Difficult diagnosis and management of a complicated Nellix graft infection

An 81-year-old man, with a complex vascular surgical history, presents with sepsis from an infected Nellix stent-graft. He required an urgent laparotomy, explantation of the graft, and extra-anatomical repair. Although now widely used for this indication, the preoperative 18F-fluorodeoxyglucose posi...

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Bibliographic Details
Main Authors: Jin Xin Lin, MBChB, Sam Taylor, MBChB, Cassandra Hidajat, MBBS(Hons), Andrew Hill, MBChB, FRACS
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428721000836
Description
Summary:An 81-year-old man, with a complex vascular surgical history, presents with sepsis from an infected Nellix stent-graft. He required an urgent laparotomy, explantation of the graft, and extra-anatomical repair. Although now widely used for this indication, the preoperative 18F-fluorodeoxyglucose positron emission tomography/computed tomography was nondiagnostic for his stent-graft infection. We describe our management of a complicated Nellix graft infection and discuss the utility of positron emission tomography/computed tomography for stent-graft infections.
ISSN:2468-4287