scholarly journals Efficacy and safety of negative pressure wound therapy for Szilagyi grade III peripheral vascular graft infection: Table 1:

2014 ◽  
Vol 19 (6) ◽  
pp. 1048-1052 ◽  
Author(s):  
Hsu-Tang Cheng ◽  
Yung-Chang Hsu ◽  
Chao-I Wu
Keyword(s):  
Negative Pressure ◽  
Vascular Graft ◽  
Negative Pressure Wound Therapy ◽  
Graft Infection ◽  
Efficacy And Safety ◽  
Peripheral Vascular ◽  
Vascular Graft Infection ◽  
Wound Therapy ◽  
Grade Iii

Role of Negative Pressure Wound Therapy in Treating Peripheral Vascular Graft Infections

Vascular ◽  
2008 ◽  
Vol 16 (4) ◽  
pp. 194-200 ◽  
Author(s):  
B. E. Sumpio ◽  
D. E. Allie ◽  
K. A. Horvath ◽  
W. A. Marston ◽  
H. L. Meites ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Vascular Graft ◽  
Negative Pressure Wound Therapy ◽  
Peripheral Vascular ◽  
Wound Therapy

scholarly journals Negative-pressure wound therapy for deep groin vascular infections

2016 ◽  
Vol 144 (11-12) ◽  
pp. 621-625
Author(s):  
Predrag Matic ◽  
Slobodan Tanaskovic ◽  
Rastko Zivic ◽  
Dario Jocic ◽  
Predrag Gajin ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Vascular Graft ◽  
Negative Pressure Wound Therapy ◽  
Graft Infection ◽  
Anatomic Reconstruction ◽  
Minor Bleeding ◽  
Graft Occlusion ◽  
Synthetic Graft ◽  
Wound Therapy ◽  
Study Results

Introduction. Infection of synthetic graft in the groin is a rare but devastating complication. When it occurs, several possibilities of treatment are available. Extra-anatomic reconstruction and in-situ implantation of new, infection resistant grafts are associated with high mortality and morbidity. Therefore, more conservative approach is needed in some cases. Negative-pressure wound therapy is one of the options in treating such patients. Objective. The aim of this study was to assess the outcome for deep groin vascular graft infection treated with negative-pressure wound therapy. Methods. Seventeen patients (19 wounds), treated for Szilagyi grade III groin infections between October 2011 and June 2014, were enrolled into this observational study. Results. Majority of the wounds (11/19) were healed by secondary intention, and the rest of the wounds (8/19) were healed by primary intention after initial negative-pressure wound therapy and graft substitution with silver-coated prostheses or autologous artery/vein implantation. No early mortality was observed. Minor bleeding was observed in one patient. Reinfection was noted in three wounds. Only one graft occlusion was noted. Late mortality was observed in three patients. Conclusion. Negative-pressure wound therapy seems to be safe for groin vascular graft infections and comfortable for both patient and surgeon. However, the rate of persistent infection is high. This technique, in our opinion, can be used as a ?bridge? from initial wound debridement to definitive wound management, when good local conditions are achieved for graft substitution, either with new synthetic graft with antimicrobial properties or autologous artery/vein. In selected cases of deep groin infections it can be used as the only therapeutic approach in wound treatment.

scholarly journals A Case of a Patient Who Successfully Achieved Early Wound Closure by Local Negative Pressure Wound Therapy (NPWT) against Compromised Wound Healing after Arterio-Venous Graft Infection

2021 ◽  
Vol 1 (1) ◽  
pp. 14-19
Author(s):  
Risa Kusuta ◽  
Keiji Shimazu ◽  
Kazuhiro Mizoguchi ◽  
Kazumasa Komura ◽  
Atsuo Tanaka
Keyword(s):  
Wound Healing ◽  
Negative Pressure ◽  
Wound Closure ◽  
Negative Pressure Wound Therapy ◽  
Present Report ◽  
Graft Infection ◽  
Severe Bleeding ◽  
Wound Therapy ◽  
Venous Graft ◽  
Early Wound

The primary treatment strategy for arterio-venous graft (AVG) infection includes appropriate antibiotic use and removal of the infected graft. It is well known that patients with hemodialysis are likely to experience compromised wound healing, which often leads to various postoperative complications. Negative pressure wound therapy (NPWT) is a non-invasive procedure that promotes wound healing by sealing the wound under negative pressure. Although NPWT is practically accepted in general surgery, there are only a few reports of this strategy to the vascular access operation for patients with hemodialysis due to the possibility of severe bleeding. In the present report, we report a case of a patient who successfully achieved safe and early wound closure by NPWT against compromised wound healing after AVG infection.

scholarly journals Prosthetic Vascular Graft Infections: Bacterial Cultures from Negative-Pressure-Wound-Therapy Foams Do Not Improve Diagnostics

2016 ◽  
Vol 54 (8) ◽  
pp. 2190-2193 ◽  
Author(s):  
Alexandra U. Scherrer ◽  
Guido Bloemberg ◽  
Reinhard Zbinden ◽  
Annelies S. Zinkernagel ◽  
Claudio Fuchs ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Predictive Value ◽  
Vascular Graft ◽  
Negative Pressure Wound Therapy ◽  
Diagnostic Value ◽  
Deep Tissue ◽  
Wound Therapy ◽  
Tissue Samples ◽  
Bacterial Cultures ◽  
Sensitivity Specificity

We analyzed the diagnostic value of microorganisms cultured from negative-pressure-wound-therapy (NPWT) foam samples compared to that of microorganisms cultured from deep tissue samples from patients with vascular graft infections. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were 58%, 86%, 81%, and 66%, respectively. The diagnostic value of microbiological cultures from NPWT foams was poor.

scholarly journals Surgical treatment of carotid artery stent infection: a case report

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052098708
Author(s):  
Xiwen Liu ◽  
Yue Zhao ◽  
Fucheng Zhao ◽  
Suli Guo ◽  
Daju Sun
Keyword(s):  
Surgical Treatment ◽  
Carotid Artery ◽  
Effective Treatment ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Graft Infection ◽  
External Carotid ◽  
Wound Therapy ◽  
Autologous Vein ◽  
Autologous Vein Graft

The most effective treatment for graft infection is still debated, and the success rate of current treatments is low. We herein report the results of surgical treatment and follow-up of a case of infection acquired during carotid stenting with the aim of exploring the most effective treatments for graft infection. We retrospectively analyzed a patient who was admitted in September 2019. This patient underwent debridement, autologous saphenous vein replacement of the common carotid to internal carotid artery, external carotid artery suturing, and continuous negative-pressure wound therapy for carotid stent infection. Ten days after carotid artery revascularization, the growth of granulation tissue in the incision was good, and we decided to suture the neck incision. Five days after removing the stitches, grade A healing was noted. Furthermore, the carotid artery and autologous vein grafts were unobstructed as shown by carotid artery computed tomography angiography reexamination. The patient was monitored for 8 months with no new neurological symptoms and good healing of the incision. Effective treatment of vascular graft infection includes debridement and removal of the infected graft, autologous vein graft revascularization, and negative-pressure wound therapy combined with antibiotic therapy.

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