Infected endovascular aneurysm repair graft complicated by vertebral osteomyelitis.
Endovascular aneurysm repair (EVAR) is now an established method of treating abdominal aortic aneurysms. Endovascular stent graft infection is a rare complication of EVAR. Diagnosis can be difficult and subsequent management challenging as a significant number of patients are unfit for further surgery and, untreated, graft infection is almost inevitably fatal. We present a case of an infected EVAR graft complicated by vertebral osteomyelitis that was treated conservatively. We discuss the diagnostic and therapeutic difficulties encountered and review the current literature on this evolving subject.
Department of Vascular Surgery, Royal Blackburn Hospital, East Lancashire Healthcare Trust, Blackburn, Lancashire, United Kingdom. chris.lowe@doctors.org.uk
Christopher
C
Lowe
Anthony
A
Chan
Neil
N
Wilde
Simon
S
Hardy
D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D002981:Clindamycin / Q000008:administration & dosage; D004334:Drug Administration Schedule; D004359:Drug Therapy, Combination; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D005839:Gentamicins / Q000008:administration & dosage; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging; D008297:Male; D010019:Osteomyelitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D012293:Rifampin / Q000008:administration & dosage; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D005839:Gentamicins; D002981:Clindamycin; D012293:Rifampin