Použití V.A.C. systému při léčbě infikované cévní protézy - kazuistika

Title in English The use of V.A.C. system for the treatment of infected vascular prosthesis - a case report
Authors

GLADIŠ Pavel HOLUB Radim NOVOTNÝ Tomáš

Year of publication 2010
Type Article in Periodical
Magazine / Source Rozhledy v Chirurgii
MU Faculty or unit

Faculty of Medicine

Citation
Field Surgery incl. transplantology
Keywords infected crossover femoroprofundal bypass; infected prosthesis explantation; extraanatomical bypass; autologous femoral vein; V.A.C.
Description Infected vascular prosthesis is a serious therapeutic issue and a dreaded complication in vascular surgery. We present a case of an 87-year-old man with an infected femoroprofundal crossover PTFE bypass. In this case of a high-risk patient not suitable for surgery, we used a conservative approach using a V.A.C. system. After 4 weeks of conservative therapy the inflammation markers went down and the groin, where the vascular prosthesis was exposed in the beginning, had fully healed up. Follow-up CT scan of both regions of the groin and hypogastria is without fluid collection or other signs of infection of the crossover bypass.

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