Endovascular Repair of Ruptured Infected Arteries as a Temporizing Measure Versus Destination Therapy.
Publication/Presentation Date
8-1-2016
Abstract
OBJECTIVE: Mycotic rupture of the arteries is a rare but deadly disorder. Current management typically involves open surgical repair. However, endovascular repair is a potential treatment that can be used to delay open repair, especially in acutely unstable patients. A case report and review of the literature was conducted to determine whether endovascular therapy could be a destination therapy for patients with arterial rupture secondary to infection.
METHODS: We present the case of a 72-year-old man with a left common iliac artery aneurysm rupture secondary to Salmonella infection treated with endovascular therapy upon initial presentation. A literature review of PubMed yielded 29 patients with ruptured aortic and iliac infected aneurysms that were initially treated with endovascular repair.
RESULTS: Majority of the patients (76.7%, 23 of 30) were successfully treated with the endovascular treatment and did not require open revision. These patients were often placed on long-term antibiotics.
CONCLUSION: The literature review supports endovascular repair with a stent graft as a temporizing measure for infected ruptured arteries in an emergent setting and, in select cases, as a destination therapy.
Volume
50
Issue
6
First Page
373
Last Page
379
ISSN
1938-9116
Published In/Presented At
Shahi, N., Kwon, J. J., Arosemena, M., Salvatore, D. M., DiMuzio, P. J., & Abai, B. (2016). Endovascular Repair of Ruptured Infected Arteries as a Temporizing Measure Versus Destination Therapy. Vascular and endovascular surgery, 50(6), 373–379. https://doi.org/10.1177/1538574416655894
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
27422286
Department(s)
Administration and Leadership
Document Type
Article