[Mycotic aneurysm of the external iliac artery as a complication of percutaneous transluminal coronary artery dilatation].
Percutaneous coronary interventional procedures exhibit an increased risk of peripheral vascular complications compared with diagnostic coronary angiography. Septic complications affect typically the puncture site. We describe a septic event (staphylococcus aureus) resulting in a mycotic aneurysm of the iliacal artery with embolic gonarthritis after a prolonged percutaneous transluminal coronary angioplasty performed 13 days after diagnostic coronary angiography using the same vascular access. The presumed culprit was the reintroduced dilatator which must have been contaminated. An emergency resection of the aneurysm and implantation of a Gore-Tex crossover bypass had to be performed. With prolonged parenteral and enteral antibiotic treatment the infection was controlled. We discuss risk factors for septic complications after coronary interventions and possible preventive measures.
Aeschbacher
B C
BC
Kardiologische Abteilung, Medizinische Universitätsklinik, Inselspital Bern, Schweiz.
Meier
B
B
D000328:Adult; D000785:Aneurysm, Infected / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D001807:Blood Vessel Prosthesis; D006328:Cardiac Catheterization / Q000295:instrumentation*; D004866:Equipment Contamination; D017743:Equipment Reuse; D006801:Humans; D007083:Iliac Artery / Q000473:pathology / Q000601:surgery; D008297:Male; D013203:Staphylococcal Infections / Q000209:etiology* / Q000473:pathology / Q000601:surgery
Mykotisches Aneurysma der Arteria iliaca externa als Komplikation einer perkutanen transluminalen Koronardilatation.