Program Book - Keck School of Medicine of USC - University of ...

Partial versus Total GraftExcision for Infection• Ryan, et al, J Vasc Surg, 2004• 51 graft infections treated with total excision (13),subtotal excision (15) or partial excision &preservation (23)• Management determined by extent of infection• Total and subtotal excisions all healed w/o recurrence• 74% (17/23) of partial excisions healed and remainedpatent• 6 failures required later total excision• Concluded selective management strategy wassuccessfulPartial versus Total GraftExcision for Infection• Walz & Ladowski, Ann Vasc Surg, 2005• 84 cases, total excision(26), subtotal excision(28), partial excision & preservation(30)• 46.7% (14/30) partially excised groupdeveloped recurrent infection• 44.4% of recurrences occurred within 6months• Concluded that partial excision preserves site,graft patency and avoids catheter but withsignificant recurrent infection ratePartial versus Total GraftExcision for InfectionSchutte et al, Am J Surg, 2007, 193:385 -388106