Endovascular stent infection

Abstract

We report a case of iliac stent infection. Nine days after a 24-hour infusion of urokinase and right iliac artery stent deployment, the patient had fever, in addition to severe groin pain and petechiae isolated to the stented limb. The hospital course was complicated by sepsis, adult respiratory distress syndrome, liver dysfunction, and renal insufficiency. Stent removal and iliac/femoral artery resection, as well as an above-knee amputation, were life-saving. Arterial and stent cultures grew Staphylococcus aureus. Stent infection with arterial necrosis is a devastating, rare endovascular complication. Given its potential seriousness, we would recommend the use of prophylactic antibiotics before stent deployment.

Chemical Meningitis after Cerebral Aneurysm Treatment Using Two Second-generation Aneurysm Coils: Report of Two Cases

“…Traditional breaches of sterile technique commonly accepted in the angiography suite of the past may require in-services or personnel retraining on the use of sterile technique. Nevertheless, data on the use of perioperative antibiotics during endovascular procedures remain limited (11,23).…”

Staphylococcal pericarditis following percutaneous transluminal coronary angioplasty

“…Endovascular stents have been shown to become infected more easily on transient bacteremia than sites of plain angioplasty, up to 4 weeks after implantation, in animal models [10]. However, in nearly a decade of the practice of endovascular stent deployment, reports in literature of stent infection in the coronaries or peripheral arteries have been few and far in between [11,12]. Based on the evidence, the risk factors for PTCA associated infection could be listed as in Table I.…”

Current Management of Vascular Infections

“…Infection can also develop after percutaneous stent angioplasty but in low rates (0.5%). [14,15] Early graft infections usually affect extracavitary grafts, while majority of late infections involve cavitary (i.e., aortic) grafts. [16] …”