A minimally invasive approach to the infected aorta with novel endovascular use of biocomposite antibiotic material
We have presented the case of a symptomatic, primarily infected aortic pseudoaneurysm treated with endovascular stent graft exclusion and adjunctive use of a long-acting biocomposite antibiotic material injected directly into the pseudoaneurysm sac. We have described preparation of the biocomposite...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-12-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428722001745 |
| _version_ | 1828085541443207168 |
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| author | Callie E. Dowdy, MD Matthew J. Dougherty, MD Matthew F. Carpiniello, MD Kunal T. Vani, DO Douglas A. Troutman, DO Keith D. Calligaro, MD |
| author_facet | Callie E. Dowdy, MD Matthew J. Dougherty, MD Matthew F. Carpiniello, MD Kunal T. Vani, DO Douglas A. Troutman, DO Keith D. Calligaro, MD |
| author_sort | Callie E. Dowdy, MD |
| collection | DOAJ |
| description | We have presented the case of a symptomatic, primarily infected aortic pseudoaneurysm treated with endovascular stent graft exclusion and adjunctive use of a long-acting biocomposite antibiotic material injected directly into the pseudoaneurysm sac. We have described preparation of the biocomposite antibiotic material and the catheter-directed delivery technique in detail. Although the use of long-acting antibiotic materials such as antibiotic beads has been well described when performing open surgery in an infected field, the application of these materials in endovascular procedures has been less certain. The techniques we have described have the potential to promote field sterilization in a minimally invasive manner for patients with aortic infections who could be poor candidates for open surgery. |
| first_indexed | 2024-04-11T04:41:33Z |
| format | Article |
| id | doaj.art-adabef9f1c674fe7a484880fb7458268 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-04-11T04:41:33Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-adabef9f1c674fe7a484880fb74582682022-12-28T04:18:55ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872022-12-0184674677A minimally invasive approach to the infected aorta with novel endovascular use of biocomposite antibiotic materialCallie E. Dowdy, MD0Matthew J. Dougherty, MD1Matthew F. Carpiniello, MD2Kunal T. Vani, DO3Douglas A. Troutman, DO4Keith D. Calligaro, MD5Correspondence: Callie E. Dowdy, MD, Section of Vascular Surgery, Pennsylvania Hospital, 700 Spruce St, Ste 101, Philadelphia, PA 19106; Section of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PASection of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PASection of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PASection of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PASection of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PASection of Vascular Surgery, Pennsylvania Hospital, Philadelphia, PAWe have presented the case of a symptomatic, primarily infected aortic pseudoaneurysm treated with endovascular stent graft exclusion and adjunctive use of a long-acting biocomposite antibiotic material injected directly into the pseudoaneurysm sac. We have described preparation of the biocomposite antibiotic material and the catheter-directed delivery technique in detail. Although the use of long-acting antibiotic materials such as antibiotic beads has been well described when performing open surgery in an infected field, the application of these materials in endovascular procedures has been less certain. The techniques we have described have the potential to promote field sterilization in a minimally invasive manner for patients with aortic infections who could be poor candidates for open surgery.http://www.sciencedirect.com/science/article/pii/S2468428722001745Infected aortic aneurysmMycotic aneurysmAntibiotic beadsEndovascular infected aneurysm |
| spellingShingle | Callie E. Dowdy, MD Matthew J. Dougherty, MD Matthew F. Carpiniello, MD Kunal T. Vani, DO Douglas A. Troutman, DO Keith D. Calligaro, MD A minimally invasive approach to the infected aorta with novel endovascular use of biocomposite antibiotic material Journal of Vascular Surgery Cases and Innovative Techniques Infected aortic aneurysm Mycotic aneurysm Antibiotic beads Endovascular infected aneurysm |
| title | A minimally invasive approach to the infected aorta with novel endovascular use of biocomposite antibiotic material |
| title_full | A minimally invasive approach to the infected aorta with novel endovascular use of biocomposite antibiotic material |
| title_fullStr | A minimally invasive approach to the infected aorta with novel endovascular use of biocomposite antibiotic material |
| title_full_unstemmed | A minimally invasive approach to the infected aorta with novel endovascular use of biocomposite antibiotic material |
| title_short | A minimally invasive approach to the infected aorta with novel endovascular use of biocomposite antibiotic material |
| title_sort | minimally invasive approach to the infected aorta with novel endovascular use of biocomposite antibiotic material |
| topic | Infected aortic aneurysm Mycotic aneurysm Antibiotic beads Endovascular infected aneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S2468428722001745 |
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