EndoVAC, a Novel Hybrid Technique to Treat Infected Vascular Reconstructions With an Endograft and Vacuum-Assisted Wound Closure
2011 (English)In: Journal of Endovascular Therapy, ISSN 1526-6028, E-ISSN 1545-1550, Vol. 18, no 5, 666-673 p.Article in journal (Refereed) Published
Purpose: To report an initial experience and midterm results of a novel hybrid technique (EndoVAC) combining stent-grafts, surgical revision, and vacuum-assisted wound closure (VAC). Methods: All 10 patients (5 men; mean age 62 years) treated with the EndoVAC technique for infected vascular reconstructions (5 carotid, 4 femoral) or access sites (1 femoral and 1 brachial artery) between November 2007 and June 2010 were retrospectively reviewed. Follow-up included laboratory investigations, duplex ultrasonography, and imaging. Results: VAC therapy was applied for a median 15 days (range 9-54). Three complications occurred: a watershed infarction (dysphasia), a transient hypoglossal nerve palsy, and a late stent-graft thrombosis. Two patients died during treatment but with local infection under control. Over a median follow-up of 11 months (range 1-33), no recurrent infection was noted after healing of the skin in any of the 8 survivors. Conclusion: The EndoVAC technique seems to be a promising option for treatment of infected vascular reconstructions in selected cases.
Place, publisher, year, edition, pages
2011. Vol. 18, no 5, 666-673 p.
infected grafts, access site infection, hybrid technique, stent-graft, vacuum-assisted wound closure
Surgery Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-161573DOI: 10.1583/11-3465.1ISI: 000295964400008PubMedID: 21992637OAI: oai:DiVA.org:uu-161573DiVA: diva2:457801