu unüberblickbare Zusammenstellung an Diagnosen und Therapien (◘ Abb. 43.1).

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Literatur

  1. Ali AT, Bell C, Modrall JG, et al. (2005) Graft-associated hemorrhage from femoropopliteal vein grafts. J Vasc Surg 42: 667–672

    Article  PubMed  Google Scholar 

  2. Angle N, Dorafshar AH, Farooq M M, et al. (2002) The evolution of the axillofemoral bypass over two decades. Ann Vasc Surg 16: 742–745

    Article  PubMed  Google Scholar 

  3. Arbeitskreis »Krankenhaus -& Praxishygiene« der AWMF. Leitlinien zur Hygiene in Klinik und Praxis. Perioperative Antibiotikaprophylaxe. Bundesgesundheitsbl – Gesundheitsforsch – Gesundheitsschutz 2004;AWMF-Leitlinien-Register 029/022, AWMFonline

    Google Scholar 

  4. Armstrong PA, Back MR, Bandyk DF, et al. (2007) Selective application of sartorius muscle flaps and aggressive staged surgical debridement can influence long-term outcomes of complex prosthetic graft infections. J Vasc Surg 46: 71–78

    Article  PubMed  Google Scholar 

  5. Bandyk DF, Bergamini TM, Kinney EV, et al. (1991) In situ replacement of vascular prostheses infected by bacterial biofilms. J Vasc Surg 13: 575–583

    Article  CAS  PubMed  Google Scholar 

  6. Batt M, Magne JL, Alric P, et al. (2003) In situ revascularization with silver-coated polyester grafts to treat aortic infection: early and midterm results. J Vasc Surg 38: 983–989

    Article  PubMed  Google Scholar 

  7. Blaisdell FW, Hall AD (1963) Axillary-Femoral Artery Bypass for Lower Extremity Ischemia. Surgery 54: 563–568

    CAS  PubMed  Google Scholar 

  8. Blaisdell FW, Demattei GA, Gauder PJ (1961) Extraperitoneal thoracic aorta to femoral bypass graft as replacement for an infected aortic bifurcation prosthesis. Am J Surg 102: 583–585

    Article  CAS  PubMed  Google Scholar 

  9. Brzezinski W, Callaghan JC (1989) Transiliac bypass for infected femoral end of an aortofemoral graft. Can J Surg 32: 121–123

    CAS  PubMed  Google Scholar 

  10. Calligaro KD, Veith FJ, Yuan JG, et al. (2003) Intra-abdominal aortic graft infection: complete or partial graft preservation in patients at very high risk. J Vasc Surg 38: 1199–1205

    Article  PubMed  Google Scholar 

  11. Chang JK, Calligaro K. D., Ryan S., et al. (2003) Risk factors associated with infection of lower extremity revascularization: analysis of 365 procedures performed at a teaching hospital. Ann Vasc Surg 17: 91–96

    Article  PubMed  Google Scholar 

  12. Clagett GP, Valentine R. J. and Hagino R. T. (1997) Autogenous aortoiliac/femoral reconstruction from superficial femoral-popliteal veins: feasibility and durability. J Vasc Surg 25: 255–66; discussion 267–70

    Google Scholar 

  13. Cruse PJ, Foord R (1973) A five-year prospective study of 23,649 surgical wounds. Arch Surg 107: 206–210

    Article  CAS  PubMed  Google Scholar 

  14. Debus ES, Sailer MA, Dinkel H-P, et al. (2001) Der dorsale Obturatorbypass – eine sichere Möglichkeit zur Ausschaltung der Leistenregion beim Protheseninfekt. Gefaesschirurgie 6: 158–163

    Article  Google Scholar 

  15. Domingos Hadamitzky C, Schulte S, Horsch S (2007) Vacuum assisted wound closure in postoperative periprosthetic groin infections: a new gold standard? J Cardiovasc Surg (Torino) 48: 477–483

    Google Scholar 

  16. Earnshaw JJ (2000) The current role of rifampicin-impregnated grafts: pragmatism versus science. Eur J Vasc Endovasc Surg 20: 409–412

    Article  CAS  PubMed  Google Scholar 

  17. Edwards LD (1976) The epidemiology of 2056 remote site infections and 1966 surgical wound infections occurring in 1865 patients: a four year study of 40,923 operations at Rush-Presbyterian-St. Luke's Hospital, Chicago. Ann Surg 184: 758–766

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  18. FitzGerald SF, Kelly C, Humphreys H (2005) Diagnosis and treatment of prosthetic aortic graft infections: confusion and inconsistency in the absence of evidence or consensus. J Antimicrob Chemother 56: 996–999

    Article  CAS  PubMed  Google Scholar 

  19. Goeau-Brissonniere OA, Fabre D, Leflon-Guibout V, et al. (2002) Comparison of the resistance to infection of rifampin-bonded gelatin-sealed and silver/collagen-coated polyester prostheses. J Vasc Surg 35: 1260–1263

    Article  PubMed  Google Scholar 

  20. Hart JP, Eginton MT, Brown KR et al. (2005) Operative strategies in aortic graft infections: is complete graft excision always necessary? Ann Vasc Surg 19: 154–160

    Article  PubMed  Google Scholar 

  21. Hayes PD, Nasim A, London NJ, et al. (1999) In situ replacement of infected aortic grafts with rifampicin-bonded prostheses: the Leicester experience (1992 to 1998). J Vasc Surg 30: 92–98

    Article  CAS  PubMed  Google Scholar 

  22. Heberer G, Zehle A, Chorus A. (1971) Wound healing disorders and septic surgery. II. Wound healing disorders in reconstructive arterial surgery. Chirurg 42: 337–346

    CAS  PubMed  Google Scholar 

  23. Hoffert PW, Gensler S, Haimovici H. (1965) Infection Complicating Arterial Grafts: Personal Experience with 12 Cases and Review of the Literature. Arch Surg 90: 427–435

    Article  CAS  PubMed  Google Scholar 

  24. Ilgenfritz FM, Jordan FT (1988) Microbiological monitoring of aortic aneurysm wall and contents during aneurysmectomy. Arch Surg 123: 506–508

    Article  CAS  PubMed  Google Scholar 

  25. Illuminati G, Calio FG, D'Urso A, et al. (2004) Infrascrotal, Perineal, Femorofemoral Bypass for Arterial Graft Infection at the Groin. Arch Surg 139: 1314–1319

    Article  Google Scholar 

  26. Jamieson GG, DeWeese JA, Rob CG (1975) Infected arterial grafts. Ann Surg 181: 850–852

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  27. Jones L, Braithwaite BD, Davies B, et al. (1997) Mechanism of late prosthetic vascular graft infection. Cardiovasc Surg 5: 486–489

    Article  CAS  PubMed  Google Scholar 

  28. 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: 1009–1017

    Article  PubMed  Google Scholar 

  29. Kieffer E, Bahnini A, Koskas F, et al. (1993) In situ allograft replacement of infected infrarenal aortic prosthetic grafts: results in forty-three patients. J Vasc Surg 17: 349–55; discussion 355–6

    Google Scholar 

  30. Kommission für Krankenhaushygiene und Infektionsprävention beim Robert Koch-Institut (2007) Prävention postoperativer Infektionen im Operationsgebiet. Bundesgesundheitsbl – Gesundheitsforsch – Gesundheitsschutz 50: 377–393

    Google Scholar 

  31. Kujath P, Scheele J (2006) Auftreten und Virulenzfaktoren bakterieller Erreger bei Gefäßinfektionen. Gefaesschirurgie 11: 393–401

    Article  Google Scholar 

  32. Leather RP, Karmody AM (1977) A lateral route for extra-anatomical bypass of the femoral artery. Surgery 81: 307–309

    CAS  PubMed  Google Scholar 

  33. Liebermann-Meffert D (2006) Chirurgie des großen Netzes 746– 751

    Google Scholar 

  34. Liekweg WG, Jr, Greenfield LJ (1977) Vascular prosthetic infections: collected experience and results of treatment. Surgery 81: 335–342

    PubMed  Google Scholar 

  35. Lorentzen JE, Nielsen OM, Arendrup H, et al. (1985) Vascular graft infection: an analysis of sixty-two graft infections in 2411 consecutively implanted synthetic vascular grafts. Surgery 98: 81–86

    CAS  PubMed  Google Scholar 

  36. Louw JH (1964) The Treatment of Combined Aortoiliac and Femoropopliteal Occlusive Disease by Splenofemoral and Axillofemoral Bypass Grafts. Surgery 55: 387–395

    CAS  PubMed  Google Scholar 

  37. Met R, Hissink RJ, Van Reedt Dortland RW, et al. (2007) Extra-anatomical reconstruction in the case of an inaccessible groin: the axillopopliteal bypass. Ann Vasc Surg 21: 240–244

    Article  CAS  PubMed  Google Scholar 

  38. Meyer T, Schweiger H, Lang W (1999) Extraanatomic bypass in the treatment of prosthetic vascular graft infection manifesting in the groin. Vasa 28: 283–288

    Article  CAS  PubMed  Google Scholar 

  39. Modrall JG, Hocking JA, Timaran CH, et al. (2007) Late incidence of chronic venous insufficiency after deep vein harvest. J Vasc Surg 46: 520–5; discussion 525

    Google Scholar 

  40. Mussa FF, Hedayati N, Zhou W, et al. (2007) Prevention and treatment of aortic graft infection. Expert Rev Anti Infect Ther 5: 305– 315

    Article  PubMed  Google Scholar 

  41. Oderich GS, Bower TC, Cherry KJ, Jr, et al. (2006) Evolution from axillofemoral to in situ prosthetic reconstruction for the treatment of aortic graft infections at a single center. J Vasc Surg 43: 1166–1174

    Article  PubMed  Google Scholar 

  42. Odero A, Argenteri A, Cugnasca M, et al. (1997) The crimped bovine pericardium bioprosthesis in graft infection: preliminary experience. Eur J Vasc Endovasc Surg 14 Suppl A: 99–101

    Article  PubMed  Google Scholar 

  43. O'Hara PJ, Hertzer NR, Beven EG, et al. (1986) Surgical management of infected abdominal aortic grafts: review of a 25-year experience. J Vasc Surg 3: 725–731

    Article  PubMed  Google Scholar 

  44. Patel A, Taylor SM, Langan EM, 3rd, et al. (2002) Obturator bypass: a classic approach for the treatment of contemporary groin infection. Am Surg 68: 653–8; discussion 658–9

    Google Scholar 

  45. Poulakou G, Giamarelou H (2007) Infections in vascular surgery 597–614

    Google Scholar 

  46. Quinones-Baldrich WJ, Hernandez JJ, Moore WS (1991) Longterm results following surgical management of aortic graft infection. Arch Surg 126: 507–511

    Article  CAS  PubMed  Google Scholar 

  47. Reddy DJ and Shin L. H. (2000) Obturator bypass: technical considerations. Semin Vasc Surg 13: 49–52

    CAS  PubMed  Google Scholar 

  48. Reilly LM, Altman H, Lusby RJ, et al. (1984) Late results following surgical management of vascular graft infection. J Vasc Surg 1: 36–44

    Article  CAS  PubMed  Google Scholar 

  49. Ricco JB; InterGard Silver Study Group (2006) InterGard silver bifurcated graft: features and results of a multicenter clinical study. J Vasc Surg 44: 339–346

    Google Scholar 

  50. Rizzo A, Hertzer NR, O'hara PJ, et al. (2000) Dacron carotid patch infection: a report of eight cases. J Vasc Surg 32: 602–606

    Article  CAS  PubMed  Google Scholar 

  51. Sautner T, Niederle B, Herbst F, et al. (1994) The value of obturator canal bypass. A review. Arch Surg 129: 718–722

    Article  CAS  PubMed  Google Scholar 

  52. Schröder A, Imig H, Peiper U, et al. (1988) Results of a bovine collagen vascular graft (Solcograft-P) in infra-inguinal positions. Eur J Vasc Surg 2: 315–321

    Article  PubMed  Google Scholar 

  53. Schutzer R, Hingorani A, Ascher E, et al. (2005) Early transposition of the sartorius muscle for exposed patent infrainguinal bypass grafts. Vasc Endovascular Surg 39: 159–162

    Article  PubMed  Google Scholar 

  54. Seeger JM, Pretus HA, Welborn MB, et al. (2000) Long-term outcome after treatment of aortic graft infection with staged extraanatomic bypass grafting and aortic graft removal. J Vasc Surg 32: 451–9; discussion 460–1

    Google Scholar 

  55. Seify H, Moyer HR, Jones GE. et al. (2006) The role of muscle flaps in wound salvage after vascular graft infections: the Emory experience. Plast Reconstr Surg 117: 1325–1333

    Article  CAS  PubMed  Google Scholar 

  56. Sharif MA, Lee B, Lau LL, et al. (2007) Prosthetic stent graft infection after endovascular abdominal aortic aneurysm repair. J Vasc Surg 46: 442–448

    Article  PubMed  Google Scholar 

  57. Sharp WJ, Hoballah JJ, Mohan CR, et al. (1994) The management of the infected aortic prosthesis: a current decade of experience. J Vasc Surg 19: 844–850

    Article  CAS  PubMed  Google Scholar 

  58. Shaw RS, Baue AE (1963) Management of sepsis complicating arterial reconstructive surgery. Surgery 53: 75–86

    CAS  PubMed  Google Scholar 

  59. Stewart AH, Eyers PS, Earnshaw JJ (2007) Prevention of infection in peripheral arterial reconstruction: a systematic review and meta-analysis. J Vasc Surg 46: 148–155

    Article  PubMed  Google Scholar 

  60. Sugarman B (1982) In vitro adherence of bacteria to prosthetic vascular grafts. Infection 10: 9–14

    Article  CAS  PubMed  Google Scholar 

  61. Szilagyi DE, Smith RF, Elliott JP, et al. (1972) Infection in arterial reconstruction with synthetic grafts. Ann Surg 176: 321–333

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  62. Ueberrueck T, Zippel R, Tautenhahn J, et al. (2005) Vascular graft infections: in vitro and in vivo investigations of a new vascular graft with long-term protection. J Biomed Mater Res B Appl Biomater 74: 601–607

    Article  PubMed  Google Scholar 

  63. von Eiff C, Heilmann C, Herrmann M, et al. (1999) Basic aspects of the pathogenesis of staphylococcal polymer-associated infections. Infection 27 Suppl 1: S7–10

    Article  Google Scholar 

  64. Ward RE, Holcroft JW, Conti S, et al. (1983) New concepts in the use of axillofemoral bypass grafts. Arch Surg 118: 573–576

    Article  CAS  PubMed  Google Scholar 

  65. Webster J, Alghamdi AA (2007) Use of plastic adhesive drapes during surgery for preventing surgical site infection. Cochrane Database Syst Rev (4): CD006353

    Google Scholar 

  66. Wintzer C, Daum H, Diener H, et al. (2006) Kombination von PTA der Spenderarterie und Cross-over-Bypass bei bilateraler Beckenarteriensklerose. Gefaesschirurgie 11: 84–93

    Article  Google Scholar 

  67. Yashar JJ, Weyman AK, Burnard J, et al. (1978) Survival and limb salvage in patients with infected arterial prostheses. Am J Surg 135: 499–504

    Article  CAS  PubMed  Google Scholar 

  68. Yeager RA, Taylor LM, Jr, Moneta GL, et al. (1999) Improved results with conventional management of infrarenal aortic infection. J Vasc Surg 30: 76–83

    Article  CAS  PubMed  Google Scholar 

  69. Zegelman M, Guenther G, Eckstein HH, et al. (2006) In-situ-Rekonstruktion mit alloplastischen Prothesen beim Gefäßinfekt. Evaluation von mit Silberacetat beschichteten Prothese. Gefässchirurgie 11: 402–406

    Article  Google Scholar 

  70. Zegelman M, Guenther G, Florek H-J, et al. (2006) Metallic silverimpregnated grafts to treat infected prosthetic grafts by in-situ replacement in the infected field 14: 145–146

    Google Scholar 

  71. Zühlke H (2006) Autologe Verfahren zur Therapie von Gefäßinfektionen. Gefässchirurgie 11: 409–422

    Article  Google Scholar 

  72. Zühlke HV, Harnoss BM, Lorenz EPM (1994) Extraanatomische Bypassverfahren 102–117

    Google Scholar 

  73. Zühlke HV, Harnoss BM, Lorenz EPM (1994) Postoperative Infektionen in der Gefäßchirurgie 12–18

    Google Scholar 

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Larena-Avellaneda, A., Zegelmann, M., Debus, E. (2012). Gefäßprotheseninfektionen. In: Debus, E., Gross-Fengels, W. (eds) Operative und interventionelle Gefäßmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01709-4_43

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