Journal of Vascular Surgery
Volume 50, Issue 1 , Pages 30-39 , July 2009

Long-term results of the treatment of aortic graft infection by in situ replacement with femoral popliteal vein grafts

Presented at the annual meeting of the Society for Vascular Surgery, San Diego Calif, June 7, 2008.

  • Ahsan T. Ali, MD

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Ark
  • ,
  • J. Gregory Modrall, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Dallas, Dallas, Tex
  • ,
  • Jennie Hocking, PA

      Affiliations

    • Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Dallas, Dallas, Tex
  • ,
  • R. James Valentine, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Dallas, Dallas, Tex
  • ,
  • Horace Spencer, PhD

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Ark
  • ,
  • John F. Eidt, MD

      Affiliations

    • Division of Vascular Surgery, Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, Ark
  • ,
  • G. Patrick Clagett, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Dallas, Dallas, Tex
    • Corresponding Author InformationReprint requests: G. Patrick Clagett, MD, Professor and Chairman, Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern at Dallas, Dallas, TX

Received 13 October 2008 ,Accepted 3 January 2009.

References 

  1. Reilly LM, Stoney RJ, Goldstone J, Ehrenfeld WK. Improved management of aortic graft infection: the influence of operation sequence and staging. J Vasc Surg. 1987;5:421–431
  2. Seeger JM, Pretus HA, Welborn MB, Ozaki CK, Flynn TC, et al. Long-term outcome after treatment of aortic graft infection with staged extra-anatomic bypass grafting and aortic graft removal. J Vasc Surg. 2000;32:451–461
  3. Yeager RA, Taylor LM, Moneta GL, Edwards JM, et al. Improved results with conventional management of infrarenal aortic infections. J Vasc Surg. 1999;30:76–83
  4. Bandyk DF, Edward VK, Thomas IR, Holly K, Jonathan BT. Treatment of bacteria-biofilm graft infection by in situ replacement in normal and immune-deficient states. J Vasc Surg. 1993;18:398
  5. Bandyk DF, Novotney ML, Back MR, Johnson BL, Schmacht DC. Expanded application of in situ replacement for prosthetic graft infection. J Vasc Surg. 2001;34:411
  6. O'Connor S, Andrew P, Batt M, Becquemin JP. A systematic review and meta-analysis of treatments for aortic graft infection. J Vasc Surg. 2006;44:38
  7. Kieffer E, Gomes D, Chiche L, Fleron M-H, Koskas F, Bahnini A. Allograft replacement for infrarenal aortic graft infection: early and late results in 179 patients. J Vasc Surg. 2004;39:1009
  8. Oderich GS, Bower TC, Cherry KJ, Panneton JM, Sullivan TM, Noel AA, et al. Evolution from axillofemoral to in situ prosthetic reconstruction for the treatment of aortic graft infections at a single center. J Vasc Surg. 2006;43:1166
  9. Schulman ML, Badhey MR, Yatco R. Superficial femoral popliteal veins and reversed saphenous veins as primary femoropopliteal bypass grafts: a randomized comparative study. J Vasc Surg. 1987;6:1
  10. Schulman ML, Badhey MR, Yatco R, Pillari G. An 11-year experience with deep leg veins as femoropopliteal bypass grafts. Arch Surg. 1986;121:1010
  11. Schulman ML, Schulman LG. Deep leg veins as femoropopliteal bypass grafts. World J Surg. 1990;14:843
  12. Clagett GP, Bowers BL, Lopez-Viego MA, Rossi MB, Valentine RJ, Myers SI, et al. Creation of a neo-aortoiliac system from lower extremity deep and superficial veins. Ann Surg. 1993;218:239–248discussion 239-48
  13. Clagett GP, Valentine RJ, Hagino RT. Autogenous aortoiliac/femoral reconstruction from superficial femoral popliteal veins: feasibility and durability. J Vasc Surg. 1997;25:255–266discussion 267-70
  14. Nevelsteen A, Lacroix H, Suy R. Autogenous reconstruction with the lower extremity deep veins: an alternative treatment of prosthetic infection after reconstructive surgery for aortoiliac disease. J Vasc Surg. 1995;22:129
  15. Nevelsteen A, Lacroix H, Suy R. Infrarenal aortic graft infection: in situ aortoiliofemoral reconstruction with the lower extremity deep veins. Eur J Vasc Endovasc Surg. 1997;14:88
  16. Gordan LL, Hagino RT, Jackson MR, Modrall JG, Valentine RJ, Clagett GP. Complex aortofemoral prosthetic infections: the role of autogenous superficial femoropopliteal vein reconstruction. Arch Surg. 1999;134:615–621
  17. DeMuth RP, Kaylor C, Serrano S, Arko FA, Valentine RJ, Clagett GP. Hypoacoustic luminal outline (halo); an adjunct diagnostic ultrasound feature of late graft infection. J Vasc Ultrasound (in press).
  18. Rutherford RB, Baker JD, Ernst C, Johnston KW, Porter JM, Ahn S, et al. Recommended standards for reports dealing with lower extremity ischemia. J Vasc Surg. 1997;26:517–538
  19. D'Addio VJ, Clagett G. Surgical treatment of the infected aortic graft (ACS Surgery, principles and practice). New York: WebMD; 2005;
  20. Beck AW, Erin HM, Hocking JA, Timaran C, Arko F, Clagett PG. Aortic reconstruction with femoral popliteal vein: graft stenosis incidence, risk and reintervention. J Vasc Surg. 2008;47:36
  21. Ali A, Mcleod N, Kalapatpau VR, Moursi MM, Eidt JF. Staging the neoaortioiliac system: feasibility and short-term outcomes. J Vasc Surg. 2008;48:1125–1132
  22. Kaplan E, Meier P. Nonparametric estimation from incomplete observation. J Am Stat Assoc. 1958;53:457–481
  23. Mantel N. Evaluation of survival data and two new rank order statistics arising in its consideration. Cancer Chemother Rep. 1966;50:163–170
  24. Hosmer DL. Applied logistic regression. Hoboken, NJ: John Wiley & Sons Inc; 2000;
  25. Ali A, Bell C, Modrall JG, Valentine RJ, Clagett G. Graft-associated hemorrhage from femoral popliteal vein grafts. J Vasc Surg. 2005;42:667–672
  26. Modrall JG, Hocking JA, Timaran CH, Rosero EB, Arko Iii FR, Valentine RJ, et al. Late incidence of chronic venous insufficiency after deep vein harvest. J Vasc Surg. 2007;46:520–525
  27. Wells JK, Hagino RT, Bargmann KM, Jackson MR, Valentine RJ, Kakish HB, et al. Venous morbidity after superficial femoral popliteal vein harvest. J Vasc Surg. 1999;29:282
  28. Ali A, Clagett GP, Edwards MJ. Complex venous and arterial reconstruction with deep vein after pelvis exenterative surgery: a case report. Am Surg. 2006;72:22–24
  29. Hagino RT, Bengtson TD, Fosdick DA, Valentine RJ, Clagett GP. Venous reconstructions using the superficial femoral popliteal vein. J Vasc Surg. 1997;26:829–837
  30. Modrall JG, Joiner DR, Seidel SA, Jackson MR, Valentine RJ, Clagett G. Superficial femoral popliteal vein as a conduit for brachiocephalic arterial reconstructions. Ann Vasc Surg. 2002;16:17–23
  31. Modrall JG, Sadjadi J, Joiner DR, Ali A, Welborn MB, Jackson MR, et al. Comparison of superficial femoral vein and saphenous vein as conduits for mesenteric arterial bypass. J Vasc Surg. 2003;37:362
  32. Modrall JG, Sadjadi J, Ali AT, Anthony T, Welborn MB, Valentine RJ, et al Deep vein harvest: predicting need for fasciotomy. J Vasc Surg. 2004;39:387
  33. Adesanya A, Rosero E, Timaran C, Clagett GP, Johnston WE. Intraoperative fluid restriction predicts improved in major vascular surgery. Vasc Endovasc Surg. 2009;42:531–536
  34. Valentine R, Timaran CH, Modrall GJ, Smith ST, Arko FR, Clagett GP. Secondary aortoenteric fistulas versus paraprosthetic erosions: is bleeding associated with worse outcome?. J Am Coll Surg. 2008;207:922–927

 Competition of interest: none.

PII: S0741-5214(09)00010-X

doi: 10.1016/j.jvs.2009.01.008

Journal of Vascular Surgery
Volume 50, Issue 1 , Pages 30-39 , July 2009