Endovascular stent-grafting for infected iliac artery pseudoaneurysms

We report two cases of acutely infected pseudoaneurysms of the iliac arteries, successfully treated with endovascular stent-grafting. Two patients underwent stent-graft treatment for erosive rupture of the iliac artery caused by surrounding infection. The first case is that of a 61-year-old man who...

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Bibliographic Details
Published inCardiovascular and interventional radiology Vol. 28; no. 1; pp. 83 - 86
Main Authors Sanada, Junichiro, Matsui, Osamu, Arakawa, Fumitaka, Tawara, Mari, Endo, Tamao, Ito, Hiroshi, Ushijima, Satoshi, Endo, Masamitsu, Ikeda, Masahiro, Miyazu, Katsuyuki
Format Journal Article
LanguageEnglish
Published United States Springer Nature B.V 01.01.2005
Subjects
ABSCESSES
Aneurysm, False - diagnostic imaging
Aneurysm, False - surgery
Aneurysm, Infected - diagnostic imaging
Aneurysm, Infected - microbiology
Aneurysm, Infected - surgery
Angiography
ANTIBIOTICS
ARTERIES
Blood Vessel Prosthesis Implantation
Contrast Media
Emergencies
GRAFTS
Humans
Iliac Artery
Male
Medical research
Middle Aged
MUSCLES
NEOPLASMS
PATIENTS
RADIOLOGY AND NUCLEAR MEDICINE
RECTUM
Rupture
RUPTURES
STAPHYLOCOCCUS
Staphylococcus aureus
Staphylococcus infections
Stents
STREPTOCOCCUS
Streptococcus agalactiae
THERAPY
Tomography, X-Ray Computed
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Summary:We report two cases of acutely infected pseudoaneurysms of the iliac arteries, successfully treated with endovascular stent-grafting. Two patients underwent stent-graft treatment for erosive rupture of the iliac artery caused by surrounding infection. The first case is that of a 61-year-old man who had undergone Miles' operation for an advanced rectal cancer. Postoperatively, he developed intrapelvic abscess formation, from which methicillin-resistant Staphylococcus aureus was cultured, followed by rupture of the right external iliac artery. The second case is that of a 60-year-old man who had a pseudoaneurysm of the left common iliac artery, which was contiguous with a left psoas muscle abscess, from which Streptococcus agalactiae was cultured. Both patients were successfully treated with only a stent-graft and antibiotic therapy, and remained symptom-free 12 months and 10 months later. Although endovascular stent-grafting should not be considered standard therapy for infected aneurysms, our cases suggest that it can result in repair of infected aneurysms even in the uncontrolled active stage.
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ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-004-0005-9