Early Onset of Acute Lower Limb Drug-eluting Stent Infection.
Aged
Anti-Bacterial Agents
/ therapeutic use
Device Removal
Drug-Eluting Stents
/ adverse effects
Endovascular Procedures
/ adverse effects
Femoral Artery
/ diagnostic imaging
Humans
Male
Peripheral Arterial Disease
/ diagnostic imaging
Prosthesis-Related Infections
/ diagnosis
Saphenous Vein
/ transplantation
Staphylococcal Infections
/ diagnosis
Time Factors
Treatment Outcome
Journal
Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
28
03
2019
revised:
10
05
2019
accepted:
12
05
2019
pubmed:
9
8
2019
medline:
3
3
2020
entrez:
9
8
2019
Statut:
ppublish
Résumé
The present case describes acute and early infection of a superficial femoral artery drug-eluting stent (DES) in a 65-year-old patient 2 days after its implantation in outpatient clinic, with intense clinical presentation. The initial indication was Rutherford 3 peripheral artery disease. Radical treatment by means of stent explantation and femoro-femoral bypass using autogenous vein was performed. Both stent and blood cultures were positive for methicillin-sensitive Staphylococcus aureus. Informative imaging and intraoperative view are provided. Local evolution was satisfactory but endocarditis occurred secondarily. The pathophysiology of this first reported DES infection and the management of the infected vessel are discussed, in light of data derived from coronary literature and open vascular surgery.
Identifiants
pubmed: 31394215
pii: S0890-5096(19)30534-5
doi: 10.1016/j.avsg.2019.05.039
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
471.e3-471.e7Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.