Analysis of Infectious Complications of Artificial Vascular Prostheses after Operations on the Aorta-Iliac-Femoral Segment
Purpose. To analyze the factors of infectious complications of artificial vascular prostheses and the results of repeated surgical treatment. Materials and methods. We analyzed 609 medical records of inpatient patients. We identified and analyzed 25 cases with synthetic conduit infection after reconstructive vascular interventions on the aorta-iliac-femoral segment. Results. The article describes the infectious complications of patients with artificial vascular prostheses. A possible infectious agent has been identified. The ways of infection of the vascular prosthesis and the time period of development of infectious complications were determined. The results of active surgical tactics in the infection of synthetic vascular prostheses are presented. Conclusions. The infection rate of artificial vascular prostheses after reconstructive operations in the aorta-iliac-femoral segment 4.1%. A significant role of the contact pathway and bacteria of the genus Staphylococcus in the development of infection of artificial vascular prostheses has been established. The development of infectious complications mainly occurred within 1.5 years from the moment of surgery and a 16.7% mortality rate of patients was established, despite active surgical treatment.