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European Society for Vascular Surgery (ESVS) 2020 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections https://esvs.org/wp-content/uploads/2... #VascularGraftInfection #EndograftInfection #ESVSGuidelines #Diagnosis #Prevention #Treatment #Surgery #Antibiotics #MDT #AorticGraftInfection #PeripheralGraftInfection #AortoentericFistula #MAGICCriteria This video provides a deep dive into the 2020 European Society for Vascular Surgery guidelines on vascular graft and endograft infections. These first-ever guidelines from major societies aim to assist specialist clinicians with diagnosis, prevention, and treatment of this complex problem. Diagnosis is guided by the MAGIC criteria, combining clinical, radiological, and lab findings. Imaging typically starts with CTA, with nuclear imaging like FDG-PET-CT or WBCS-SPECT-CT recommended if CTA is non-convincing. Prevention is crucial and includes mandatory perioperative broad-spectrum IV antibiotics (Class 1, Level A) and considering dental sepsis elimination and prophylaxis (Class 2a, Level C). Treatment necessitates a multidisciplinary team in a specialized center (Class 1, Level C). Antimicrobial therapy is mandatory (Class 1, Level B), often lifelong if the graft remains, and managed by infectious disease specialists. Surgical explantation is the cornerstone for fit patients (Class 1, Level B), with reconstruction using autologous vein or allografts often covered by tissue flaps (Class 1, Level B for omentoplasty). Endovascular treatment is generally not recommended definitively (Class 3, Level C), serving mainly as a temporary bridge in bleeding emergencies (Class 2a, Level C). Guidelines cover location-specific strategies and highlight unresolved issues, stressing the need for prospective registries. Patient feedback revealed inadequate pre-procedure risk info and fragmented care post-diagnosis.