Endovascular Stent-Grafting for Infected Iliac Artery Pseudoaneurysms

Journal Article · Sat Jan 15 04:00:00 EST 2005 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-004-0005-9· OSTI ID:21088160

Sanada, Junichiro; Matsui, Osamu ^[1]; Arakawa, Fumitaka; Tawara, Mari ^[2]; Endo, Tamao ^[1]; Ito, Hiroshi ^[3]; Ushijima, Satoshi ^[4]; Endo, Masamitsu ^[5]; Ikeda, Masahiro; Miyazu, Katsuyuki ^[6]

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1. Kanazawa University School of Medicine, Department of Radiology (Japan)
2. Toyama Red Cross Hospital, Department of Radiology (Japan)
3. Noto General Hospital, Department of Radiology (Japan)
4. Noto General Hospital, Department of Surgery (Japan)
5. National Hospital of Kanazawa, Department of Cardiovascular Surgery (Japan)
6. Toyama Red Cross Hospital, Department of Cardiovascular Surgery (Japan)

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.

• OSTI ID: 21088160
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 1 Vol. 28; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ABSCESSES
ANTIBIOTICS
ARTERIES
GRAFTS
MUSCLES
NEOPLASMS
PATIENTS
RECTUM
RUPTURES
STAPHYLOCOCCUS
STREPTOCOCCUS
THERAPY