Aortic prosthetic graft infections: Radiologic manifestations and implications for management

Donald F. Orton, Robert F. LeVeen, Jean A. Saigh, William C. Culp, Jeff L. Fidler, Thomas J. Lynch, Timothy C. Goertzen, Timothy C. McCowan

Research output: Contribution to journalArticle

168 Citations (Scopus)

Abstract

Prosthetic graft infections are an uncommon complication of aortic bypass. These infections may have serious sequelae such as limb loss and can be lethal. They are hard to eradicate and, under certain circumstances, difficult to diagnose. Usually, computed tomography (CT) is the most efficacious imaging method for diagnosis of graft infections due to its quick availability. The sensitivity of magnetic resonance imaging in detection of perigraft infection has not been thoroughly investigated but is probably similar to that of CT. After the early postoperative period, persistent or expanding perigraft soft tissue, fluid, and gas are the CT findings of graft infection. Aortoenteric fistula should be considered a subset of aortic graft infection; however, perigraft air is more likely to be seen with an aortoenteric fistula. Other conditions associated with graft infection include pseudoaneurysm, hydronephrosis, and osteomyelitis. Adjunctive studies such as sinography, ultrasonography, gallium scanning, and labeled white blood cell scanning can be quite useful in diagnosis, determination of the extent of disease, and selection of the treatment modality. White blood cell scanning is an important complementary test to CT in ambiguous cases, such as in the early postoperative period, and may be more sensitive in detection of early graft infection.

Original languageEnglish (US)
Pages (from-to)977-993
Number of pages17
JournalRadiographics
Volume20
Issue number4
DOIs
StatePublished - Jan 1 2000

Fingerprint

Transplants
Infection
Tomography
Postoperative Period
Fistula
Leukocytes
Gallium
Hydronephrosis
False Aneurysm
Osteomyelitis
Ultrasonography
Extremities
Gases
Air
Magnetic Resonance Imaging

Keywords

  • Aorta, grafts and prostheses, 89.457, 943.4522, 981.4522
  • Aorta, surgery, 89.457, 943.4522, 981.4522
  • Grafts, infection, 89.458, 943.458, 981.4522

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Orton, D. F., LeVeen, R. F., Saigh, J. A., Culp, W. C., Fidler, J. L., Lynch, T. J., ... McCowan, T. C. (2000). Aortic prosthetic graft infections: Radiologic manifestations and implications for management. Radiographics, 20(4), 977-993. https://doi.org/10.1148/radiographics.20.4.g00jl12977

Aortic prosthetic graft infections : Radiologic manifestations and implications for management. / Orton, Donald F.; LeVeen, Robert F.; Saigh, Jean A.; Culp, William C.; Fidler, Jeff L.; Lynch, Thomas J.; Goertzen, Timothy C.; McCowan, Timothy C.

In: Radiographics, Vol. 20, No. 4, 01.01.2000, p. 977-993.

Research output: Contribution to journalArticle

Orton, DF, LeVeen, RF, Saigh, JA, Culp, WC, Fidler, JL, Lynch, TJ, Goertzen, TC & McCowan, TC 2000, 'Aortic prosthetic graft infections: Radiologic manifestations and implications for management', Radiographics, vol. 20, no. 4, pp. 977-993. https://doi.org/10.1148/radiographics.20.4.g00jl12977
Orton, Donald F. ; LeVeen, Robert F. ; Saigh, Jean A. ; Culp, William C. ; Fidler, Jeff L. ; Lynch, Thomas J. ; Goertzen, Timothy C. ; McCowan, Timothy C. / Aortic prosthetic graft infections : Radiologic manifestations and implications for management. In: Radiographics. 2000 ; Vol. 20, No. 4. pp. 977-993.
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