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Revista Mexicana de Angiología

Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular
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2018, Number 4

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Rev Mex Angiol 2018; 46 (4)

Infección de sitio quirúrgico en endarterectomía con uso de parche de Dacrón

Soto-Hernández G, Hernández-Rejón MI, Vargas-Robles MA
Full text How to cite this article

Language: Spanish
References: 6
Page: 195-200
PDF size: 243.37 Kb.


Key words:

Endarterectomy, infection, carotid, Dacron.

ABSTRACT

Objective. Present the case of a patient with surgical site infection after carotid endarterectomy and its treatment. Introduction. Carotid disease is a frequent cause of cerebrovascular events; endarterectomy significantly reduces the incidence of such events. There are several techniques for carotid artery repair, better results have been reported with the use of patches. However, the use of synthetic materials increases the incidence of infection at the surgical site.
Case report. Male patient with multiple cardiovascular risk factors, who presents surgical site infection after carotid endarterectomy. He underwent surgical management and antibiotic therapy, presenting satisfactory evolution.
Conclusions. Dacron patch infection in endarterectomy is infrequent with an incidence of 0.25-0.5%; However, it represents high rates of morbidity and mortality, which is why it is important to study, prevent and treat it promptly.


REFERENCES

  1. Knight BC, Tait WF. Dacron Patch Infection Following Carotid Endarterectomy: A Systematic Review of the Literature. Eur J Vasc Endovasc Surg 2009; 37(2): 140-8.

  2. Zhang Y, Guo X, Song Y, Miao C, Zhang C, Chen N. Diagnosis and Treatment of Vascular Surgery Related Infection Open Biomed Eng J 2015; 9: 250-5.

  3. Homer-Vanniasinkam S. Surgical site and vascular infections: treatment and prophylaxis. Int J Infect Dis 2007; 11 (Suppl. 1).

  4. Krishnan S, Clowes AW. Dacron patch infection after carotid endarterectomy: Case report and review of the literature. Ann Vasc Surg 2006; 20(5): 672-7.

  5. Asciutto G, Geier B, Marpe B, Hummel T, Mumme A. Dacron Patch Infection After Carotid Angioplasty. A Report of 6 Cases. Eur J Vasc Endovasc Surg 2007; 33(1): 55-7.

  6. Fujii T, Watanabe Y. Multidisciplinary Treatment Approach for Prosthetic Vascular Graft Infection in the Thoracic Aortic Area. Ann Thoracic and Cardiovascular Surg 2015; 21(5): 418-27.




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C?MO CITAR (Vancouver)

Rev Mex Angiol. 2018;46