Risk factors of infection in neuroendovascular procedure
Background With the advent of neuroendovascular procedures, there has been a revolution in the management of neurovascular diseases. One of the major advantages for this minimally invasive procedure is low rate of infections, as compared to craniotomy for treatment of the diseases. However, the risk...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2013-01-01
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| Series: | Indian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.110216 |
| Summary: | Background
With the advent of neuroendovascular procedures, there has been a revolution in the management of neurovascular diseases. One of the major advantages for this minimally invasive procedure is low rate of infections, as compared to craniotomy for treatment of the diseases. However, the risk of infection in these procedures has not been reported widely in the literature. We studied the risk of infection in neuroendovascular procedures in our experience.
Materials and Methods
We studied 256 procedures in 220 prospective patients who underwent neuroendovascular treatment from September 2006 to May 2008 at our institution. Sepsis was defined following the criteria of systemic inflammatory response syndrome plus a documented source of infection with blood cultures.
Results
Sepsis occurred in 22 (8.6%) of the 256 procedures. Almost all of these cases were treated with antibiotics without complicating their intravascular devices infection. However, two sepsis cases of methicillin-resistant Staphylococcus aureus were intractable and took more than a month to resolve.
Conclusion
This study emphasizes the risk of infections in endovascular procedures, and the importance of sterility in these procedures. |
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| ISSN: | 2277-954X 2277-9167 |