title: Management and Prevention of Percutaneous Iliac Stent Infection: A Case Report.
abstract: A 52-year-old man was admitted in the emergency department for deteriorating mental status and suspicion of discitis. Computed tomography and positron emission tomography scan showed evidence of localized infection of the aortic bifurcation and blood cultures were positive for Staphylococcus aureus. Ten years ago, the patient underwent placement of covered metal stents on each common iliac artery due to arteritic stenosis. The infected material was removed and aortic bifurcation repaired using an autologous femoral vein graft. This case report describes the surgical procedure, patient outcome, and review on prevention of such complications.
authors.affiliation: Department of General and Vascular Surgery, UCL University, CHA-Libramont, Libramont-Chevigny, Belgium.
authors.forename: Tahir
authors.initials: T
authors.lastname: Wissanji
authors.affiliation: Department of General and Vascular Surgery, UCL University, CHA-Libramont, Libramont-Chevigny, Belgium.
authors.forename: Olivier
authors.initials: O
authors.lastname: Fouard
authors.affiliation: Head of General Surgery, CHA-Libramont, Libramont-Chevigny, Belgium.
authors.forename: Dominique
authors.initials: D
authors.lastname: Herman
authors.affiliation: Department of Vascular Surgery, CHA-Libramont, Libramont-Chevigny, Belgium.
authors.forename: Philippe
authors.initials: P
authors.lastname: Hermans
authors.affiliation: Department of Vascular Surgery, CHA-Libramont, Libramont-Chevigny, Belgium. Electronic address: christophe.vindevogel@cha.be.
authors.forename: Christophe
authors.initials: C
authors.lastname: Vindevogel
mesh_terms: D000072226:Computed Tomography Angiography; D020878:Device Removal; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D005268:Femoral Vein / Q000637:transplantation*; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D008297:Male; D008670:Metals; D008875:Middle Aged; D011474:Prosthesis Design; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D015607:Stents / Q000009:adverse effects*; D013997:Time Factors; D014182:Transplantation, Autologous; D016896:Treatment Outcome
chemical_list: D008670:Metals