Perigraft seroma as a rare angiosurgical complication

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GAZI A. STAFFA Robert NOVOTNÝ Tomáš KRIZ Z. HERMANOVÁ Markéta

Rok publikování 2015
Druh Článek v odborném periodiku
Časopis / Zdroj Rozhledy v chirurgii
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
www https://www.prolekare.cz/casopisy/rozhledy-v-chirurgii/2015-11-2/perigraft-serom-jako-vzacna-angiochirurgicka-komplikace-57132?hl=en
Obor Chirurgie včetně transplantologie
Klíčová slova perigraft seroma; Dacron; ePTFE; vascular graft; extra-anatomic bypass
Popis Perigraft seroma is quite a rare complication that may occur after implantation of Dacron or expanded polytetrafluoroethylene (ePTFE) vascular grafts. We report a case of a 54-year-old patient with perigraft seroma around an axillofemoral bypass (ePTFE graft). Definitive treatment involved the explantation of this extraanatomic bypass with perigraft seroma and the implantation of an aortobiiliac bypass using vascular prosthesis made of a different material. Based on published studies, therapeutic options for this complication are discussed. No guidelines or recommendations are available. In conclusion, the approach to perigraft seroma treatment remains strictly individual. Vascular graft replacement using grafts made of different material seems to be the best option in the case of recurring perigraft seroma, where less invasive procedures were not successful.
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