학술논문
Nonspecific Presentation of an Infected Aorto-Iliac Artery Stent Following Endovascular Revision and Stent Insertion.
Document Type
Article
Source
Subject
*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
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Language
ISSN
1538-5744
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. [ABSTRACT FROM AUTHOR]