Acute infection of Viabahn stent graft in the popliteal artery

Peripheral stents are increasingly used for treatment of peripheral arterial disease, yet all implanted devices are potentially at risk for infection. We describe a 51-year-old man who underwent stenting in the femoropopliteal artery and presented 3 days later with leg pain, fever, and evidence of p...

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Bibliographic Details
Main Authors: S. Michael Gharacholou, MD, MSc, Marshall Dworak, Ala S. Dababneh, MD, Raj Varatharaj Palraj, MBBS, Michael C. Roskos, MD, Scott C. Chapman, MD
Format: Article
Language:English
Published: Elsevier 2017-06-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428717300102
Description
Summary:Peripheral stents are increasingly used for treatment of peripheral arterial disease, yet all implanted devices are potentially at risk for infection. We describe a 51-year-old man who underwent stenting in the femoropopliteal artery and presented 3 days later with leg pain, fever, and evidence of peripheral stigmata of embolization. Blood cultures grew methicillin-resistant Staphylococcus aureus and remained persistently positive despite antibiotic therapy. At surgical exploration, the popliteal artery had essentially been disintegrated by the infection, with only visible stent graft maintaining arterial continuity. Acute stent graft infections are rare and must be managed promptly to reduce morbidity.
ISSN:2468-4287