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Bilateral Renal Artery Stent Infection and Pseudoaneurysm Formation

2000; Elsevier BV; Volume: 11; Issue: 3 Linguagem: Inglês

10.1016/s1051-0443(07)61427-4

1535-7732

Rizwan H. Bukhari, Patrick Muck, Francis J. Schlueter, Alan J. Annenberg, L. Richard Roedersheimer, Douglas S. Paget, C Chang, James J. Arbaugh, Richard E. Welling,

Abdominal vascular conditions and treatments

ENDOVASCULAR stents have become a commonly employed tool in the treatment of vascular disease. Possible complications associated with the use of stents include hemorrhage and/or hematoma, acute or chronic reocclusion, vessel dissection or rupture, and embolic phenomenon. Endovascular stents have been shown in animal models to have the potential for infection ( 1 Thibodeaux LC James KV Lohr JM Welling RE Roberts WH Infection of endovascular stents in a swine model. Am J Surg. 1996; 172: 151-154 Abstract Full Text PDF PubMed Scopus (41) Google Scholar , 2 Hearn AT James KV Lohr JM Thibodeaux LC Roberts WH Welling RE Endovascular stent infection with delayed bacterial challenge. Am J Surg. 1997; 174: 157-159 Abstract Full Text PDF PubMed Scopus (41) Google Scholar ), and in recent years there have been increasing numbers of single case reports in the literature of stent infections in humans. These infections can have the potential to become life threatening ( 3 Therasse E Soulez G Cartier P et al. Infection with fatal outcome after endovascular metallic stent placement. Radiology. 1994; 192: 363-365 PubMed Google Scholar , 4 Gunther HU Strupp G Volmar J von Korn H Bonzel T Stegmann T Coronary stent implantation: infection and abscess with fatal outcome. Z Kardiol. 1993; 82: 521-525 PubMed Google Scholar ). This article describes a report of death secondary to bilateral infected renal artery pseudoaneurysms after placement of bilateral renal artery stents.