Bleyn J, Kinsbergen G
Department of Vascular Surgery, O.L.V. Middelares Hospital, Antwerp (Deurne), Belgium.
J Cardiovasc Surg (Torino). 1988 May-Jun;29(3):264-7.
More than 75% of the infections of Dacron aortobifemoral grafts occur in the groin. Early removal of the infected limb will enable the vascular surgeon to leave the abdominal part and opposite limb of the graft in place. In aortoiliac occlusive disease and with end-to-side proximal and distal anastomoses, simple removal of the infected graft will not threaten the viability of the limb. Complicated and often incomplete extra-anatomical revascularisation is therefore not necessary and consequently operative time and risk are reduced. Close pre- and postoperative monitoring of the peripheral circulation and painstaking decubitus prophylaxis are mandatory. After 3 to 6 months "in situ" bypass can be performed to correct claudication. Three patients that have been successfully treated according to this philosophy are presented.
超过75%的涤纶材质主动脉双股动脉移植物感染发生在腹股沟区。早期切除感染的肢体可使血管外科医生保留移植物的腹部部分和对侧肢体。在主髂动脉闭塞性疾病以及近端和远端采用端侧吻合的情况下，单纯切除感染的移植物不会危及肢体的存活。因此，复杂且往往不完整的解剖外血管重建是不必要的，从而减少了手术时间和风险。术前和术后密切监测外周循环以及精心预防褥疮是必不可少的。3至6个月后可进行“原位”旁路手术以纠正跛行。本文介绍了3例根据这一理念成功治疗的患者。
