Antibiotics and Percutaneous Drainage for Treating Stent-Graft Infection After EVAR

Ann Vasc Surg. 2020 May:65:289.e1-289.e6. doi: 10.1016/j.avsg.2019.12.009. Epub 2019 Dec 19.

Abstract

Artificial graft infection is one of the most serious complications following EVAR. The gold standard includes the excision of the infected endograft, debridement, and reconstruction. However, these methods are not always the best option for every patient. The authors present the case of a 75-year-old man who was diagnosed with a stent-graft infection following EVAR. A course of antibiotics was administered, and percutaneous drainage was effectively performed twice in succession. After 18 months, the patient was admitted again due to the infection re-occurring. Antibiotics were administered, and percutaneous drainage was effectively re-performed. One year has elapsed since the treatment, and the outpatient followup has lasted until now.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use*
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / surgery*
  • Blood Vessel Prosthesis / adverse effects*
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Blood Vessel Prosthesis Implantation / instrumentation
  • Drainage*
  • Endovascular Procedures / adverse effects*
  • Endovascular Procedures / instrumentation
  • Humans
  • Male
  • Prosthesis-Related Infections / diagnosis
  • Prosthesis-Related Infections / microbiology
  • Prosthesis-Related Infections / therapy*
  • Recurrence
  • Retreatment
  • Stents / adverse effects*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents