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[The infected arterial stent]

G Müller1, H Stöckmann, U Markert

  • 1Klinik für Chirurgie, Medizinische Universität zu Lübeck.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|October 23, 1998
PubMed
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Bacterial arteritis is a rare complication following iliac artery stent implantation. Staphylococcus aureus contamination of the stent likely caused this infection, leading to serious complications requiring surgical intervention.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Interventional Cardiology

Background:

  • Percutaneous endovascular procedures, including angioplasty with stent implantation, are common treatments for iliac artery disease.
  • While generally safe, these procedures carry a risk of rare but serious complications, such as vascular infections.

Observation:

  • A case of bacterial arteritis is presented following percutaneous transluminal angioplasty (PTA) and stent implantation in the iliac artery.
  • The infection was complicated by septic embolization, leading to ipsilateral knee joint empyema and the formation of an infected false aneurysm.

Findings:

  • Staphylococcus aureus contamination of the implanted stent is the presumed etiology of the bacterial arteritis.
  • The clinical presentation included severe local and systemic signs of infection.

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Implications:

  • This case highlights the importance of recognizing and managing rare vascular infections post-endovascular procedures.
  • Successful treatment involved aggressive surgical management, including resection of the infected arterial segment, stent removal, and autologous arterial reconstruction.