Document Detail


Percutaneous drainage of aortic aneurysm sac abscesses following endovascular aneurysm repair.
MedLine Citation:
PMID:  20675322     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report preliminary experiences with the treatment of aortic aneurysm sac abscesses following prior endovascular aortic aneurysm repair (EVAR) using computerized tomography (CT)-guided percutaneous drainage.
CASE REPORTS: Three patients aged 73 to 78 years with aortic aneurysm sac infections following prior EVAR, 2 of which were associated with aortoduodenal fistula, underwent CT-guided percutaneous drainage and catheter placement. One patient had complete resolution of the aortic aneurysm sac abscess following percutaneous drainage; 1 patient was stabilized to eventual extraanatomic bypass, graft explantation, and fistula repair; and 1 patient was temporized to debridement and fistula repair with endograft preservation.
CONCLUSION: CT-guided percutaneous drainage may be a helpful therapy in selected patients for the treatment of aortic aneurysm sac infections following EVAR.
Authors:
D S Pryluck; S Kovacs; T S Maldonado; G R Jacobowitz; M A Adelman; H C Charles; T W I Clark
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-07-30
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  44     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-18     Completed Date:  2011-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  701-7     Citation Subset:  IM    
Affiliation:
Division of Vascular and Interventional Radiology, Department of Radiology, New York University School of Medicine, NYU Langone Medical Center, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Abscess / microbiology,  radiography,  surgery*
Aged
Aged, 80 and over
Aneurysm, Infected / microbiology,  radiography,  surgery*
Anti-Bacterial Agents / therapeutic use
Aortic Aneurysm / surgery*
Aortography / methods
Blood Vessel Prosthesis / adverse effects*
Blood Vessel Prosthesis Implantation / adverse effects*,  instrumentation
Debridement
Device Removal
Drainage / methods*
Endovascular Procedures / adverse effects*,  instrumentation
Humans
Male
Prosthesis-Related Infections / microbiology,  radiography,  surgery*
Radiography, Interventional
Reoperation
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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