For Patients: Vascular Graft and Endograft Infections скачать в хорошем качестве

For Patients: Vascular Graft and Endograft Infections

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 This video discusses the 2020 European Society for Vascular Surgery guidelines on vascular graft and endograft infections. These infections are serious complications of vascular surgery. The guidelines provide a roadmap for diagnosis, prevention, and treatment. Risk factors include patient health (diabetes, obesity) and procedure specifics (emergency surgery, wound complications). Diagnosis uses the MAGIC criteria, combining clinical signs, imaging, and lab tests. CTA is the usual first imaging step, with nuclear imaging like FDG-PET-CT or WBCS-SPECT-CT used if CTA is unclear. Prevention is crucial, including mandatory perioperative antibiotics. Treatment requires a multidisciplinary team in a specialized center. Antibiotics are mandatory, often lifelong. For medically fit patients, surgical removal of the infected graft is the cornerstone. Reconstruction involves either in situ placement of a new graft (often patient's vein) or an extra-anatomic bypass. Endovascular treatment is generally not a definitive solution but may be a temporary measure for bleeding. Patient feedback highlighted issues with pre-procedure risk communication and fragmented post-diagnosis care. Significant research gaps remain, particularly requiring large registries for better evidence.