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...

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Main Authors: Shoichiro Ishihara, Hideaki Ishihara
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2013-01-01
Series:Indian Journal of Neurosurgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.110216
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author Shoichiro Ishihara
Hideaki Ishihara
author_facet Shoichiro Ishihara
Hideaki Ishihara
author_sort Shoichiro Ishihara
collection DOAJ
description 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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spelling doaj.art-e911aa4574c84cdfb9ba87733fe43d272022-12-21T19:05:28ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672013-01-01020104104510.4103/2277-9167.110216Risk factors of infection in neuroendovascular procedureShoichiro IshiharaHideaki IshiharaBackground 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.http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.110216infectionsneuroendovascularsepsis
spellingShingle Shoichiro Ishihara
Hideaki Ishihara
Risk factors of infection in neuroendovascular procedure
Indian Journal of Neurosurgery
infections
neuroendovascular
sepsis
title Risk factors of infection in neuroendovascular procedure
title_full Risk factors of infection in neuroendovascular procedure
title_fullStr Risk factors of infection in neuroendovascular procedure
title_full_unstemmed Risk factors of infection in neuroendovascular procedure
title_short Risk factors of infection in neuroendovascular procedure
title_sort risk factors of infection in neuroendovascular procedure
topic infections
neuroendovascular
sepsis
url http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.110216
work_keys_str_mv AT shoichiroishihara riskfactorsofinfectioninneuroendovascularprocedure
AT hideakiishihara riskfactorsofinfectioninneuroendovascularprocedure