Version 1
: Received: 17 May 2024 / Approved: 17 May 2024 / Online: 17 May 2024 (13:22:06 CEST)
How to cite:
Ascione, M.; Dajci, A.; Cangiano, R.; Marzano, A.; Molinari, A.; Miceli, F.; Di Girolamo, A.; Di Marzo, L.; Mansour, W. Open Surgical Conversion of Popliteal Endograft Infection: Case Reports And Literature Review. Preprints2024, 2024051184. https://doi.org/10.20944/preprints202405.1184.v1
Ascione, M.; Dajci, A.; Cangiano, R.; Marzano, A.; Molinari, A.; Miceli, F.; Di Girolamo, A.; Di Marzo, L.; Mansour, W. Open Surgical Conversion of Popliteal Endograft Infection: Case Reports And Literature Review. Preprints 2024, 2024051184. https://doi.org/10.20944/preprints202405.1184.v1
Ascione, M.; Dajci, A.; Cangiano, R.; Marzano, A.; Molinari, A.; Miceli, F.; Di Girolamo, A.; Di Marzo, L.; Mansour, W. Open Surgical Conversion of Popliteal Endograft Infection: Case Reports And Literature Review. Preprints2024, 2024051184. https://doi.org/10.20944/preprints202405.1184.v1
APA Style
Ascione, M., Dajci, A., Cangiano, R., Marzano, A., Molinari, A., Miceli, F., Di Girolamo, A., Di Marzo, L., & Mansour, W. (2024). Open Surgical Conversion of Popliteal Endograft Infection: Case Reports And Literature Review. Preprints. https://doi.org/10.20944/preprints202405.1184.v1
Chicago/Turabian Style
Ascione, M., Luca Di Marzo and Wassim Mansour. 2024 "Open Surgical Conversion of Popliteal Endograft Infection: Case Reports And Literature Review" Preprints. https://doi.org/10.20944/preprints202405.1184.v1
Abstract
Background: Endovascular treatment of popliteal aneurysms (PA) has increased in the last few years, quickly becoming the main treatment in many vascular centers, based on the acceptable and promising outcomes reported in the literature. However, endograft infections are the most dangerous complication as a serious local compromise and usually require open surgical conversion and device explantation to preserve the affected extremity. Case report: We reported two patients admitted to the emergency room for pain and edema in the lower leg. Both patients have undergone exclusion of ruptured PA a few years before by endovascular graft. CTA showed a significant volume of fluid-corpuscular collection related to perianeurysmal abscess collection in both cases. Blood cultures and drained material cultures were positive for Staphylococcus Capitis in the first case and S. Aureus in the second. The antibiotics prophylaxis was performed for 10 days, then, patients underwent an open surgical conversion with a complete explantation of endovascular material and a femoro-popliteal bypass using an autologous vein in the first case and biological bovine pericardium prosthesis in the other case. Furthermore, we have questioned the literature and found eight more cases described in case report article referred to popliteal graft infections by different microorganisms, mostly presenting acute limb ischemia as the first symptom and suggesting endograft explantation with open conversion and autologous vein bypass as the commonest therapeutic choice. Conclusions: Open surgical conversion of popliteal endograft infection is the best strategy to manage peripheral infection of the popliteal stent.
Keywords
popliteal aneurysm; endograft infection; popliteal endograft infection; open surgical conversion
Subject
Medicine and Pharmacology, Surgery
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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