Prosthetic stent graft infection after endovascular abdominal aortic aneurysm repair

Abstract

This report emphasizes the need for continued awareness of potential graft-related septic complications in patients undergoing EVAR of AAA. Attention to detail with regard to sterility and antibiotic prophylaxis during stent grafting and during any secondary interventions is vital in reducing the risk of infection. In addition, early recognition and prompt treatment are essential for a successful outcome.

Hybrid treatment of the infected carotid-subclavian graft complicated by the septic haemorrhage

“…Thus, the recommendations of natural need of keeping sterile conditions of implantation and the necessity of applying antibiotic prophylactics, especially in cases of reintervention and operations performed in radiological facilities. Early diagnosis and implementa tion of appropriate treatment is also important because the chance of full recovery increases [13,14].…”

Late Complication after Superficial Femoral Artery (SFA) Aneurysm: Stent-graft Expulsion Outside the Skin

“…Stent-graft infection in peripheral arteries is rare but potentially dangerous [4]. The incidence of stent-graft infection after endovascular aortic aneurysm repair had been reported as 0.4-1.0 % [8,9]. Diabetes and smoking independently increase the infection risk; however, other risk factors previously reported for endovascular procedures, such as absence of sterility, lack of antibiotic prophylaxis, introducer sheath permanence more than 24 h, multiple stents implantation, or multiple procedures in the same region [3], were not present in our case.…”

In Situ Repair of a Mycotic Suprarenal Aortic Aneurysm Using a Cryopreserved Aortic Homograft and Visceral Debranching in a Patient with Spondylodiscitis and Left Psoas Muscle Abscess

“…[13][14][15] Although feasible, the implantation of an endograft within an infected area is highly controversial. In such cases infective aortic tissue is not removed and controversy remains not only regarding the persistence of an established local infection, 16) but also with regard to the long-term durability of the endograft. Furthermore, in those patients, long-term or even lifelong antibiotic treatment may be inevitable.…”