Author/Editor		Gasparini, Mladen
Title		Slikovna diagnostika okužbe žilnih vsadkov
Type		članek
Source		In: Blinc A, Kozak M, Šabovič M, editors. Slikovne metode v odkrivanju in zdravljenju žilnih bolezni. Letno srečanje Združenja za žilne bolezni SZD; 2005 maj; Ljubljana. Ljubljana: Združenje za žilne bolezni,
Publication year		2005
Volume		str. 49-57
Language		slo
Abstract		Prosthetic graft infection is a serious complication in vascular surgery and can lead to limb loss or death. The incidence of grafts infections is between 1% and 5% in operated patients. The diagnosis is made by considering the clinical findings, imaging studies and microbiologic results. Ultrasonografy is usefull primarly in the detection of graft infection on a limb or groin. When the graft is located in the thorax or abdomen, computer tomografy is the most efficacious imaging method. Alternatively, magnetic resonance imaging could be used in cases where small colletion of periprosthetic fluid is suspected. Scintigraphy with labeled leukocytes is a complementary diagnostic tool with high sensitivity but limited by the significant tendency toward false-positive results. Angiography is important in planning the revascularisation after graft excision. Standard treatment of prosthetic vascular graft infection is total graft excision and revascularisation with an extraanatomic bypass.
Descriptors		BLOOD VESSEL PROSTHESIS INFECTION ULTRASONOGRAPHY, DOPPLER, DUPLEX TOMOGRAPHY, X-RAY COMPUTED MAGNETIC RESONANCE IMAGING ANGIOGRAPHY RADIONUCLIDE ANGIOGRAPHY