Stent graft infection and protrusion through the skin: clinical considerations and potential medico-legal ramifications.
Stent grafts have been used for a variety of arteriovenous access associated issues. This article presents three cases of stent graft infection and a case of protruded metal piece of the stent graft through the skin. All four required surgical treatment and three cases required a tunneled dialysis catheter to provide long-term dialysis therapy. This report highlights that stent graft problems can occur that may result in loss of the access. Additionally, strut protrusion can pose a medical hazard to those performing preparation and cannulation of the arteriovenous access.
Asif
Arif
A
Interventional Nephrology, University of Miami Miller School of Medicine, Miami, Florida 33136, USA. aasif@med.miami.edu
Gadalean
Florin
F
Eid
Nadia
N
Merrill
Donna
D
Salman
Loay
L
D000328:Adult; D001132:Arm / Q000098:blood supply; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000382:microbiology* / Q000601:surgery*; D006435:Renal Dialysis; D015607:Stents