Use of arterial transposition for vascular reconstruction within contaminated or infected abdominal fields
Intra-abdominal arterial reconstructions in the setting of reoperative, contaminated, or frankly infected fields can be a challenging undertaking for even the most experienced vascular surgeons. Open surgical arterial transpositions have been less commonly performed than other methods of reconstruct...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-12-01
|
| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724001540 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846148847286353920 |
|---|---|
| author | Richard S. Whitlock, MD Vivek A. Patel, MD Joseph L. Mills, Sr., MD Zachary S. Pallister, MD Ramyar Gilani, MD |
| author_facet | Richard S. Whitlock, MD Vivek A. Patel, MD Joseph L. Mills, Sr., MD Zachary S. Pallister, MD Ramyar Gilani, MD |
| author_sort | Richard S. Whitlock, MD |
| collection | DOAJ |
| description | Intra-abdominal arterial reconstructions in the setting of reoperative, contaminated, or frankly infected fields can be a challenging undertaking for even the most experienced vascular surgeons. Open surgical arterial transpositions have been less commonly performed than other methods of reconstruction in the current era of vascular surgery despite many historical reports of successful outcomes. Autologous artery transpositions represent a viable option in the case of an infected or a contaminated operative field. We have described the cases of three patients treated at our institution who had required intra-abdominal revascularization in a contaminated or frankly infected surgical field. All three patients were successfully treated using open native visceral artery transposition procedures. These cases presented multiple challenges secondary to the ongoing infections, infected operative field, and, sometimes, a history of multiple vascular bypasses involving the aorta and visceral arteries. In such circumstances, we have demonstrated the effectiveness of native visceral arterial transposition as a feasible technique. |
| format | Article |
| id | doaj-art-dcded66a0c8b45b2971ba9fdb8af4111 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-dcded66a0c8b45b2971ba9fdb8af41112024-11-30T07:13:24ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-12-01106101570Use of arterial transposition for vascular reconstruction within contaminated or infected abdominal fieldsRichard S. Whitlock, MD0Vivek A. Patel, MD1Joseph L. Mills, Sr., MD2Zachary S. Pallister, MD3Ramyar Gilani, MD4Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX; Correspondence: Richard S. Whitlock, MD, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, BCM 185, One Baylor Plaza, Houston, TX 77030Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX; Division of Cardiothoracic Surgery, Baylor College of Medicine, Houston, TXMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX; Division of Vascular Surgery and Endovascular Therapy, Baylor College of Medicine, Houston, TXMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX; Division of Vascular Surgery and Endovascular Therapy, Baylor College of Medicine, Houston, TXMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX; Division of Vascular Surgery and Endovascular Therapy, Baylor College of Medicine, Houston, TXIntra-abdominal arterial reconstructions in the setting of reoperative, contaminated, or frankly infected fields can be a challenging undertaking for even the most experienced vascular surgeons. Open surgical arterial transpositions have been less commonly performed than other methods of reconstruction in the current era of vascular surgery despite many historical reports of successful outcomes. Autologous artery transpositions represent a viable option in the case of an infected or a contaminated operative field. We have described the cases of three patients treated at our institution who had required intra-abdominal revascularization in a contaminated or frankly infected surgical field. All three patients were successfully treated using open native visceral artery transposition procedures. These cases presented multiple challenges secondary to the ongoing infections, infected operative field, and, sometimes, a history of multiple vascular bypasses involving the aorta and visceral arteries. In such circumstances, we have demonstrated the effectiveness of native visceral arterial transposition as a feasible technique.http://www.sciencedirect.com/science/article/pii/S2468428724001540ComplicationPostoperative infectionTranspositionVascular infection |
| spellingShingle | Richard S. Whitlock, MD Vivek A. Patel, MD Joseph L. Mills, Sr., MD Zachary S. Pallister, MD Ramyar Gilani, MD Use of arterial transposition for vascular reconstruction within contaminated or infected abdominal fields Journal of Vascular Surgery Cases and Innovative Techniques Complication Postoperative infection Transposition Vascular infection |
| title | Use of arterial transposition for vascular reconstruction within contaminated or infected abdominal fields |
| title_full | Use of arterial transposition for vascular reconstruction within contaminated or infected abdominal fields |
| title_fullStr | Use of arterial transposition for vascular reconstruction within contaminated or infected abdominal fields |
| title_full_unstemmed | Use of arterial transposition for vascular reconstruction within contaminated or infected abdominal fields |
| title_short | Use of arterial transposition for vascular reconstruction within contaminated or infected abdominal fields |
| title_sort | use of arterial transposition for vascular reconstruction within contaminated or infected abdominal fields |
| topic | Complication Postoperative infection Transposition Vascular infection |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724001540 |
| work_keys_str_mv | AT richardswhitlockmd useofarterialtranspositionforvascularreconstructionwithincontaminatedorinfectedabdominalfields AT vivekapatelmd useofarterialtranspositionforvascularreconstructionwithincontaminatedorinfectedabdominalfields AT josephlmillssrmd useofarterialtranspositionforvascularreconstructionwithincontaminatedorinfectedabdominalfields AT zacharyspallistermd useofarterialtranspositionforvascularreconstructionwithincontaminatedorinfectedabdominalfields AT ramyargilanimd useofarterialtranspositionforvascularreconstructionwithincontaminatedorinfectedabdominalfields |