Journal «Angiology and Vascular Surgery» • 

2020 • VOLUME 26 • №3

Hybrid technologies in treatment of a patient with vascular graft infection

Tarasov Yu.V.1, Sharafutdinov M.R.1, Yakubov R.A.1, Khairutdinov A.I.1, Valiulin D.Kh.1, Chakhoyan A.M.1, Shaikhutdinov B.I.2

1) Cardiovascular Surgery Department, Emergency Hospital, Naberezhnye Chelny,
2) Department of Roentgenosurgical Methods of Diagnosis and Treatment, Russian Scientific Centre of Surgery named after Academician B.V. Petrovsky, Moscow, Russia

Presented in the article are advantages of various methods of treatment of periprosthetic infection which continues to be one of the most challenging problems in modern vascular surgery.

We describe herein a clinical case report regarding a patient with late infection of a bifurcated aortofemoral bypass graft. The infectious complication manifested itself by a periprosthetic infiltrate in the area of the distal anastomosis. The stent-graft’s limb was resected within the limits of the unaltered tissue. The infectious process then manifested itself as sequestration of the main branch. Staged complete anatomical reconstruction performed later on using a hybrid technique made it possible to achieve an optimal result and resolution of the infection. This case report demonstrated undeniable advantages of using hybrid techniques.

KEY WORDS: aortoiliofemoral segment, periprosthetic infection, hybrid treatment.

P. 126

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