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Srpski arhiv za celokupno lekarstvo 2019 Volume 147, Issue 1-2, Pages: 81-84
https://doi.org/10.2298/SARH180125031J
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The use of a vascular patch CorMatrix ECM® for reconstruction of carotid arteries in the treatment of postoperative wound infection

Janczak Dariusz (4th Military Teaching Hospital, Department of Surgery, Wroclaw, Poland + Wroclaw Medical University, Faculty of Health Science, Division of Surgical Procedures, Wroclaw, Poland)
Leśniak Michał (4th Military Teaching Hospital, Department of Surgery, Wroclaw, Poland + Wroclaw Medical University, Faculty of Health Science, Division of Surgical Procedures, Wroclaw, Poland)
Pormańczuk Kornel (4th Military Teaching Hospital, Department of Surgery, Wroclaw, Poland + Wroclaw Medical University, Faculty of Health Science, Division of Surgical Procedures, Wroclaw, Poland)
Ziomek Agnieszka (4th Military Teaching Hospital, Department of Surgery, Wroclaw, Poland + Wroclaw Medical University, Faculty of Health Science, Division of Surgical Procedures, Wroclaw, Poland)
Maciej Malinowski (4th Military Teaching Hospital, Department of Surgery, Wroclaw, Poland + Wroclaw Medical University, Faculty of Health Science, Division of Surgical Procedures, Wroclaw, Poland)
Chabowski Mariusz (4th Military Teaching Hospital, Department of Surgery, Wroclaw, Poland + Wroclaw Medical University, Faculty of Health Science, Division of Surgical Procedures, Wroclaw, Poland)

Introduction. Operation site infection after carotid endarterectomy is a rare, but potentially fatal complication. The aim of this paper was to present two cases of using CorMatrix ECMR patch for reconstruction of a damaged artery in the course of an operation site infection. Outline of cases. There was an infection and pseudoaneurysm formation in these patients after carotid endarterectomy; one of them ruptured, causing massive hemorrhage. In both cases, carotid artery was reconstructed using CorMatrix ECMR patch resulting in resolution of infection and postoperative wounds healing with maintained complete patency of carotid arteries. Conclusion. The vascular patch of the extracellular matrix CorMatrix ECMR enables successful and safe angioplasty of an artery.

Keywords: operation site infection, carotid endarterectomy, artery reconstruction