Department of Radiology, Wakayama Medical University, 811-1, Kimiidera, Wakayama Shi, Wakayama 641-8510, Japan.
J Vasc Interv Radiol. 2013 Sep;24(9):1409-12. doi: 10.1016/j.jvir.2013.05.047.
A 58-year-old woman initially presented with massive gross hematuria and iliac arteriovesical fistula (IAVF). Endovascular stent-graft repair achieved complete exclusion of the IAVF and controlled the bleeding, but sepsis subsequently developed because of endograft infection. Endovascular embolization of the infected stent graft was performed after extraanatomic bypass surgery. The patient recovered and showed no signs of graft infection or recurrent fistulization at 14 months after treatment. Endovascular embolization of infected stent grafts combined with extraanatomic bypass may be an acceptable treatment option for graft-related sepsis in cases that are resistant to conservative treatment and pose high surgical risk for graft excision.
一位 58 岁女性最初表现为大量肉眼血尿和髂动静脉瘘（IAVF）。血管内支架 - 移植物修复术完全排除了 IAVF 并控制了出血，但随后因移植物感染而发生脓毒症。在解剖外旁路手术后对感染的支架移植物进行了血管内栓塞。患者在治疗后 14 个月恢复，未出现移植物感染或瘘复发的迹象。对于对保守治疗有抵抗力且对移植物切除具有高手术风险的病例，血管内栓塞感染的支架移植物结合解剖外旁路可能是与移植物相关的脓毒症的一种可接受的治疗选择。
