Mosienko Lucas, Dhaliwal Surinder, Guzman Randolph, Lo Evelyn, Harding Gregory
Max Rady College of Medicine, University of Manitoba, 727 McDermot Ave Winnipeg, Manitoba R3E 3P5, Canada.
Department of Radiology, University of Manitoba, 727 McDermot Ave Winnipeg, Manitoba R3E 3P5, Canada.
Radiol Case Rep. 2025 Jul 25;20(10):5137-5141. doi: 10.1016/j.radcr.2025.06.070. eCollection 2025 Oct.
Aortic endograft infections are associated with significant morbidity and mortality, and must be managed promptly. The definitive treatment is surgical explantation, however conservative approaches using percutaneous intervention have been shown to be successful in some cases. Notably, there is no documented case of an infected EVAR and subsequent endoleak that was managed solely by antibiotics. We present a case of a 91 year old male with an infected endograft and subsequent type 1a endoleak. He was not a surgical candidate, and a conservative approach to management was taken. Remarkably, after prolonged antibiotic therapy, both the infection and the type 1a endoleak resolved. This case suggests treating the primary endograft infection in nonsurgical candidates may also lead to the resolution of associated endoleaks. Further research is needed to understand the potential of antibiotics alone in similar cases.
主动脉腔内移植物感染与严重的发病率和死亡率相关，必须及时处理。 definitive treatment is surgical explantation, however conservative approaches using percutaneous intervention have been shown to be successful in some cases. Notably, there is no documented case of an infected EVAR and subsequent endoleak that was managed solely by antibiotics. 我们报告一例91岁男性患者，其腔内移植物感染并继发1a型内漏。他不适合手术，因此采取了保守治疗方法。值得注意的是，经过长时间的抗生素治疗后，感染和1a型内漏均得到解决。该病例表明，对非手术候选患者的原发性腔内移植物感染进行治疗，也可能导致相关内漏的消退。需要进一步研究以了解在类似病例中单独使用抗生素的潜力。
