Emergency endovascular stent-grafting for infected pseudoaneurysm of brachial artery.
The use of covered stents in an infected field is controversial. It is generally recommended that infected aneurysms be treated using autografts or allografts. We report a case of infected brachial pseudoaneurysms that developed after medical debridement of a methicillin-resistant Staphylococcus aureus (MRSA)-infected wound of the right arm and emergency brachial artery bypass-grafting using the saphenous vein, which was successfully treated by endovascular stent-grafting followed by antibiotic administration. The present case suggests that endovascular stent-grafting prevents rupture and occlusion of infected aneurysms and enables the continued administration of antibiotics.
Kurimoto
Y
Y
Department of Traumatology and Critical Care Medicine, Sapporo Medical University, South 1 West 16, Sapporo 060-8543, Japan. kurimoto@sapmed.ac.jp
Tsuchida
Y
Y
Saito
J
J
Yama
N
N
Narimatsu
E
E
Asai
Y
Y
D000328:Adult; D017541:Aneurysm, False / Q000175:diagnosis / Q000601:surgery*; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000601:surgery*; D000792:Angiography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D001916:Brachial Artery; D004630:Emergencies; D005500:Follow-Up Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008134:Long-Term Care; D008297:Male; D006435:Renal Dialysis / Q000009:adverse effects; D018570:Risk Assessment; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000601:surgery; D015607:Stents; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler / Q000379:methods; D014656:Vascular Surgical Procedures / Q000379:methods