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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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
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author Edward A. Andraos, MD
Zafar Jamil, MD
Frank T. Padberg, Jr., MD
author_facet Edward A. Andraos, MD
Zafar Jamil, MD
Frank T. Padberg, Jr., MD
author_sort Edward A. Andraos, MD
collection DOAJ
description 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
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spelling doaj.art-0ee429a6978c494d9d061c1cd5747a622022-12-21T23:40:04ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-06-0152195196Septic embolization from stented arteriovenous fistulaEdward A. Andraos, MD0Zafar Jamil, MD1Frank T. Padberg, Jr., MD2Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ; Correspondence: Edward A. Andraos, MD, 4310 Dunlavy St, Apt 326, Houston, TX 77006Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ; Department of Surgery, East Orange VA Hospital, East Orange, NJDepartment of Surgery, Rutgers New Jersey Medical School, Newark, NJ; Department of Surgery, East Orange VA Hospital, East Orange, NJAnastomotic 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 infectionhttp://www.sciencedirect.com/science/article/pii/S2468428719300206
spellingShingle Edward A. Andraos, MD
Zafar Jamil, MD
Frank T. Padberg, Jr., MD
Septic embolization from stented arteriovenous fistula
Journal of Vascular Surgery Cases and Innovative Techniques
title Septic embolization from stented arteriovenous fistula
title_full Septic embolization from stented arteriovenous fistula
title_fullStr Septic embolization from stented arteriovenous fistula
title_full_unstemmed Septic embolization from stented arteriovenous fistula
title_short Septic embolization from stented arteriovenous fistula
title_sort septic embolization from stented arteriovenous fistula
url http://www.sciencedirect.com/science/article/pii/S2468428719300206
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