Percutaneous Drainage of Aortic Aneurysm Sac Abscesses Following Endovascular Aneurysm Repair

被引：16

作者：

Pryluck, D. S. ^{[1
]}

Kovacs, S. ^{[1
]}

Maldonado, T. S. ^{[2
]}

Jacobowitz, G. R. ^{[2
]}

Adelman, M. A. ^{[2
]}

Charles, H. C. ^{[1
]}

Clark, T. W. I. ^{[1
]}

机构：

[1] NYU, Sch Med, NYU Langone Med Ctr, Div Vasc & Intervent Radiol,Dept Radiol, New York, NY 10003 USA

[2] NYU, Sch Med, NYU Langone Med Ctr, Div Vasc Surg,Dept Surg, New York, NY 10003 USA

来源：

VASCULAR AND ENDOVASCULAR SURGERY | 2010年 / 44卷 / 08期

关键词：

aortic aneurysm; stent graft; endograft; abscess; percutaneous drainage; complication; STENT GRAFT INFECTION; RANDOMIZED CONTROLLED-TRIAL; MANAGEMENT;

D O I：

10.1177/1538574410376451

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose: To report preliminary experiences with the treatment of aortic aneurysm sac abscesses following prior endovascular aortic aneurysm repair (EVAR) using computerized tomography (CT)-guided percutaneous drainage. Case Reports: Three patients aged 73 to 78 years with aortic aneurysm sac infections following prior EVAR, 2 of which were associated with aortoduodenal fistula, underwent CT-guided percutaneous drainage and catheter placement. One patient had complete resolution of the aortic aneurysm sac abscess following percutaneous drainage; 1 patient was stabilized to eventual extraanatomic bypass, graft explantation, and fistula repair; and 1 patient was temporized to debridement and fistula repair with endograft preservation. Conclusion: CT-guided percutaneous drainage may be a helpful therapy in selected patients for the treatment of aortic aneurysm sac infections following EVAR.

引用

页码：701 / 707

页数：7

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