Navigating an atypical presentation of peripheral stent infection: A case report of successful surgical salvage

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-05-13 DOI:10.1016/j.jvscit.2025.101841

Mouhammad Halabi MD, Hassan Chamseddine MD, Hamzah Saleem MD, Jonathon Gould MD, Loay Kabbani MD, Mitchell Weaver MD

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引用次数: 0

Abstract

Endovascular stent infections are a rare but potentially devastating complication that often present with nonspecific generalized signs and symptoms, leading to delayed diagnosis. We describe the case of a 46-year-old woman who developed progressive weakness and a diffuse rash of the left lower extremity 1 week after a left external iliac artery bare metal stent was placed for lifestyle-limiting claudication. Blood cultures were positive, and computed tomography angiography revealed fluid collection around the stent suggestive of infection. Despite targeted antibiotic therapy, her symptoms persisted, necessitating surgical stent explantation and arterial reconstruction with a cryograft. Postoperatively, she achieved full resolution of symptoms. This case underscores the diagnostic and therapeutic challenges of endovascular stent infections and highlights the importance of early recognition and intervention.

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导航周围支架感染的不典型表现：一例成功的手术抢救报告

血管内支架感染是一种罕见但具有潜在破坏性的并发症，通常呈现非特异性的全身性体征和症状，导致诊断延迟。我们描述了一例46岁的女性，她在放置左侧髂外动脉裸金属支架治疗生活方式受限的跛行1周后出现进行性虚弱和左下肢弥漫性皮疹。血液培养呈阳性，计算机断层血管造影显示支架周围积液提示感染。尽管有针对性的抗生素治疗，她的症状持续存在，需要手术支架移植和动脉重建与冷冻移植物。术后，患者症状完全缓解。本病例强调了血管内支架感染的诊断和治疗挑战，并强调了早期识别和干预的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.