Schoenkerman Aaron B, Lundstrom Robert J
Department of Medicine, Cardiovascular Medicine Division, University of Wisconsin, Madison, Wisconsin, USA.
Catheter Cardiovasc Interv. 2009 Jan 1;73(1):74-6. doi: 10.1002/ccd.21804.
Stent infection is a rare sequela of coronary stent implantation first reported fifteen years ago. Since that time, much has been learned about this dramatic disease entity by way of case report and review. Nevertheless, clinical experience with regard to the diagnosis and management of coronary artery stent infection remains limited. Here, we report 3 cases of coronary stent infections; 2 with mycotic aneurysms (seen on coronary angiography) that ruptured into an adjacent cardiac chamber, and one with purulent pericarditis. The microbiology as well as the possible mechanisms and risk factors for these infections are discussed.
支架感染是冠状动脉支架植入术后一种罕见的后遗症,首次报道于15年前。自那时起,通过病例报告和综述,人们对这种严重的疾病实体有了更多了解。然而,关于冠状动脉支架感染的诊断和管理的临床经验仍然有限。在此,我们报告3例冠状动脉支架感染病例;2例伴有霉菌性动脉瘤(冠状动脉造影可见)破裂进入相邻心腔,1例伴有脓性心包炎。本文讨论了这些感染的微生物学以及可能的机制和危险因素。