Roditis Konstantinos, Tzamtzidou Sofia, Maltezos Konstantinos, Antoniou Afroditi, Giannakopoulos Nikolaos, Tsiantoula Paraskevi, Papas Theofanis
Department of Vascular Surgery, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, GRC.
Department of Vascular Surgery, KAT Attica General Hospital, Athens, GRC.
Cureus. 2024 Jul 26;16(7):e65420. doi: 10.7759/cureus.65420. eCollection 2024 Jul.
Carotid endarterectomy (CEA) is a surgical procedure that carries a rare but serious risk of patch infection. This study examines the management and outcomes of patch infections in CEA patients treated in our department over 23 years. A literature review of studies on prosthetic patch infection following CEA published from January 1992 up to December 31, 2022 was also carried out.
We conducted a retrospective audit of patients who underwent CEA in a hospital in Athens, Greece, between January 1, 1999, and December 31, 2022.
Between January 1999 and December 2022, we treated seven patients with carotid patch infections who had their original CEA at our department. and were the most common infecting organisms. One patient (14%) died from hemorrhagic shock before surgery, while the remaining six (86%) underwent debridement, patch excision, and great saphenous vein patching. No peri-operative deaths or strokes occurred, and there were no re-infections during a median follow-up of 159 months.
Excision of infected material followed by revascularization using a vein graft remains the prevailing treatment.
颈动脉内膜切除术（CEA）是一种手术操作，存在罕见但严重的补片感染风险。本研究调查了我院23年来接受治疗的CEA患者补片感染的处理方法及结果。我们还对1992年1月至2022年12月31日发表的关于CEA术后人工补片感染的研究进行了文献综述。
我们对1999年1月1日至2022年12月31日期间在希腊雅典一家医院接受CEA手术的患者进行了回顾性审计。
1999年1月至2022年12月期间，我们治疗了7例在我院接受初次CEA手术并发颈动脉补片感染的患者。 和 是最常见的感染病原体。1例患者（14%）在手术前死于失血性休克，其余6例（86%）接受了清创、补片切除和大隐静脉修补术。围手术期无死亡或卒中发生，在中位随访159个月期间无再感染发生。
切除感染组织后使用静脉移植物进行血管重建仍然是主要的治疗方法。
