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使用利福平浸泡的假体进行原位血管重建治疗髂动脉裸支架感染:一例报告

In Situ Revascularization with a Rifampicin-Soaked Prosthesis to Treat Bare Iliac Artery Stent Infection: A Case Report.

作者信息

Hashimoto Munetaka, Tamate Yoshihisa, Sato Hiroko, Murakami Akihiko, Shibuya Shunsuke, Yanagawa Naoki

机构信息

Department of Vascular Surgery, Iwate Prefectural Isawa Hospital, Oshu, Iwate, Japan.

Department of Molecular Diagnostic Pathology, Iwate Medical University School of Medicine, Morioka, Iwate, Japan.

出版信息

Ann Vasc Dis. 2021 Sep 25;14(3):260-263. doi: 10.3400/avd.cr.21-00052.

Abstract

Bare stent infection is an extremely rare complication of endovascular treatment. In such cases, surgical resection of the infected bare stent and revascularization are recommended; however, the revascularization strategy remains controversial. We present a case of a 78-year-old man with an infected aneurysm caused by a bare iliac artery stent infection. We resected the infected aneurysm and performed in situ anatomic reconstruction using a rifampicin-soaked prosthesis with omental coverage. The patient had no reinfection at the 3-year follow-up. Therefore, this procedure may be a useful treatment for bare iliac artery stent infections.

摘要

裸支架感染是血管内治疗极为罕见的并发症。在此类病例中,建议手术切除感染的裸支架并进行血运重建;然而,血运重建策略仍存在争议。我们报告一例78岁男性患者,因髂动脉裸支架感染导致感染性动脉瘤。我们切除了感染性动脉瘤,并使用浸有利福平的假体进行原位解剖重建并覆盖大网膜。该患者在3年随访中未出现再次感染。因此,该手术可能是治疗髂动脉裸支架感染的一种有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0a4/8474094/443de4de44f0/avd-14-3-cr.21-00052-figure01.jpg

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