颈动脉血管成形术后涤纶补片感染。6例报告。

Dacron patch infection after carotid angioplasty. A report of 6 cases.

作者信息

Asciutto G, Geier B, Marpe B, Hummel T, Mumme A

机构信息

St. Josef Hospital, Klinikum der Ruhr Universität Bochum, Klinik fur Gefässchirurgie, Gudrunstr. 56, 44791, Bochum, Germany.

出版信息

Eur J Vasc Endovasc Surg. 2007 Jan;33(1):55-7. doi: 10.1016/j.ejvs.2006.07.017. Epub 2006 Sep 8.

DOI:10.1016/j.ejvs.2006.07.017

PMID:16962798

Abstract

OBJECTIVE

We describe our experience with Dacron patch infections after carotid endarterectomy (CEA).

REPORT

From 633 patients undergoing carotid endarterectomy with Dacron patching, six re-presented with prosthetic infections. In 3 of the 6 cases a neck haematoma had necessitated surgical revision after the original carotid surgery. Five patients underwent interposition vein grafting and 1 vein patch angioplasty. Postoperatively, 2 patients developed a repeat infection including the 1 patient with patch angioplasty. All patients were free of infection and neurological symptoms after a maximum follow-up of 56.5 months.

CONCLUSION

Following the development of haemorrhage or wound complications careful clinical surveillance should be carried out after carotid reconstruction.

摘要

目的

我们描述了颈动脉内膜切除术（CEA）后涤纶补片感染的经验。

报告

在633例行涤纶补片颈动脉内膜切除术的患者中，有6例再次出现人工血管感染。6例中有3例在初次颈动脉手术后因颈部血肿需要进行手术翻修。5例患者接受了静脉移植术，1例患者接受了静脉补片血管成形术。术后，2例患者出现再次感染，包括1例接受补片血管成形术的患者。所有患者在最长56.5个月的随访后均无感染及神经症状。