{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:40:14Z","timestamp":1648600814828},"reference-count":24,"publisher":"Akademiai Kiado Zrt.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,2,1]]},"abstract":"<jats:p>\n          <jats:italic>Bevezet\u00e9s:<\/jats:italic> Az atherosclerosis okozta kr\u00f3nikus, s\u00falyos kering\u00e9szavarral j\u00e1r\u00f3 perif\u00e9ri\u00e1s \u00e9rsz\u0171k\u00fcletek kezel\u00e9s\u00e9re a medencei r\u00e9gi\u00f3ban a leggyakrabban v\u00e9gzett m\u0171t\u00e9ti beavatkoz\u00e1sok a thrombendarterectomia (TEA) vagy az \u00e1thidal\u00f3 (bypass) megold\u00e1sok. Bypass sor\u00e1n biol\u00f3giai vagy szintetikus graftok haszn\u00e1latosak. A szintetikus graftokkal v\u00e9gzett \u00e9rm\u0171t\u00e9teket k\u00f6vet\u0151en fokozott a vesz\u00e9lye a graftfert\u0151z\u00e9s kialakul\u00e1s\u00e1nak, aminek medencei folyamatokban 70\u201375% a hal\u00e1loz\u00e1si ar\u00e1nya. Egy szeptikus aortobifemoralis graft eset\u00fcnk ismertet\u00e9s\u00e9nek t\u00fckr\u00e9ben szeretn\u00e9nk bemutatni a k\u00e9rd\u00e9sk\u00f6r indik\u00e1ci\u00f3s neh\u00e9zs\u00e9geit, dilemm\u00e1it. <jats:italic>Esetismertet\u00e9s:<\/jats:italic> 58 \u00e9ves n\u0151beteg jobb als\u00f3 v\u00e9gtagi trophicus ulcusa h\u00e1tter\u00e9ben az elv\u00e9gzett DSA aortobiiliacalis stenosist, illetve occlusi\u00f3t igazolt, mely miatt Dacron grafttal aortobifemoralis bypassm\u0171t\u00e9tet v\u00e9gezt\u00fcnk. Graftsz\u00e1r-reocclusio kapcs\u00e1n \u00e9szlelt\u00fck a m\u0171\u00e9r fert\u0151z\u00e9s\u00e9t, \u00edgy in situ silver Dacron graftcsere mellett d\u00f6nt\u00f6tt\u00fcnk. Az ism\u00e9telt egyoldali elz\u00e1r\u00f3d\u00e1st femorofemoralis crossover bypassm\u0171t\u00e9t\u00e9ttel oldottuk meg, szint\u00e9n ez\u00fcsttel impregn\u00e1lt m\u0171\u00e9r felhaszn\u00e1l\u00e1s\u00e1val. Fentiek ellen\u00e9re a szeptikus folyamat progredi\u00e1lt, ez\u00e9rt a m\u0171erek explant\u00e1ci\u00f3j\u00e1ra k\u00e9nyszer\u00fclt\u00fcnk egyidej\u0171 autol\u00f3g m\u00e9lyv\u00e9na-\u00e1thidal\u00e1s alkalmaz\u00e1s\u00e1val. <jats:italic>\u00d6sszefoglal\u00e1s:<\/jats:italic> A szeptikus sz\u00f6v\u0151dm\u00e9nyek megold\u00e1s\u00e1ra ismeretesek extraanatomikus \u00e9s lok\u00e1lis megold\u00e1sok. Medencei fert\u0151z\u00e9sekben a legjobb eredm\u00e9nyeket az autol\u00f3g m\u00e9lyv\u00e9n\u00e1val v\u00e9gzett \u00e1thidal\u00e1sok adj\u00e1k. Az infekci\u00f3 elimin\u00e1l\u00e1sa szempontj\u00e1b\u00f3l is ez a leghat\u00e9konyabb elj\u00e1r\u00e1s, de egy\u00fattal a legmegterhel\u0151bb beavatkoz\u00e1s is a m\u0171t\u00e9ti id\u0151 meghosszabbod\u00e1sa \u00e9s a v\u00e9rveszt\u00e9s miatt. Az ide\u00e1lis m\u0171t\u00e9ti technika megv\u00e1laszt\u00e1sa mindig individu\u00e1lis kell hogy legyen, m\u00e9rlegelve a beteg \u00e9letkor\u00e1t, terhelhet\u0151s\u00e9g\u00e9t, a rendelkez\u00e9sre \u00e1ll\u00f3 technikai \u00e9s infrastruktur\u00e1lis h\u00e1tteret.<\/jats:p>","DOI":"10.1556\/maseb.68.2015.1.3","type":"journal-article","created":{"date-parts":[[2015,2,23]],"date-time":"2015-02-23T02:01:19Z","timestamp":1424656879000},"page":"12-17","source":"Crossref","is-referenced-by-count":1,"title":["Dilemmas of the reconstruction of the major pelvic artery due to infectious aortic graft complication"],"prefix":"10.1556","volume":"68","author":[{"given":"Ildik\u00f3","family":"Szelechman","sequence":"first","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar \u00c9rseb\u00e9szeti Klinika 7623 P\u00e9cs R\u00e1k\u00f3czi \u00fat 2. Pf. 172."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Jancs\u00f3","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar \u00c9rseb\u00e9szeti Klinika 7623 P\u00e9cs R\u00e1k\u00f3czi \u00fat 2. Pf. 172."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gergely","family":"Vad\u00e1sz","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar \u00c9rseb\u00e9szeti Klinika 7623 P\u00e9cs R\u00e1k\u00f3czi \u00fat 2. Pf. 172."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Kasza","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar \u00c9rseb\u00e9szeti Klinika 7623 P\u00e9cs R\u00e1k\u00f3czi \u00fat 2. Pf. 172."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"S\u00ednay","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar \u00c9rseb\u00e9szeti Klinika 7623 P\u00e9cs R\u00e1k\u00f3czi \u00fat 2. Pf. 172."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e1bor","family":"Fazekas","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar \u00c9rseb\u00e9szeti Klinika 7623 P\u00e9cs R\u00e1k\u00f3czi \u00fat 2. Pf. 172."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e9ter","family":"Hardi","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar \u00c9rseb\u00e9szeti Klinika 7623 P\u00e9cs R\u00e1k\u00f3czi \u00fat 2. Pf. 172."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tibor","family":"Nagy","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar \u00c9rseb\u00e9szeti Klinika 7623 P\u00e9cs R\u00e1k\u00f3czi \u00fat 2. Pf. 172."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Benk\u0151","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar \u00c9rseb\u00e9szeti Klinika 7623 P\u00e9cs R\u00e1k\u00f3czi \u00fat 2. Pf. 172."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melinda","family":"Gad\u00e1csi","sequence":"additional","affiliation":[{"name":"1 P\u00e9csi Tudom\u00e1nyegyetem \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar \u00c9rseb\u00e9szeti Klinika 7623 P\u00e9cs R\u00e1k\u00f3czi \u00fat 2. 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