Stent-graft treatment of infected aortic and arterial aneurysms

Kwang Hun Lee, Jong Yun Won, Do Yun Lee, Donghoon Choi, Won Heum Shim, Byung Chul Chang, Sang Joon Park

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47 Citations (Scopus)

Abstract

Purpose: To evaluate the feasibility and effectiveness of endovascular stent-graft repair of infected aortic and arterial aneurysms. Methods: Eight patients (5 men; mean age 56.6 years, range 30-85) with infected saccular aneurysms in the brachiocephalic artery (n=1), proximal descending thoracic aorta (n=1), infrarenal abdominal aorta (n=3), common iliac artery (n=1), and common femoral artery (n=2) were treated with stent-graft placement and intravenous antibiotic treatment for at least 6 weeks followed by case-specific administration of oral suppressive antibiotics. All patients were considered to be in the high-surgical-risk group. Results: Exclusion of the infected aneurysm was successful in all patients. However, 2 patients died within 30 days of uncontrolled sepsis, and 1 patient died at 6 months after rupture of a persistently infected aneurysm (37% mortality rate). Over a follow-up that ranged to 8 years, the 5 survivors showed complete resolution of the infected aneurysms; no stent-graft infection was observed during follow-up. Conclusion: The acceptable technical and clinical success of endovascular aneurysm repair makes this a promising treatment for infected aortic and arterial aneurysms. However, it is crucial that the infection is treated adequately prior to stent-graft placement.

Original languageEnglish
Pages (from-to)338-345
Number of pages8
JournalJournal of Endovascular Therapy
Volume13
Issue number3
DOIs
Publication statusPublished - 2006 Jun

All Science Journal Classification (ASJC) codes

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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    Lee, K. H., Won, J. Y., Lee, D. Y., Choi, D., Shim, W. H., Chang, B. C., & Park, S. J. (2006). Stent-graft treatment of infected aortic and arterial aneurysms. Journal of Endovascular Therapy, 13(3), 338-345. https://doi.org/10.1583/05-1516.1