Surgical Therapy for Prosthetic Graft Infection.

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  • Itoh Kenzo
    Department of Cardiovascular Surgery, School of Medicine, The University of Tokushima
  • Kitagawa Tetsuya
    Department of Cardiovascular Surgery, School of Medicine, The University of Tokushima
  • Kitaichi Takashi
    Department of Cardiovascular Surgery, School of Medicine, The University of Tokushima
  • Fukuta Yasushi
    Department of Cardiovascular Surgery, School of Medicine, The University of Tokushima
  • Chikugo Fumio
    Department of Cardiovascular Surgery, School of Medicine, The University of Tokushima
  • Kawahito Tomohisa
    Department of Cardiovascular Surgery, School of Medicine, The University of Tokushima
  • Tano Kazutoshi
    Department of Cardiovascular Surgery, School of Medicine, The University of Tokushima
  • Hori Takaki
    Department of Cardiovascular Surgery, School of Medicine, The University of Tokushima
  • Yoshizumi Masanori
    Department of Cardiovascular Surgery, School of Medicine, The University of Tokushima
  • Katoh Itsuo
    Department of Cardiovascular Surgery, School of Medicine, The University of Tokushima

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Other Title
  • 人工血管感染に対する再手術症例の検討

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Five patients with vascular graft infections were surgically treated over a 16-year period. Primary diseases were arteriosclerosis obliterans in 3 cases and invasion of malignant diseases in 2 cases. The most common site of infection was the groin (3 of 5). Staphylococcus aureus was the most common pathogen. Administration of antibiotics, drainage and lavage with povidone iodine solution were performed in 4 patients (40-64 days). All patients underwent graft resection and reconstruction. Infected parts of the previous grafts were removed. Total removal of the previous graft was performed in 2 cases and partial removal was performed in 3 cases. To avoid re-infection, long extra-anatomical bypass was performed in 4 cases. The post operative courses of the five patients were uneventful.

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