AORTIC GRAFT INFECTION - THE VALUE OF PERCUTANEOUS DRAINAGE

OBJECTIVE. The goal of this study was to compare patients with aortic graft infection treated by primary percutaneous drainage with patients who initially underwent surgery. MATERIALS AND METHODS. A retrospecti ve review of 23 consecutive patients treated for aortic graft infectio n was performed. Eleven patients were initially treated with percutane ous drainage and 12 were treated with surgery. The morbidity, mortalit y and postprocedural reintervention rates and clinical outcome were an alyzed for each group. RESULTS. The septic process resolved in nine (8 2%) of 11 patients treated with percutaneous drainage. Of these nine p atients, four were treated with percutaneous drainage alone. Drainage was followed by removal of the infected prosthetic graft in the remain ing five patients, In the surgical group, sepsis resolved in only four patients (33%) (p =.036). No periprocedural deaths occurred in the pe rcutaneous drainage group, whereas six patients in the surgical group died in the perioperative period (p =.014), CONCLUSION. Percutaneous d rainage can be used as an initial form of treatment in the management of aortic graft infections. Surgery after percutaneous drainage appear s to be safer than surgery alone.