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Titolo:
Suprarenal mycotic aneurysm exclusion using a stent with a partial autologous covering
Autore:
Madhavan, P; McDonnell, CO; Dowd, MO; Sultan, SAH; Doyle, M; Colgan, MP; McEniff, N; Molloy, M; Moore, DJ; Shanik, GD;
Indirizzi:
St James Hosp, Dept Vasc Surg, Dublin 8, Ireland St James Hosp Dublin Ireland 8 s Hosp, Dept Vasc Surg, Dublin 8, Ireland St James Hosp, Dept Radiol, Dublin 8, Ireland St James Hosp Dublin Ireland 8 ames Hosp, Dept Radiol, Dublin 8, Ireland
Titolo Testata:
JOURNAL OF ENDOVASCULAR THERAPY
fascicolo: 5, volume: 7, anno: 2000,
pagine: 404 - 409
SICI:
1526-6028(200010)7:5<404:SMAEUA>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEALED DACRON GRAFT; SAPHENOUS-VEIN; PALMAZ STENT; REPAIR; INFECTION; FISTULA;
Keywords:
mycotic aneurysm; covered stent; infection; paraplegia; Palmaz stent;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Madhavan, P St James Hosp, Dept Vasc Surg, Dublin 8, Ireland St James Hosp Dublin Ireland 8 Vasc Surg, Dublin 8, Ireland
Citazione:
P. Madhavan et al., "Suprarenal mycotic aneurysm exclusion using a stent with a partial autologous covering", J ENDOVAS T, 7(5), 2000, pp. 404-409

Abstract

Purpose. To report a combined endovascular and open technique to manage a suprarenal mycotic aortic aneurysm using a stent-graft partially covered with a section of autologous artery. Methods and Results: A 50-year-old was hospitalized for staphylococcal septicemia and severe back pain. A previously diagnosed 3-cm abdominal aortic aneurysm was found to have expanded 2 cm in 3 weeks. Aortography documentedsome periaortic thickening and 2 mycotic aneurysms, one posterior at the level of the superior mesenteric artery and the second at the aortic bifurcation. After intensive antibiotic therapy, an endovascular approach to exclude the suprarenal mycotic aneurysm was undertaken in tandem with surgical excision of the infrarenal aneurysm. The harvested right common iliac arterywas used to partially cover a Palmaz stent, which was deployed under direct vision just above the renal artery ostia so that the coveted portion of the stent excluded the aneurysm. A right axillofemoral bypass with a femorofemoral bypass completed the revascularization. Postoperatively, the patientdeveloped renal failure, ischemic colitis necessitating a left hemicolectomy, and paraplegia. Although the patient is paralyzed, the aneurysm remainsexcluded with patent visceral vessels at 12 months following surgery. No organisms were grown from excised aortic tissue, and no signs of recurrent infection have been seen. Conclusions: Stent-graft repair may be able to lessen the invasiveness andreduce the morbidity associated with treatment of mycotic aortic aneurysms.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/21 alle ore 11:50:43