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Coil embolization of an infected superior gluteal artery pseudoaneurysm caused by methicillin-resistant

S T Schindera1, S E Anderson, J Triller

  • 1Department of Diagnostic, Interventional and Pediatric Radiology, University Hospital of Bern, Inselspital, Switzerland. sschindera@aol.com

VASA. Zeitschrift Fur Gefasskrankheiten
|March 25, 2005
PubMed

Insights

Selective coil embolization successfully treated a superior gluteal pseudoaneurysm caused by methicillin-resistant Staphylococcus aureus (MRSA). This minimally invasive approach offers a safe and effective solution for infected aneurysms.

Area of Science:

  • Interventional Radiology
  • Vascular Surgery
  • Infectious Diseases

Background:

  • Infected pseudoaneurysms, particularly in the gluteal region, pose significant management challenges.
  • Methicillin-resistant Staphylococcus aureus (MRSA) is a common pathogen in healthcare-associated infections and can complicate vascular interventions.
  • Chronic sacroiliitis and associated perisacral abscesses can predispose individuals to vascular complications.

Observation:

  • A 36-year-old female patient with a history of drug abuse presented with symptoms related to a superior gluteal pseudoaneurysm.
  • The pseudoaneurysm was confirmed to be infected, with MRSA identified as the causative agent.
  • The patient also had a history of chronic sacroiliitis and perisacral abscesses.

Findings:

  • Successful selective coil embolization was performed to treat the infected superior gluteal pseudoaneurysm.
  • The procedure effectively excluded the pseudoaneurysm from circulation, preventing further blood loss.
  • Histopathological analysis confirmed the presence of MRSA in the affected area.

Implications:

  • Selective coil embolization represents a safe and effective minimally invasive treatment option for infected gluteal pseudoaneurysms.
  • This technique can be crucial in managing complex vascular infections in patients with comorbidities.
  • The findings highlight the importance of considering infectious etiologies in pseudoaneurysm formation, especially in at-risk populations.

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