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Antibiotics and Drainage for Treating Stent-Graft Infection after EVAR

Hiroshi Masuhara1, Takeshiro Fujii, Yoshinori Watanabe

  • 1Division of Cardiovascular Center, Department of Surgery, Toho University Sakura Medical Center, Sakura, Chiba, Japan.

Annals of Vascular Diseases
|May 4, 2013
PubMed

Insights

A stent graft infection following endovascular aneurysm repair (EVAR) was successfully treated with antibiotics and abscess drainage. This minimally invasive approach resolved symptoms and inflammation, offering a promising treatment option for EVAR complications.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Medical Imaging

Background:

  • Endovascular Aneurysm Repair (EVAR) is a common procedure for abdominal aortic aneurysms.
  • Stent graft infection is a rare but serious complication following EVAR.
  • Early diagnosis and effective treatment are crucial for patient outcomes.

Observation:

  • A 64-year-old male presented with fever and back pain 6 months post-EVAR.
  • CT imaging revealed an abscess in the aortic aneurysm sac surrounding the stent graft.
  • Initial antibiotic therapy did not resolve the patient's symptoms or inflammatory markers.

Findings:

  • CT-guided drainage of the abscess led to complete pus discharge.
  • Following drainage, the patient's fever subsided, and inflammatory markers normalized.
  • The patient remained asymptomatic with no complications one year after treatment.

Implications:

  • Combined antibiotic therapy and percutaneous drainage can effectively manage stent graft infections.
  • This approach offers a less invasive alternative to open surgical revision for EVAR complications.
  • Successful management of stent graft infections can improve long-term patient prognosis after EVAR.

Keywords:
antibioticsdrainageevarstent-graft infection

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