Practice Guideline for Adult Antibiotic Prophylaxis during Vascular and Interventional Radiology Procedures

Venkatesan, Aradhana M.; Kundu, Sanjoy; Sacks, David; Wallace, Michael J.; Wojak, Joan C.; Rose, Steven C.; Clark, Timothy W.I.; d’Othée, Bertrand Janne; Itkin, Maxim; Jones, Robert S.; Miller, Donald L.; Owens, Charles; Rajan, Dheeraj K.; Stokes, LeAnn S.; Swan, Timothy L.; Towbin, Richard B.; Cardella, John F.

doi:10.1016/j.jvir.2010.07.018

Cited by 348 publications

(90 citation statements)

References 114 publications

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“…Prophylactic antibiotics are not routinely used [26]. The arterial access site (typically the right common femoral artery) is prepared and draped in standard sterile fashion.…”

Section: Technical Aspectsmentioning

confidence: 99%

“…It is our preference to perform percutaneous ablation under CT guidance; although, ultrasound could also be used in select patients. Peri-procedural antibiotics may be given according to accepted guidelines [26]. An intra-procedural CT scan is obtained in order to localize the lesion but patient positioning on the CT table is dictated by the best percutaneous access to the RCC.…”

Section: Technical Aspectsmentioning

confidence: 99%

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Trans-Arterial Embolization of Renal Cell Carcinoma prior to Percutaneous Ablation: Technical Aspects, Institutional Experience, and Brief Review of the Literature

Gunn¹,

Mullenbach²,

Poundstone³

et al. 2018

Current Urology

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This report describes the technical aspects of trans-arterial embolization (TAE) of renal cell carcinoma prior to percutaneous ablation. All patients (n = 11) had a single renal mass (mean tumor diameter = 50.2 mm; range: 28-84 mm). Selective TAE was performed via the common femoral artery. Embolic materials included: particles alone (n = 4), coils alone (n = 1), particles + ethiodized oil (n = 2), particles + coils (n = 1), ethiodized oil + ethanol (n = 2), and particles + ethanol (n = 1). All embolizations were technically successful and no complications have been reported. After embolization, 10 patients underwent cryoablation while 1 patient underwent microwave ablation. Ablations were technically successful in 10 of the 11 patients. Only 3 minor complications were identified but none required treatment. No adverse effect on the patient's glomerular filtration rate was seen from the additional procedure (p = 0.84). TAE of renal cell carcinoma prior to percutaneous ablation is safe and technically-feasible.

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“…Prophylactic antibiotics are not routinely used [26]. The arterial access site (typically the right common femoral artery) is prepared and draped in standard sterile fashion.…”

Section: Technical Aspectsmentioning

confidence: 99%

Section: Technical Aspectsmentioning

confidence: 99%

Trans-Arterial Embolization of Renal Cell Carcinoma prior to Percutaneous Ablation: Technical Aspects, Institutional Experience, and Brief Review of the Literature

Gunn¹,

Mullenbach²,

Poundstone³

et al. 2018

Current Urology

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“…Prevention of graft infection is a vital concept and perioperative prophylactic strategies are of utmost importance [20]. Vascular surgeons should consider performing this type of endovascular procedure in the operating room environment, instead of the interventional radiology suite.…”

Section: Discussionmentioning

confidence: 99%

Unexpected thoracic endograft infection following a colorectal procedure

Yang¹,

Lee²,

Chu³

2016

Nucl Med Biomed Imaging

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Infection of endovascular stent-grafts is a severe complication, but not often reported. We report herein a case of a 61-year-old man presented with pneumonia-like symptoms 24 days after receiving laparoscopic resection of stage 1 sigmoid cancer. Acute pneumonitis and cancer recurrence were excluded on Ga-67 citrate imaging. An infected endovascular graft of the aortic arch, which had been placed 4 months previously, was depicted scintigraphically. Due to multiple comorbidities, the patient underwent decortications via video-assisted thoracic surgery plus aggressive drainage. The symptoms settled and the patient was discharged on oral levofloxacin after intravenous treatment with ertapenem and teicoplanin for six weeks. This report fuels the belief that subclinical bacteremia associated with various procedures may incur bacterial seeding on the preexisting endovascular devices, and causes secondary prosthetic infection. In selected cases such as ours, prosthetic graft preservation may provide a definite treatment. Continued awareness of potential septic complications in patients treating with an endovascular grafting is needed.

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“…Thus infective complications of RIG placement are rare, with a reported incidence of 2%. 25 Most infectious complications are minor skin infections related to skin or mucosal flora and respond well to treatment, ie Staphylococcus epidermidis, Staphylococcus aureus, and Corynebacterium species. 26 Although the use of prophylactic antibiotics has been shown to reduce the infection rate in transorally placed gastrostomies, their value in RIG has not been demonstrated.…”

Section: Radiologically Inserted Gastrostomy (Rig)mentioning

confidence: 99%