Endovascular Management of Infected Iliofemoral Pseudoaneurysms

Autor: Konstantinos G. Moulakakis, Andreas C. Lazaris, Spyridon N. Vasdekis, George Geroulakos, Elias Brountzos, John D. Kakisis, George S. Sfyroeras, Vangelis G. Alexiou
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Computed Tomography Angiography
030204 cardiovascular system & hematology
Prosthesis Design
030218 nuclear medicine & medical imaging
Blood Vessel Prosthesis Implantation
03 medical and health sciences
Pseudoaneurysm
0302 clinical medicine
Antibiotic therapy
Humans
Medicine
In patient
cardiovascular diseases
Endovascular treatment
Covered stent
Aged
Ultrasonography
Computed tomography angiography
Aged
80 and over
medicine.diagnostic_test
business.industry
Endovascular Procedures
Angiography
Digital Subtraction
General Medicine
Middle Aged
Stent grafting
medicine.disease
Thrombosis
Anti-Bacterial Agents
Surgery
Femoral Artery
Treatment Outcome
Iliac Aneurysm
Drainage
Female
Stents
Radiology
Cardiology and Cardiovascular Medicine
business
Aneurysm
Infected
Aneurysm
False
Zdroj: Vascular and Endovascular Surgery. 50:421-426
ISSN: 1938-9116
1538-5744
DOI: 10.1177/1538574416655895
Popis: The treatment of infected iliofemoral pseudoaneurysms is challenging and controversial. We present our experience regarding the efficacy and outcome of endovascular treatment of infected iliofemoral arterial pseudoaneurysms with covered stents. Our experience with 5 cases showed that stent grafting combined with antibiotic therapy and provisional drainage may be a safe and effective option in patients with cancer, patients with history of multiple hip revisions, and drug-addicted users. In our small case series, the reinfection rate was null and no covered stent thrombosis occurred. These results are fairly encouraging, but further studies with longer follow-up in a larger number of patients are needed to confirm the efficacy and durability of the technique.
Databáze: OpenAIRE
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