Document Detail


Penetration of the Iliac Bone as a Modified Tunneling Option for Graft Infection in the Groin.
MedLine Citation:
PMID:  22609973     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
A graft infection is one of the most fatal complications after surgical treatment for arteriosclerosis obliterans. Although both redo arterial revascularization for limb salvage and prevention of recurrent infection are necessary for the treatment of an infected prosthetic graft, surgical strategy is extremely troublesome and challenging. We successfully performed the extra-anatomic bypass by penetrating an iliac bone, in 3 cases. The anterior aspect of iliac crest was exposed through pararectal retroperitoneal incision. The hole in the iliac bone can be easily made by an electric scalpel. In performing redo arterial revascularization for the prosthetic vascular graft infection, reconstructing the extra-anatomic bypass by penetrating an iliac bone is one of the most advantageous treatments. This surgical strategy can help to select the flexible bypassed route, isolate the infected site, and completely eradicate its area of infection for wound healing.
Authors:
Arudo Hiraoka; Atsuhisa Ishida; Genta Chikazawa; Hidenori Yoshitaka
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-19
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  -     ISSN:  1938-9116     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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