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EndoVAC, a Novel Hybrid Technique to Treat Infected Vascular Reconstructions With an Endograft and Vacuum-Assisted Wound Closure
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.ORCID iD: 0000-0001-6561-9734
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.
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
Abstract [en]

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.
Keyword [en]
infected grafts, access site infection, hybrid technique, stent-graft, vacuum-assisted wound closure
National Category
Surgery Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-161573DOI: 10.1583/11-3465.1ISI: 000295964400008PubMedID: 21992637OAI: oai:DiVA.org:uu-161573DiVA: diva2:457801
Available from: 2011-11-19 Created: 2011-11-15 Last updated: 2017-12-08Bibliographically approved

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Kragsterman, BjörnBjörck, MartinWanhainen, Anders

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