Iliac Artery Reconstruction with Femoral Vein After Bare Metal Stent Infection

• Main Author: Quintas, A.
• Publication Date: 2017
• Other Authors: Alves, G., Aragão de Morais, J., Bastos Gonçalves, F., Albuquerque e Castro, J., Mota Capitao, L.
• Format: Article
• Language: eng
• Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
• Download full: https://doi.org/10.1016/j.ejvssr.2017.01.001
• topic: Bare metal stent; Femoral vein; Iliac stent; In-situ reconstruction; Pseudoaneurysm; Stent infection; ciprofloxacin; piperacillin plus tazobactam; vancomycin; adult; antibiotic therapy; artery reconstruction; Article; balloon; bare metal stent; case report; computed tomographic angiography; device removal; embolism; false aneurysm; femoral vein; follow up; human; iliac artery reconstruction; in-stent restenosis; male; methicillin resistant Staphylococcus aureus; middle aged; morbidity; nonhuman; priority journal; risk factor; sepsis; soft tissue inflammation; stent complication; stent infection

Introduction Primary infection of a bare metal stent is a rare condition, associated with significant morbidity and mortality. Definitive treatment includes stent removal and arterial reconstruction. Report This study details a common iliac stent infection after re-intervention for iliac stent occlusion, complicated by pseudoaneurysm formation and septic embolisation. Potential risk factors for stent infection were identified. An open surgical resection of the affected artery along with all stent material was performed, followed by reconstruction with autologous interposition superficial femoral vein. There were no complications and no recurrent infection at 6 months follow-up. Conclusion Although rare, bare metal stent infection may occur, and a high index of suspicion is required. Stent surgical removal and arterial in situ reconstruction with autologous femoral vein proved to be a definitive procedure with no mid-term morbidity. © 2017 The Author(s)