Document Detail


MRSA-infected external iliac artery pseudoaneurysm treated with endovascular stenting.
MedLine Citation:
PMID:  15886935     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 48-year-old woman with severe juvenile-onset rheumatoid arthritis presented with a bleeding cutaneous sinus distal to her right total hip replacement scar. Methicillin resistant Staphylococcus aureus (MRSA) was isolated on culture. She had previously undergone bilateral total hip and knee replacements at aged 23 and six years later had the right knee prosthesis removed for infection, with subsequent osteomyelitis of the femoral shaft and right total hip prosthesis disruption. Peripheral arteriography was performed in view of persistent bleeding from the sinus, which revealed a 6 cm false aneurysm filling from and compressing the right external iliac artery (EIA). A PTFE-covered, balloon expandable JOSTENT was deployed in the right EIA, successfully excluding the false aneurysm and preventing further bleeding from the sinus. No graft infection was reported at 12 months. This case illustrates the potential use of endovascular stent-grafting in the treatment of an infected pseudoaneurysm.
Authors:
M G Clarke; H G Thomas; J F Chester
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  28     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2005 May-Jun
Date Detail:
Created Date:  2005-06-03     Completed Date:  2005-09-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  364-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, Taunton & Somerset Hospital, Musgrove Park, Taunton, TA1 5DA, UK.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / microbiology*,  surgery
Aneurysm, Infected / surgery*
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation
Cutaneous Fistula / microbiology
Female
Humans
Iliac Aneurysm / microbiology*,  surgery
Methicillin Resistance*
Middle Aged
Polytetrafluoroethylene
Staphylococcal Infections / surgery*
Stents*
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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