Turkiye Klinikleri Cardiovascular Sciences

.: CASE REPORTS
Tekrarlayan Greft Tıkanıklığı Olan Bacakta Endovasküler Yöntemle Nativ Damara Dönüş ve Enfekte Greftlerin Eksizyonu
Returning to Native Vessels with Endovascular Method and Excision of Infected Grafts in the Limb with Recurrent Graft Occlusion
Ferhat BORULUa, Yusuf VELİOĞLUb
aKalp ve Damar Cerrahisi AD, Atatürk Üniversitesi Tıp Fakültesi, Erzurum, TÜRKİYE
bKalp ve Damar Cerrahisi AD, Bolu Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Bolu, TÜRKİYE
Turkiye Klinikleri J Cardiovasc Sci. 2019;31(1):63-8
doi: 10.5336/cardiosci.2018-64280
Article Language: TR
Full Text
ÖZET
 Vasküler cerrahide kullanılan greftlerin enfeksiyonları, hem cerrahi hem medikal tedbirler alınmasına rağmen hasta ve hekim açısından ciddi sorunlara neden olan önemli bir problem olarak karşımıza çıkmaktadır. Tanısının konulmasında ve tedavisinin planlanmasındaki zorluklar bu durumu iyice karmaşık bir hâle getirmektedir. Bu klinik tablonun ciddi sonuçları olduğu göz önünde bulundurularak hastanın iyi bir değerlendirmeden geçirilmesi gerekmektedir. Tanı kesinleştikten sonra, tedavide ciddi bir antibiyoterapiyle beraber greftin eksizyonu ve gerekirse revaskülarizasyonun yeniden sağlanması gerekliliği klinik tabloya göre değişebilmektedir. Bu çalışmada, tekrarlayan greft tıkanıklığı ve sonrasında enfekte olan infrainguinal greftli bir olgumuzda uygulamış olduğumuz tedavi stratejimizin paylaşılması amaçlanmıştır.

Anahtar Kelimeler: Greft enfeksiyonu; endovasküler revaskülarizasyon
ABSTRACT
 Infections of grafts used in vascular surgery, despite both surgical and medical measures, are an important problem that causes serious problems for the patient and the physician. Difficulties in diagnosing and planning treatment make this situation more complicated. Considering the serious consequences of this clinical picture, the patient should be evaluated well. After the diagnosis is confirmed, the excision of the graft with a serious antibiotherapy and the need to restore the revascularization, if necessary, may vary depending on the clinical picture. The aim of this article is to share our treatment strategy in a patient with recurrent graft occlusion and an infected graft.

Keywords: Graft infection; endovascular revascularization
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