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Titolo:
Isolated arteriovenous dialysis access graft segment infection: The results of segmental bypass and partial graft excision
Autore:
Schwab, DP; Taylor, SM; Cull, DL; Langan, EM; Snyder, BA; Sullivan, TM; Youkey, JR;
Indirizzi:
Greenville Hosp Syst, Dept Surg Educ, Vasc Surg Serv, Greenville, SC 29605USA Greenville Hosp Syst Greenville SC USA 29605 erv, Greenville, SC 29605USA
Titolo Testata:
ANNALS OF VASCULAR SURGERY
fascicolo: 1, volume: 14, anno: 2000,
pagine: 63 - 66
SICI:
0890-5096(200001)14:1<63:IADAGS>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEMODIALYSIS ACCESS; COMPLICATIONS; MANAGEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
8
Recensione:
Indirizzi per estratti:
Indirizzo: Taylor, SM Greenville Hosp Syst, Dept Surg Educ, Vasc Surg Serv, 701 GroveRd, Greenville, SC 29605 USA Greenville Hosp Syst 701 Grove Rd Greenville SC USA 29605 5 USA
Citazione:
D.P. Schwab et al., "Isolated arteriovenous dialysis access graft segment infection: The results of segmental bypass and partial graft excision", ANN VASC S, 14(1), 2000, pp. 63-66

Abstract

Arteriovenous (AV) access graft infection results in disruption of dialysis and usually necessitates graft removal when the entire graft is involved. The management of an isolated infected segment of an otherwise noninfectedAV access graft, however, remains controversial. To evaluate the utility of segmental bypass and partial graft excision for the treatment of an isolated infected AV access graft segment, 17 consecutive cases in 12 patients (7 females/5 males; 14 arm grafts/3 leg grafts; median age = 69 years) were analyzed on a vascular teaching service that performed 1244 total access procedures from January 1995 through February 1999. Infections presented as adraining sinus or a sinus with hemorrhage emanating from an area over the graft. At operation, the infected sinus was covered by a transparent occlusive dressing and the graft was explored through clean incisions proximal and distal to the infected segment. If the graft was incorporated and free ofinfection, a piece of expanded polytetrafluoroethylene (ePTFE) was anastomosed proximally end-to-end and tunneled through noninfected tissues around the infected sinus. After the distal anastomosis was performed, the skin incisions were closed and covered with occlusive dressings. The infected graft segment was then removed through the infected sinus wound. The technique of segmental bypass and partial graft excision results in predictable eradication of infection, graft salvage, and maintenance of uninterrupted dialysis in patients presenting with an isolated AV dialysis access infection. DOI: 10.1007/s100169910011.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 13/08/20 alle ore 11:09:34