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Title: MRSA-Infected External Iliac Artery Pseudoaneurysm Treated with Endovascular Stenting

A 48-year-old woman with severe juvenile-onset rheumatoid arthritis presented with a bleeding cutaneous sinus distal to her right total hip replacement scar. Methicillin resistant Staphylococcus aureus (MRSA) was isolated on culture. She had previously undergone bilateral total hip and knee replacements at aged 23 and six years later had the right knee prosthesis removed for infection, with subsequent osteomyelitis of the femoral shaft and right total hip prosthesis disruption. Peripheral arteriography was performed in view of persistent bleeding from the sinus, which revealed a 6 cm false aneurysm filling from and compressing the right external iliac artery (EIA). A PTFE-covered, balloon expandable JOSTENT was deployed in the right EIA, successfully excluding the false aneurysm and preventing further bleeding from the sinus. No graft infection was reported at 12 months. This case illustrates the potential use of endovascular stent-grafting in the treatment of an infected pseudoaneurysm.
Authors:
 [1] ;  [2] ;  [1]
  1. Taunton and Somerset Hospital, Department of Surgery (United Kingdom)
  2. Taunton and Somerset Hospital, Department of Radiology (United Kingdom), E-mail: Hywel.Thomas@tst.nhs.uk
Publication Date:
OSTI Identifier:
21088121
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 28; Journal Issue: 3; Other Information: DOI: 10.1007/s00270-004-0254-7; Copyright (c) 2005 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; BONE JOINTS; GRAFTS; OSTEOMYELITIS; POLYTETRAFLUOROETHYLENE; RHEUMATIC DISEASES; SINUSES; STAPHYLOCOCCUS; WOMEN