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Thorac Cardiovasc Surg 2022; 70(08): 645-651
DOI: 10.1055/s-0041-1723000
Original Cardiovascular

Ovine Biosynthetic Grafts for Aortoiliac Reconstructions in Nonsterile Operative Fields

Hazem El Beyrouti
1   Department of Cardiothoracic and Vascular Surgery, Johannes Gutenberg University Hospital Mainz, Mainz, Rheinland-Pfalz, Germany
,
Mohammad Bashar Izzat
2   Department of Surgery, Damascus University, Damascus, Syrian Arab Republic
,
Angela Kornberger
1   Department of Cardiothoracic and Vascular Surgery, Johannes Gutenberg University Hospital Mainz, Mainz, Rheinland-Pfalz, Germany
,
Nancy Halloum
1   Department of Cardiothoracic and Vascular Surgery, Johannes Gutenberg University Hospital Mainz, Mainz, Rheinland-Pfalz, Germany
,
Kathrin Dohle
1   Department of Cardiothoracic and Vascular Surgery, Johannes Gutenberg University Hospital Mainz, Mainz, Rheinland-Pfalz, Germany
,
Tran Tong Trinh
3   Department of Vascular Surgery, Faculty of Medicine, University of Cologne, Koln, Nordrhein-Westfalen, Germany
,
Christian-Friedrich Vahl
1   Department of Cardiothoracic and Vascular Surgery, Johannes Gutenberg University Hospital Mainz, Mainz, Rheinland-Pfalz, Germany
,
Bernhard Dorweiler
3   Department of Vascular Surgery, Faculty of Medicine, University of Cologne, Koln, Nordrhein-Westfalen, Germany
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Abstract

Background Prosthetic vascular grafts placed surgically or via endovascular techniques can be subject to the risk of life-threatening graft infections. The Omniflow II vascular prosthesis is a biosynthetic graft that was reported to have favorable properties in resisting infections.

Materials and Methods We retrospectively reviewed our 3 years' experience of using the Omniflow II prostheses for aortoiliac reconstructions in patients considered to carry a substantial risk of subsequent prosthetic graft infections (prevention group) as well as in patients with actively infected prosthetic vascular grafts (treatment group).

Results Aorto-bi-iliac (n = 4) and aortobifemoral (n = 12) vascular reconstructions were performed using bifurcated Omniflow II prostheses in nine patients in the prevention group and seven patients in the treatment group. During mean follow-up of 28.6 ± 17.2 months, there was one case of graft infection (6.3%) and graft thrombosis (6.3%) with subsequent successful thrombectomy. Early and late surgical revisions were required in eight (50%) and two (12.6%) patients, respectively. All graft prostheses were patent at last follow-up.

Conclusion Using bifurcated Omniflow II vascular prostheses in patients with or at a high risk of vascular graft infection is advisable, and is associated with acceptable reinfection and patency rates.

Keywords

aorta - biosynthetic - graft - infection - prosthesis - vascular - endovascular


Publikationsverlauf

Eingereicht: 14. Oktober 2020

Angenommen: 14. Dezember 2020

Artikel online veröffentlicht:
04. Februar 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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