2010
DOI: 10.1177/1538574410376451
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Percutaneous Drainage of Aortic Aneurysm Sac Abscesses Following Endovascular Aneurysm Repair

Abstract: CT-guided percutaneous drainage may be a helpful therapy in selected patients for the treatment of aortic aneurysm sac infections following EVAR.

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Cited by 25 publications
(20 citation statements)
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“…Coselli et al [3] emphasized the importance of graft coverage and elimination of dead space with viable tissue flaps. Percutaneous drainage prior to an open surgical repair or the treatment of abdominal or thoracoabdominal aortic graft infection has been reported [4][5][6]. To the best of our knowledge, although percutaneous drainage of an abdominal aortic aneurysm sac has been previously reported, drainage of an abscess located at the aortic arch is rare.…”
Section: Discussionmentioning
confidence: 88%
“…Coselli et al [3] emphasized the importance of graft coverage and elimination of dead space with viable tissue flaps. Percutaneous drainage prior to an open surgical repair or the treatment of abdominal or thoracoabdominal aortic graft infection has been reported [4][5][6]. To the best of our knowledge, although percutaneous drainage of an abdominal aortic aneurysm sac has been previously reported, drainage of an abscess located at the aortic arch is rare.…”
Section: Discussionmentioning
confidence: 88%
“…12 Percutaneous drainage of the aneurysm sac after endovascular repair has been proposed, with the aim of reducing the infectious content of the sac. 14 However, what many authors describe in practice is that complete drainage is technically difficult, and that surgical debridement is still the best solution. 15 The choice of antibiotics and the duration of treatment after surgical resection will be determined on the basis of the patient's parameters and test results.…”
Section: Discussionmentioning
confidence: 99%
“…This approach often means difficult and extensive surgery in these often very sick patients with generally high morbidity and mortality. A number of authors have therefore advocated graft preservation (3,6,7). Some treat all patients initially with antibiotics and then intervene surgically as appropriate.…”
Section: Discussionmentioning
confidence: 99%