Dacron patch infection after carotid endarterectomy: case report and review of the literature

Ann Vasc Surg. 2006 Sep;20(5):672-7. doi: 10.1007/s10016-006-9064-5. Epub 2006 Jun 7.

Abstract

Patch angioplasty of the carotid artery after endarterectomy is a widely utilized technique with potential benefits of perioperative and long-term stroke risk reduction as well as a decreased incidence of recurrent stenosis. One of the complications of using a synthetic material as a patch is the development of prosthetic patch infection. We present a case report of a patient who was treated at our institution with such a complication and review the literature on this rare occurrence. The risk factors, workup, diagnosis, and treatment of prosthetic patch infection are reviewed. Despite the serious nature of this problem, surgical treatment is associated with minimal morbidity and an acceptable postoperative mortality and stroke rate.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Angioplasty* / methods
  • Carotid Artery, Internal* / diagnostic imaging
  • Carotid Artery, Internal* / surgery
  • Device Removal
  • Endarterectomy, Carotid* / methods
  • Female
  • Humans
  • Polyethylene Terephthalates / adverse effects*
  • Prosthesis-Related Infections / diagnostic imaging
  • Prosthesis-Related Infections / etiology*
  • Prosthesis-Related Infections / microbiology
  • Prosthesis-Related Infections / surgery
  • Staphylococcal Infections / diagnosis
  • Ultrasonography

Substances

  • Polyethylene Terephthalates