Abstract

RODRIGUEZ PINERO, Manuel et al. Extraanatomic axillofemoral bypass in patients with aortic graft infection. Experience in our center with the use of Omniflow II® biosynthetic prosthesis and review of the bibliography. Angiología [online]. 2021, vol.73, n.1, pp.20-28.  Epub Apr 12, 2021. ISSN 1695-2987.  https://dx.doi.org/10.20960/angiologia.00136.

Abdominal infection of an aortic prosthesis in patients with aortic, aortoiliac or aortofemoral bypass is one of the most feared vascular complications that we can find, because its high morbidity and, above all, its high mortality. Its handling is always going to be difficult and usually accompanied by poor prognosis because surgical treatment requires an indication, study and programming individualized for each patient. Whatever the initial therapeutic approach, conservative or aggressive, the final resolution of the infection will be accompanied by the excision of the infected prosthesis and revascularization of the lower limbs using different techniques and materials.

As for the techniques employed, we can choose to use an ortho-anatomic or extra-anatomic reconstruction and to act in one or two times. Among the materials used we have the autologous venous grafts, as those of choice in case of having them, or alternative materials otherwise, of which are reported in the literature the use of a biosynthetic prosthesis.

We describe our experience in the management of these patients by using the Omniflow II® prosthesis extraanatomically.

Keywords : Aortic graft infection; Grafts and infection; Byosinthetic prosthesis; Axillofemoral bypass.

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