Graft infection

Abdominal aorta and lower eternity vascular surgeiy 5. aureus, S. epidermidis, enteric gramnegative bacilli Cefazolin 1 g at induction and every 8 hours x 2 more doses Although complications from infections may be infrequent, graft infections are associated with significant morbidity IB... 

Although complications from infections may be infre quent, graft infections are associated witti significant morbidity... 

Vascular surgery, like cardiac surgery, generally is considered a clean surgery by NRC criteria. Although vascular graft infections occur... 

Bunt, T. J., Synthetic vascular graft infections. I. Graft infections, Surgery, 1983 93(6) 733-746. 

Seeger, J. M., Management of patients with prosthetic vascular graft infection, Am. Surg., 2000 66(2) 166-... 

Kieffer E, Gomes D, Chiche L, Fleron MH, Koskas F, Bahnini A. Allograft replacement for infrarenal aortic graft infection early and late results in 179 patients. /. Vase. Surg. 39 1009-1007,2004. 

Zetrenne E, McIntosh BC, McRae MH, et al. Prosthetic vascular graft infection a multi-center review of surgical management. Yale J Biol Med September 2007 80(3) 113-21. 

Oderich GS, Panneton JM. Aortic graft infection - what have we learned during the last decades Acfa ChirBelg February 2002 102(1) 7-13. 

Valentine RJ. Diagnosis and management of aortic graft infection. Semin Vase Surg December 2001 14(4) 292-301. 

Bandyk DF, Bemi GA, Thiele BL, et al. Aortofemoral graft infection due to Staphyloeoe-eus epidermidis. Arch Surg January 1984 119(l) 102-8. 

Orton DF, LeVeen RF, Saigh JA, et al. Aortic prosthetic graft infections radiologic manifestations and implications for management. Radiographics July 2000 20(4) 977-93. 

There are many recent series reporting results of stent graft repairs in AVG but with small number of patients and limited follow-up contraindications of this method include overt graft infection, presence of skin erosion, need to cross the elbow or axilla and lack of adequate landing zones [18, 19]. Aneurysms are often associated with proximal stenosis and both lesions should be treated simultaneously [18]. 

Recurrent graft infections may also be secondary to persistent ureteral reflux into the graft, due to a technical failure of ureteral implantation. Retrograde cystography remains the technique of choice to demonstrate this reflux. 

Nearly every type of prosthesis used in humans has been associated with serious infections. These include orthopedic protheses (joint space or bone infections), prosthetic heart valves (endocarditis), vascular prostheses (graft infections and bacteremia), intraocular lens prostheses (endophthalmitis), hemodialysis (hepatitis, bacteremia and shunt site infections), cerebrospinal fluid shunts (ventriculitis), and all types of catheters. In many cases, fulminant infectious processes may be present in patients who present clinically with minimal signs and symptoms. 

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