title: Emergency endovascular stent-grafting for infected pseudoaneurysm of brachial artery.
abstract: 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.
authors.affiliation: Department of Traumatology and Critical Care Medicine, Sapporo Medical University, South 1 West 16, Sapporo 060-8543, Japan. kurimoto@sapmed.ac.jp
authors.forename: Y
authors.initials: Y
authors.lastname: Kurimoto
authors.forename: Y
authors.initials: Y
authors.lastname: Tsuchida
authors.forename: J
authors.initials: J
authors.lastname: Saito
authors.forename: N
authors.initials: N
authors.lastname: Yama
authors.forename: E
authors.initials: E
authors.lastname: Narimatsu
authors.forename: Y
authors.initials: Y
authors.lastname: Asai
mesh_terms: 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