Treatment of aortic field infections is challenging and usually involves removal of the infected segment with re-vascularization of the distal arterial tree with infection-resistant graft material or via an extra-anatomical route. We present three cases of arterial infection treated successfully using cryopreserved superficial femoral artery homografts as aortoiliac substitutes. This new approach is a potential alternative to other in situ re-vascularization techniques.
TeebkenOEPichlmaierMABrandSHaverichA. Cryopreserved arterial allografts for in situ reconstruction of infected arterial vessels. Eur J Vasc Endovasc Surg2004;27:597–602
2.
GibbonsCP. What is the best treatment for primary infected aortic aneurysms?Eur J Vasc Endovasc Surg2011;42:625–6
3.
Goeau-BrissonnièreOJaverliatIKoskasFCoggiaMPechèreJ-C. Rifampin-bonded vascular grafts and postoperative infections. Ann Vasc Surg2011;25:134–42
4.
ChungJClagettGP. Neoaortoiliac system (NAIS) procedure for the treatment of the infected aortic graft. Semin Vasc Surg2011;24:220–6
5.
VerhelstRLacroixVVrauxHUse of cryopreserved arterial homografts for management of infected prosthetic grafts: a multicentric study. Ann Vasc Surg2000;14:602–7
6.
BisdasTFuchsMPichlmaierMWilhelmiMHaverichATeebkenO. In situ reconstruction of vascular infections in abdominal aorta with cryopreserved arterial human allografts: 8-year experience. Transplantationsmedizin: Organ der Deutschen Transplantationsgesellschaft2009;21:178
7.
BisdasTBredtMPichlmaierMEight-year experience with cryopreserved arterial homografts for the in situ reconstruction of abdominal aortic infections. J Vasc Surg2010;52:323–30
8.
ZhouWLinPHBushRLIn situ reconstruction with cryopreserved arterial allografts: for management of mycotic aneurysms or aortic prosthetic graft infections: a multi-institutional experience. Tex Heart I J2006;33:14–8
9.
NHS Blood and Transplant Tissue Services: Blood Vessels. See http://www.nhsbt.nhs.uk/tissueservices/products/bloodvessels/Blood_Vessels (last checked 17 July 2012)