Hybrid Endovascular Solutions for Supra-Aortic Vessels Extra-Anatomic Bypass Infection

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• 作者：Gian Franco Fadda¹ ; Mario Marino¹ ; ² ; Holta Kasemi¹ ; ² ; ^{kasemiholta@libero.it" class="auth_mail" title="E-mail the corresponding author} ; Costantino Luca Di Angelo¹ ; Sonia Ronchey³ ; Eugenia Serrao³ ; Matteo Orrico³ ; Nicola Mangialardi³
• 刊名：Annals of Vascular Surgery
• 出版年：2015
• 出版时间：November 2015
• 年：2015
• 卷：29
• 期：8
• 页码：1662.e1-1662.e5
• 全文大小：945 K

文摘

The use of extra-anatomic bypasses for the hybrid repair of thoracic aortic pathologies should consider the risk of vascular graft infection. Graft infections at cervical level are extremely rare and are associated with high mortality and morbidity rates. We report 2 cases of infected extra-anatomic bypasses for supra-aortic vessels debranching treated with a hybrid approach: re-extra-anatomical bypass with the Viabahn Open Revascularization Technique (VORTEC) in the first patient and the EndoVAC approach in the second case. Endovascular techniques may offer bail-out solutions in a hybrid fashion to treat vascular graft infection in patients considered unfeasible for the conventional surgical repair, associated with appropriate antibiotic therapy.