Document Detail


The management of aortic stent-graft infection: endograft removal versus conservative treatment.
MedLine Citation:
PMID:  20097522     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Aortic stent-graft infections (ASGIs) are associated with significant mortality. We report our experience of two cases of ASGI treated differently and successfully. METHODS: Two patients presented with constitutional symptoms some months after scheduled endovascular repair of aortic aneurysm (EVAR). Patient 1 had an abscess formation around the endograft in continuity with the right groin. Due to patient comorbidities, a conservative treatment was performed. Patient 2 had an abscess formation with air surrounding the stent graft. The patient was treated successfully by endograft removal. RESULTS: Computed tomographic scan follow-up at 6 months from surgery showed no evidence of recurrent infection. CONCLUSION: Despite the recommended treatment of ASGI being surgery, conservative treatment can be performed successfully in patients with high surgical risk, avoiding aortic clamping. We present the first reported case of ASGI due to Streptococcus haemolyticus, the second case due to a fungus, and the second reported case of spondylodiscitis after EVAR.
Authors:
Montse Blanch; Jennifer Berjón; Ramon Vila; Josep Maria Simeon; Antonio Romera; Santiago Riera; Marc Antoni Cairols
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-01-25
Journal Detail:
Title:  Annals of vascular surgery     Volume:  24     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-10     Completed Date:  2010-08-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  554.e1-5     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Angiology and Vascular Surgery, Hospital Universitari de Bellvitge, 08907 Barcelona, Spain. montse.blanch@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Abdominal Abscess / microbiology,  radiography,  therapy*
Aged
Anti-Bacterial Agents / therapeutic use*
Aortic Aneurysm / surgery*
Aortography / methods
Blood Vessel Prosthesis / adverse effects*
Blood Vessel Prosthesis Implantation / adverse effects*,  instrumentation
Candida albicans / isolation & purification
Debridement*
Device Removal*
Discitis / etiology
Enterobacter cloacae / isolation & purification
Humans
Male
Propionibacterium / isolation & purification
Prosthesis-Related Infections / microbiology,  radiography,  therapy*
Stents / adverse effects*
Streptococcus / isolation & purification
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

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


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