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Accepted VersionCC BY-NC-ND V4.0, Open Access
Journal article
Aortic Reconstruction in infected aortic pathology by Femoral vein “Neo-Aorta”
Seminars in Vascular Surgery, Vol.32(1-2), pp.73-80
2019
Abstract
The use of autologous femoral veins for in-situ reconstruction the aortoiliac segment is an effective technique to treat native aorta or prosthetic graft infections. The indications, technical details, and outcome of this procedure are detailed. Graft infection involving the aortic segment while rare, remains one of the most challenging vascular surgery conditions to treat. The original of the technique of "Neo-aorto-iliac surgery" with in-situ autologous vein grafts has evolved over the past 25 years and remains a worthwhile alternative for the treatment of aortic graft infections with less mortality rates compared with other extra anatomic or in situ surgical options. Acceptance of this surgical option is due to low graft re-infection rates, rare graft disruption, and low long-term aneurysmal degeneration. Excision of the femoral veins is associated with acceptable rates of lower limb edema. The use of autologous femoral vein graft can be considered the standard of care in selected patients for the management of aortic graft infections. Optimal management of patients with aortic graft infections requires consideration of all potential therapeutic options since no single modality can be used, and individualizing treatment according to the clinical condition will yield the best patient outcomes.
Details
- Title
- Aortic Reconstruction in infected aortic pathology by Femoral vein “Neo-Aorta”
- Authors
- Ajay Savlania (Author) - Post Graduate Institute of Medical Education and Research, IndiaRamesh K Tripathi (Author) - University of the Sunshine Coast
- Publication details
- Seminars in Vascular Surgery, Vol.32(1-2), pp.73-80
- Publisher
- W.B. Saunders Co.
- Date published
- 2019
- DOI
- 10.1053/j.semvascsurg.2019.07.002
- ISSN
- 0895-7967
- Copyright note
- Copyright © 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
- Organisation Unit
- University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99450872702621
- Output Type
- Journal article
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- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Peripheral Vascular Disease
- Surgery
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