Muhammad A. Sharif, FRCS, Bernard Lee, FRCS, Luk L. Lau, MD, Peter K

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Presentation transcript:

Prosthetic stent graft infection after endovascular abdominal aortic aneurysm repair  Muhammad A. Sharif, FRCS, Bernard Lee, FRCS, Luk L. Lau, MD, Peter K. Ellis, FRCR, Anton J. Collins, FRCR, Paul H. Blair, MD, Chee V. Soong, MD  Journal of Vascular Surgery  Volume 46, Issue 3, Pages 442-448 (September 2007) DOI: 10.1016/j.jvs.2007.05.027 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 Kaplan-Meier life table analysis demonstrates freedom from graft-related sepsis. The number of patients at risk for each interval time is shown. Journal of Vascular Surgery 2007 46, 442-448DOI: (10.1016/j.jvs.2007.05.027) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 Labelled white cell scan shows area of increased uptake in the distal part of the stent graft (arrowhead). Journal of Vascular Surgery 2007 46, 442-448DOI: (10.1016/j.jvs.2007.05.027) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 3 Computed tomography scan shows (arrowhead a) the left limb of the aortobiiliac device and (arrowhead b) a large area of low density anterior to left psoas muscle and adjacent to the left limb of the graft with peripheral enhancement suggestive of acute abscess. Journal of Vascular Surgery 2007 46, 442-448DOI: (10.1016/j.jvs.2007.05.027) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 4 Intraoperative picture shows (arrowhead a) aneurysm sac opened up with pus aspirated from the sac, (arrowhead b) stent graft inside the sac, and (arrowhead c) a back-bleeding lumbar artery controlled with a suture. Journal of Vascular Surgery 2007 46, 442-448DOI: (10.1016/j.jvs.2007.05.027) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 5 Computed tomography scan shows (arrowhead a) marked thickening of the aortic wall, (arrowhead b) adjacent lymphadenopathy, and (arrowhead c) stranding of the surrounding fat planes suggestive of intense inflammatory response. Journal of Vascular Surgery 2007 46, 442-448DOI: (10.1016/j.jvs.2007.05.027) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions