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Septic endarteritis following percutaneous transluminal coronary angioplasty
F G Kardaras1, D F Kardara, D P Rontogiani
1Cardiology Department, Evangelismos Hospital, Athens, Greece.
Catheterization and Cardiovascular Diagnosis
|January 1, 1995
Abstract:
We report a case of bacterial arteritis of the external iliac artery complicated by mycotic aneurysm following coronary angioplasty. To our knowledge, this is the first reported instance of arterial wall infection caused by coronary angioplasty at a distance from the insertion site equal to the length of the sheath.
Insights
A rare case of bacterial arteritis and mycotic aneurysm in the external iliac artery occurred after coronary angioplasty. This arterial infection happened at a distance from the insertion site, a novel finding in interventional cardiology.
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Interventional Cardiology
Background:
- Coronary angioplasty is a common procedure for treating coronary artery disease.
- Complications, though rare, can arise from invasive cardiovascular interventions.
- Arterial wall infections are serious but infrequently reported sequelae.
Observation:
- A patient developed bacterial arteritis of the external iliac artery.
- This condition progressed to a mycotic aneurysm.
- The infection was linked to a recent coronary angioplasty procedure.
Findings:
- This is the first reported case of arterial wall infection secondary to coronary angioplasty.
- The infection occurred at a distance from the arterial puncture site, specifically equal to the length of the introducer sheath.
- Bacterial seeding of the arterial wall is a potential, albeit rare, complication.
Implications:
- Highlights the importance of vigilance for distant infections after angioplasty.
- Suggests a potential mechanism of remote arterial wall seeding during sheath manipulation.
- Underscores the need for prompt diagnosis and management of mycotic aneurysms in this context.