Journal «Angiology and Vascular Surgery» • 

2015 • VOLUME 21 • №3

In situ aortofemoral reconstructions in surgical treatment of infected aortofemoral grafts

Badretdinov I.A., Pokrovsky A.V.

Vascular Surgery Department, Institute of Surgery named after A.V. Vishnevsky under the RF Public Health Ministry, Moscow, Russia

The article presents a review of literature sources covering possibilities of performing in situ aortofemoral reconstructions in surgical treatment of infected aortofemoral grafts. This methodology makes it possible to improve the outcomes of treatment for paraprosthetic infection at the expense of decreasing lethality and morbidity, increasing parameters of patency of grafts and lower limb salvage in the remote postoperative period. Mention should be made that in situ secondary aortofemoral reconstructions are fraught with danger of relapsing paraprosthetic infection, therefore manу publications are dedicated to search for prostheses most resistant to infection. The article also presents the results of works devoted to the use of various types of prostheses for in situ secondary aortofemoral reconstructions: prostheses made of polytetrafluoroethylene (PTFE), synthetic grafts saturated with various antibacterial drugs and gelatine, cadaveric allografts, synthetic prostheses treated with silver ions, autovenous conduits based on the femoral and popliteal veins.

KEY WORDS: paraprosthetic infection, infected aortofemoral grafts, in situ secondary aortofemoral reconstructions.

P. 180

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