The study included 31 patients with infection of a synthetic prosthesis after arterial reconstructions in the pathology of the aorto-femoral segment. 9 patients (29%) after removal of the infected prosthesis, revascularization was performed by means of a non-anatomic shunting using synthetic material and 21 (67.7%) restoration of blood flow in the lower extremities was performed using donor arterial grafts. In one case (3.2%), the infected prosthesis was not removed. In the main group, using donor arteries, a positive result of 66.7% was achieved. The results allow us to conclude that the use of biological materials (donor arterial allografts) for repeated reconstructive interventions under conditions of a purulent-septic process is more effective and allows improving the results of treatment of this category of patients.

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