Remnant Prosthetic Graft in Revision or Limb-Salvage Surgery: Routine Complete Excision?

摘要: Background Prosthetic graft occlusion following vascular reconstruction is a major cause of morbidity commonly necessitating further limb-salvage revascularization or life-saving amputation. It therefore surprising that there scant data in the literature regarding optimal management any remnant prosthetic grafts left situ. We present case series 3 patients with infection revisional arterial for limb salvage and review on this topic. Methods Three presented to our institution between March 2012 January 2013. They had all undergone previous infrainguinal bypass surgery polytetrafluorethylene (PTFE) grafts, which subsequently thrombosed. Further operations autogenous long saphenous vein 2 cases above-knee amputation 1 were performed. In cases, focus was confirmed have originated redundant PTFE These completely excised infected wounds debrided. All made full recovery. Results Conclusions Remnant situ are shown be proven nidus infection. Published indicate these rates greatest revision when performing amputations. propose routine excision occluded considered at time mitigate against risk subsequent