Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Brodmann, M; Stark, G; Pabst, E; Lueger, A; Tiesenhausen, K; Szolar, D; Pilger, E.
Osteomyelitis of the spine and abscess formation in the left thigh after stent-graft implantation in the superficial femoral artery.
J ENDOVASCULAR THERAPY. 2000; 7(2): 150-154.
Doi: 10.1583/1545-1550(2000)007<0150:OOTSAA>2.3.CO;2
(- Case Report)
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Brodmann Marianne
- Co-Autor*innen der Med Uni Graz
- Lueger Andreas
- Pilger Ernst
- Tiesenhausen Kurt
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- Abstract:
- PURPOSE: To present a rare case of abscess formation around a covered stent in the superficial femoral artery. METHODS AND RESULTS: Two weeks after balloon dilation of a left superficial femoral artery (SFA) occlusion, during which a Hemobahn covered stent had been placed to treat dissection, a 77-year-old nondiabetic male developed intolerable pain and swelling of his left thigh. An abscess had formed around the stent, which was patent; intravenous antibiotic therapy quelled the symptoms, and the patient discontinued his oral antibiotic regimen weeks after discharge. General septicemia ensued. Acute lower limb ischemia and excruciating back pain prompted readmission. The SFA stent-graft occlusion required femoropopliteal bypass; the abscess and spondylodiskitis that had developed in the T12 and L1 vertebrae responded to intravenous antibiotics. The patient is without signs of infection at 6 months. CONCLUSIONS: Local and systemic infections associated with intraluminal prostheses are rare, and prophylactic antibiotic therapy is not commonly employed. Balloon- or device-induced arterial injury may expose the arterial wall to bacterial colonization, suggesting that patients receiving lengthy stents or experiencing arterial injury during angioplasty should receive antibiotics as a precautionary measure.
- Find related publications in this database (using NLM MeSH Indexing)
- Abscess - diagnosis
- Aged - diagnosis
- Anti-Bacterial Agents - diagnosis
- Arterial Occlusive Diseases - surgery
- Blood Vessel Prosthesis - surgery
- Blood Vessel Prosthesis Implantation - adverse effects
- Drug Therapy, Combination - therapeutic use
- Femoral Artery - surgery
- Humans - surgery
- Male - surgery
- Muscular Diseases - diagnosis
- Osteomyelitis - diagnosis
- Prosthesis Failure - diagnosis
- Spinal Diseases - diagnosis
- Surgical Wound Infection - diagnosis
- Tomography, X-Ray Computed - diagnosis
- Ultrasonography, Doppler, Color - diagnosis
- Find related publications in this database (Keywords)
- infection
- antibiotic therapy
- Hemobahn
- angioplasty complication