G Asciutto1, B Geier, B Marpe, T Hummel, A Mumme. 1. St. Josef Hospital, Klinikum der Ruhr Universität Bochum, Klinik fur Gefässchirurgie, Gudrunstr. 56, 44791, Bochum, Germany. Guseppe.Asciutto@ruhr-uni-bochum.de
Abstract
OBJECTIVE: We describe our experience with Dacron patch infections after carotid endarterectomy (CEA). REPORT: From 633 patients undergoing carotid endarterectomy with Dacron patching, six re-presented with prosthetic infections. In 3 of the 6 cases a neck haematoma had necessitated surgical revision after the original carotid surgery. Five patients underwent interposition vein grafting and 1 vein patch angioplasty. Postoperatively, 2 patients developed a repeat infection including the 1 patient with patch angioplasty. All patients were free of infection and neurological symptoms after a maximum follow-up of 56.5 months. CONCLUSION: Following the development of haemorrhage or wound complications careful clinical surveillance should be carried out after carotid reconstruction.
OBJECTIVE: We describe our experience with Dacron patch infections after carotid endarterectomy (CEA). REPORT: From 633 patients undergoing carotid endarterectomy with Dacron patching, six re-presented with prosthetic infections. In 3 of the 6 cases a neck haematoma had necessitated surgical revision after the original carotid surgery. Five patients underwent interposition vein grafting and 1 vein patch angioplasty. Postoperatively, 2 patients developed a repeat infection including the 1 patient with patch angioplasty. All patients were free of infection and neurological symptoms after a maximum follow-up of 56.5 months. CONCLUSION: Following the development of haemorrhage or wound complications careful clinical surveillance should be carried out after carotid reconstruction.