Infected endoluminal stent-graft: implications for endotension, late endoleaks, and prophylactic antibiotics.
J Endovasc Ther
; 12(6): 654-9, 2005 Dec.
Article
em En
| MEDLINE
| ID: mdl-16363894
ABSTRACT
PURPOSE:
To retrospectively review a case of stent-graft infection that presented as continued aneurysm expansion after endoluminal repair. CASE REPORT A 75-year-old man with an asymptomatic 6.1-cm abdominal aortic aneurysm (AAA) was treated with a Talent stent-graft, which was complicated by postimplantation syndrome. At 1 year, a secondary intervention was performed for migration with type I endoleak. Despite the absence of a demonstrable endoleak thereafter, the AAA continued to expand until it was 9 cm in diameter and symptomatic. At this stage, 6 months after the secondary procedure, the graft was explanted and an axillobifemoral graft inserted. Propionibacterium acnes was cultured from all specimens of thrombus, aortic wall, and graft. The patient recovered and was asymptomatic until his death from myocardial infarction 6 months after discharge.CONCLUSIONS:
Stent-graft infection may be a cause of unexplained endotension. Special culture techniques may be required to identify the infecting organism. Prophylactic antibiotics against skin organisms should be considered for all implantations and arterial diagnostic and therapeutic procedures traversing a stent-graft.
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Base de dados:
MEDLINE
Assunto principal:
Infecção da Ferida Cirúrgica
/
Infecções Relacionadas à Prótese
/
Aneurisma da Aorta Abdominal
/
Antibioticoprofilaxia
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
J Endovasc Ther
Assunto da revista:
ANGIOLOGIA
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Nova Zelândia