Mycotic renal artery degeneration and systemic sepsis caused by infected renal artery stent

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Updated: Aug 11, 2026

Use of a Hanging-weight System for Isolated Renal Artery Occlusion
07:54

Use of a Hanging-weight System for Isolated Renal Artery Occlusion

Published on: July 19, 2011

C A DeMaioribus1, C A Anderson, S S Popham

  • 1Department of Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA.

Journal of Vascular Surgery
|September 16, 1998
PubMed

Insights

Staphylococcus aureus can cause severe renal artery stent infections, leading to abscesses and artery degeneration. Prompt surgical intervention is crucial for managing this serious complication.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Vascular Surgery

Background:

  • Renal artery stenting is a common procedure for renovascular hypertension.
  • Stent infections, though rare, pose significant risks to patient health.
  • Staphylococcus aureus is a notable pathogen in hospital-acquired infections.

Observation:

  • A patient developed fever, hypotension, and elevated white blood cell count 14 days post-stenting.
  • Blood cultures persistently showed Staphylococcus aureus despite vancomycin treatment.
  • Serial CT scans revealed progressive inflammation and renal abscesses; arteriography showed renal artery degeneration.

Findings:

  • The case highlights a severe Staphylococcus aureus infection of a renal artery stent.
  • Infection led to the development of multiple intra-renal abscesses and significant arterial damage.
  • Standard antibiotic therapy proved insufficient to clear the infection.

Implications:

  • This case underscores the critical need for vigilance regarding stent infections.
  • Prophylactic antibiotics before renal artery stenting may help prevent such infections.
  • Early recognition and aggressive surgical management, including stent removal and nephrectomy, are vital for successful outcomes.

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