Journal of Vascular Surgery
Volume 46, Issue 1 , Pages 71-78 , July 2007

Selective application of sartorius muscle flaps and aggressive staged surgical debridement can influence long-term outcomes of complex prosthetic graft infections

Received 12 August 2006 ,Accepted 21 February 2007.

References 

  1. Cherry KJ, Roland CF, Pairolero PC, Hallett JW, Meland NB, Naessens JM, et al. Infected femorodistal bypass: is graft removal mandatory?. J Vasc Surg. 1992;15:295–305
  2. Kikta MJ, Goodson SF, Bishara RA, Meyer JP, Schuler JJ, Flanigan DP. Mortality and limb loss with infected infrainguinal bypass grafts. J Vasc Surg. 1987;5:566–571
  3. Tukiainen E, Biancari F, Lepantalo M. Deep infection of infrapopliteal autogenous vein grafts—immediate use of muscle flaps and leg salvage. J Vasc Surg. 1998;28:611–616
  4. Mixter RC, Turnipseed WD, Smith DJ, Archer CW, Venkat KR, Dibbell DG. Rotational muscle flaps: A new technique for covering infected vascular grafts. J Vasc Surg. 1989;9:472–478
  5. Perler BA, Vander Kolk CA, Manson PM, Williams GM. Rotational muscle flaps to treat localized prosthetic graft infection: long-term follow-up. J Vasc Surg. 1993;18:358–365
  6. Bandyk DF, Novotney ML, Back MR, Johnson BL, Schmacht DC. Expanded application of in situ replacement for prosthetic graft infections. J Vasc Surg. 2001;34:411–420
  7. Valentine RJ, Clagett GP. Aortic graft infection: replacement with autologous vein. Cardiovasc Surg. 2001;9:419–425
  8. Calligaro KD, Westcott CJ, Buckley RM, Savarese RP, Delaurentis DA. Infrainguinal anastomotic arterial graft infections treated by selective graft preservation. Ann Surg. 1992;216:74–79
  9. Calligaro KD, Veith FJ, Schwartz ML, Savarese RP, Delaurentis DA. Are gram-negative bacteria contraindication to selective preservation of infected prosthetic arterial grafts?. J Vasc Surg. 1992;16:337–346
  10. Armstrong PA, Bandyk DF. Management of infected aortic grafts by in situ grafting (Trends in vascular surgery). In:  Pearce WH,  Matsumura JS,  Yao JST editor. Illinois: Greenwood Academic Publishers; 2005;p. 473–485
  11. Perez-Burkhardt JL, Gonzalez-Fajordo JA, Carpintero LA, Mateo AM. Sartorius myoplasty for the treatment of infected groins with vascular grafts. J Cardiovasc Surg. 1995;36:581–585
  12. Graham RG, Omotoso PO, Hudson DA. The effectiveness of muscle flaps for the treatment of prosthetic graft sepsis. Plast Reconstr Surg. 2002;109:108–113
  13. Morasch MD, Sam AD, Kibbe MR, Hijjawi J, Dumaniam GA. Early results with use of gracilis muscle flap coverage of infected groin wounds after vascular surgery. J Vasc Surg. 2004;39:1277–1283
  14. Schutzer R, Hingorani A, Ascher E, Markevich N, Kalluakuri S, Jacob T. Early transposition of the sartorius muscle for exposed patient infrainguinal bypass grafts. Vasc Endovasc Surg. 2005;39:159–162
  15. Treiman GS, Copeland S, Yellin AE, Lawrence PF, McNamara RM, Treiman RL. Wound infections involving infrainguinal autogenous vein grafts: a current evaluation of factors determining successful graft preservation. J Vasc Surg. 2001;33:948–954
  16. Mehran RJ, Graham AM, Ricci MA, Symes JF. Evaluation of muscle flaps in the treatment of infected aortic grafts. J Vasc Surg. 1992;15:487–494
  17. Geary KJ, Tomkiewicz ZM, Harrison HN, Fiore WM, Geary JE, Green RM, et al. Differential effects of gram-negative and gram-positive infection on autogenous and prosthetic grafts. J Vasc Surg. 1990;11:339–347
  18. Stone PA, Armstrong PA, Bandyk DF, Brumberg RS, Flaherty SK Back MR, et al. Use of antibiotic-loaded polymethylmethacrylate beads for the treatment of extracavitary prosthetic graft infections. J Vasc Surg. 2006;44:757–761

 Competition of interest: none.

PII: S0741-5214(07)00349-7

doi: 10.1016/j.jvs.2007.02.058

Journal of Vascular Surgery
Volume 46, Issue 1 , Pages 71-78 , July 2007