Vnitr Lek 2008, 54(2):178-182

Blood vessel reconstruction infections: a practical view

M. Krejčí^*, Z. Gregor, Z. Kříž, J. Podlaha, R. Staffa, Z. Konečný, M. Dvořák

II. chirurgická klinika Lékařské fakulty MU a FN u sv. Anny Brno, přednosta doc. MUDr. Zdeněk Gregor, CSc.

Infection represents a serious complication in vascular surgery. The average of 2-3 % of reconstructions are involved. The article offers a review of current diagnosis and treatment of infection after vascular reconstruction. Emphasis is put on early diagnosis and its impact on prognosis of patients. We summarize the practical potential of surgical treatment. The situation is illustrated by our results from the years 2004-2006. During the last 3 years 19 patients were operated on for infection of the arterial reconstruction (15ways aorto-femoral and 4ways femoro-popliteal bypass). The main agent was Staphylococcus aureus (9 patients, i.e. 47.4 %). In most cases explantation of the whole infected reconstruction was performed (13 patients). The early mortality rate is 26.3 %. Amputation was necessary in 6 patients (i.e. 31.5 %). Our results are fully comparable to those from other centres of vascular surgery.

Keywords: infection; vascular prosthesis; reconstruction; sepsis

Received: September 4, 2007; Accepted: October 8, 2007; Published: February 1, 2008  Show citation