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- Title
Nonspecific Presentation of an Infected Aorto-Iliac Artery Stent Following Endovascular Revision and Stent Insertion.
- Authors
Ayyad, Mohammed; Ayasa, Laith A.; Shbaita, Sara; Qozat, Ahmad; Tessarek, Jörg
- Abstract
Over the last few decades, the use of covered stent grafts became increasingly popular; as it plays a pivotal role in the management of various atherosclerotic diseases that are rising in both incidence and prevalence. Subsequently, vascular stent infections, although rare, are becoming a well-recognized complication with possibly devastating consequences, owing to the difficulties associated with its diagnosis and treatment. This has prompted significant interest in the condition regarding its pathophysiology, modifiable and non-modifiable risk factors, diagnostic and therapeutic approaches, and the possible implementation of prophylactic measures. We herein present a case of a patient with an infected aortoiliac stent 4 weeks after endovascular revision with atherectomy and additional stent insertion. The patient initially developed nonspecific symptoms and later developed a life-threatening hemorrhage, which was urgently controlled using a percutaneously inserted covered stent at the infected site. Definitive treatment using extraanatomical bypass implantation and an explantation of the infected stents was performed with excellent clinical response.
- Subjects
PAIN diagnosis; HEMORRHAGE complications; PROSTHETICS; PROSTHESIS-related infections; LEG; COMPUTED tomography; SURGICAL stents; BLOOD vessel prosthesis; ENDOVASCULAR surgery; HOSPITAL emergency services; ULTRASONIC imaging; ARTIFICIAL implants; POSITRON emission tomography computed tomography; ANGIOGRAPHY; SURGICAL complications; VASCULAR surgery; ILIAC artery; REOPERATION; PAIN; ATHERECTOMY
- Publication
Vascular & Endovascular Surgery, 2024, Vol 58, Issue 4, p436
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/15385744231217366