Endovascular stent-grafting for infected iliac artery pseudoaneurysms
Endovascular stent-grafting for infected iliac artery pseudoaneurysms
复制标题
DOI：
10.1007/s00270-004-0005-9
复制
发表时间：
2005-01-01
影响因子：
2.9
通讯作者：
Miyazu, K
中科院分区：
文献类型：
--
作者：
Sanada, J;Matsui, O;Miyazu, K
我们报告两例急性感染性髂动脉假性动脉瘤，成功地用血管内支架植入术治疗。2例患者因周围感染导致的髂动脉腐蚀性断裂而接受支架植入术。第一个病例是一名61岁的男性，他接受了迈尔斯手术治疗晚期直肠癌。手术后，他形成了盆腔内脓肿。从中培养出耐甲氧西林金黄色葡萄球菌，随后右髂外动脉破裂。第二例为60岁男性，左侧髂总动脉假性动脉瘤，邻近左侧腰肌肌脓肿，培养无乳链球菌。两名患者均成功地接受了支架移植和抗生素治疗，并在12个月和10个月后仍无症状。虽然血管内支架移植不应该被认为是感染动脉瘤的标准治疗方法，但我们的病例表明，即使在不受控制的活动期，它也可以修复感染的动脉瘤。
We report two cases of acutely infected pseudoaneurysms of the iliac arteries, successfully treated with endovascular stent-grafting. Two patients underwent stent-graft treatment for erosive rupture of the iliac artery caused by surrounding infection. The first case is that of a 61-year-old man who had undergone Miles' operation for an advanced rectal cancer. Postoperatively, he developed intrapelvic abscess formation. from which methicillin-resistant Staph-ylococcus aureus was cultured, followed by rupture of the right external iliac artery. The second case is that of a 60-year-old man who had a pseudoaneurysms of the left common iliac artery, which was contiguous with a left psoas muscle abscess, from which Streptococcus agalactiae was cultured. Both patients were successfully treated with only a stent-graft and antibiotic therapy, and remained symptom-free 12 months and 10 months later. Although endovascular stent-grafting should not be considered standard therapy for infected aneurysms, our cases suggest that it can result in repair of infected aneurysms even in the uncontrolled active stage.