Hybrid treatment for lower limb revascularization in a patient with vascular graft infection: a case report

Author:

Lichtenfels Eduardo1ORCID,Erling Junior Nilon1,Aerts Newton Roesch1,Costa Andre Silvestri Reitz da1

Affiliation:

1. Universidade Federal de Ciências da Saúde de Porto Alegre, Brasil

Abstract

Abstract Patients with severe arterial obstructive disease and critical limb ischemia associated with vascular graft infection have elevated morbidity and mortality rates and are at high risk of limb loss. We present the case of a 76-year-old male patient with left lower limb critical ischemia and a femoropopliteal vascular graft infection. We used a hybrid treatment approach with an open surgical approach to the inguinal and popliteal regions and used the vascular prosthesis as endovascular access for direct recanalization of the superficial femoral artery, because the long occlusion and extensive calcification had frustrated initial attempts at endovascular treatment. After endovascular recanalization, the infected graft was removed. Used in conjunction with open surgery, advances in endovascular techniques and materials offer new solutions for patients when usual procedures fail.

Publisher

FapUNIFESP (SciELO)

Subject

Cardiology and Cardiovascular Medicine

Reference22 articles.

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2. One hundred twenty five concomitante endovascular and open procedures for lower extremity arterial disease;Dougherty MJ;J Vasc Surg,2003

3. Hybrid procedures and distal origin grafts;Reed AB;Semin Vasc Surg,2009

4. Hybrid revascularization of complex multilevel disease: a paradigm shift in critical limb ischemia treatment;Patel SD;J Cardiovasc Surg,2014

5. Hybrid procedures for peripheral obstructive disease;Schrijver AM;J Cardiovasc Surg,2010

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