Difficult diagnosis and management of a complicated Nellix graft infection

Jin Xin Lin; Sam Taylor; Cassandra Hidajat; Andrew Hill

doi:10.1016/j.jvscit.2021.04.021

Difficult diagnosis and management of a complicated Nellix graft infection

J Vasc Surg Cases Innov Tech. 2021 May 20;7(3):417-420. doi: 10.1016/j.jvscit.2021.04.021. eCollection 2021 Sep.

Authors

Jin Xin Lin¹, Sam Taylor¹, Cassandra Hidajat¹, Andrew Hill¹

Affiliation

¹ Department of Vascular Surgery, Auckland City Hospital, Auckland, New Zealand.

Abstract

An 81-year-old man, with a complex vascular surgical history, presents with sepsis from an infected Nellix stent-graft. He required an urgent laparotomy, explantation of the graft, and extra-anatomical repair. Although now widely used for this indication, the preoperative 18F-fluorodeoxyglucose positron emission tomography/computed tomography was nondiagnostic for his stent-graft infection. We describe our management of a complicated Nellix graft infection and discuss the utility of positron emission tomography/computed tomography for stent-graft infections.

Keywords: Complications; Infected stent-graft; Nellix.

Publication types

Case Reports