Deitch J S, Hansen K J, Regan J D, Burkhart J M, Ligush J
Division of Surgical Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
J Vasc Surg. 1998 Aug;28(2):340-4. doi: 10.1016/s0741-5214(98)70170-3.
Endovascular infections after percutaneous transluminal renal angioplasty with stenting (PTRAS) are rarely reported. Because strict longitudinal follow-up of patients undergoing PTRAS is lacking, the true incidence of such complications remains obscure. We report the first case of a patient with an infected renal artery pseudoaneurysm and de novo mycotic aortic aneurysm after PTRAS. This case serves to illustrate several important points, including (1) the retrieval of renal function in patients with renal artery occlusion, (2) the pathogenesis of infection after PTRAS, (3) the diagnosis and management of endovascular infection after percutaneous vascular intervention, and (4) recommendations for periprocedural antibiotic prophylaxis during PTRAS.
经皮腔内肾血管成形术加支架置入术（PTRAS）后发生的血管内感染鲜有报道。由于缺乏对接受PTRAS治疗患者的严格长期随访，此类并发症的真实发生率仍不清楚。我们报告了首例PTRAS术后发生感染性肾动脉假性动脉瘤和新发霉菌性主动脉瘤的患者。该病例有助于阐明几个要点，包括（1）肾动脉闭塞患者肾功能的恢复，（2）PTRAS术后感染的发病机制，（3）经皮血管介入术后血管内感染的诊断和管理，以及（4）PTRAS围手术期抗生素预防的建议。
