Septic embolization from stented arteriovenous fistula

Anastomotic stenosis of an arteriovenous fistula is often amenable to percutaneous intervention (angioplasty and stenting) and unlikely to be complicated by infection. A 69-year-old man underwent pre-emptive arteriovenous fistula construction that required interval placement of a covered stent for j...

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Bibliographic Details
Main Authors: Edward A. Andraos, MD, Zafar Jamil, MD, Frank T. Padberg, Jr., MD
Format: Article
Language:English
Published: Elsevier 2019-06-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428719300206
Description
Summary:Anastomotic stenosis of an arteriovenous fistula is often amenable to percutaneous intervention (angioplasty and stenting) and unlikely to be complicated by infection. A 69-year-old man underwent pre-emptive arteriovenous fistula construction that required interval placement of a covered stent for juxta-anastomotic stenosis. The patient presented 1 year after the intervention with systemic sepsis that required stent graft explantation and revision. This is a unique case report showing an infected stent graft, placed to restore secondary patency, that was later found to be the source of bacteremia and septic pulmonary emboli. Keywords: Infected stent graft, AVF stent graft, Covered stent infection
ISSN:2468-4287