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An Infected Popliteal Aneurysm after Plain Old Balloon Angioplasty

Keisuke Senda1, Hidetsugu Yoda1, Kyoko Shoin1

  • 1Department of Cardiology, Aizawa Hospital, Japan.

Internal Medicine (Tokyo, Japan)
|January 4, 2021
PubMed

Insights

This case study highlights difficult management of chronic limb ischemia due to secondary infections after plain old balloon angioplasty (POBA). Prophylactic antibiotics before endovascular therapy (EVT) may prevent such serious infectious complications.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Interventional Cardiology

Background:

  • Chronic limb-threatening ischemia requires advanced treatment strategies.
  • Plain old balloon angioplasty (POBA) is a common endovascular therapy (EVT) for arterial occlusive disease.

Observation:

  • A 76-year-old male developed cellulitis and reocclusion post-POBA.
  • Staphylococcus aureus bacteremia was identified.
  • Purulent gonitis and infected popliteal aneurysm occurred after repeat POBA.

Findings:

  • Surgical intervention with aneurysmectomy and bypass grafting was necessary.
  • Management was complicated by secondary infectious complications despite EVT.
  • The patient required prolonged antibiotic therapy.

Implications:

  • This case underscores the risk of infectious complications following EVT for critical limb ischemia.
  • Prophylactic antibiotic use before EVT warrants consideration in high-risk patients.
  • Multidisciplinary management is crucial for limb salvage in complex cases.
Keywords:
complicationendovascular therapyinfected popliteal aneurysm

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