Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection

Background  Endograft infections (EIs) are rare complications after endovascular procedures in the thoracic and abdominal aortas. The challenging treatment encloses antibiotic and surgical therapies. Case Description  A 74-year-old male patient developed an EI after an endovascular procedure (thorac...

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Autores principales: Pleger, Sebastian Paul, Nink, Nadine, Böning, Andreas, Koshty, Ahmed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2017
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5633407/
https://www.ncbi.nlm.nih.gov/pubmed/29026687
http://dx.doi.org/10.1055/s-0037-1607272
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author Pleger, Sebastian Paul
Nink, Nadine
Böning, Andreas
Koshty, Ahmed
author_facet Pleger, Sebastian Paul
Nink, Nadine
Böning, Andreas
Koshty, Ahmed
author_sort Pleger, Sebastian Paul
collection PubMed
description Background  Endograft infections (EIs) are rare complications after endovascular procedures in the thoracic and abdominal aortas. The challenging treatment encloses antibiotic and surgical therapies. Case Description  A 74-year-old male patient developed an EI after an endovascular procedure (thoracic endovascular aortic repair [TEVAR]). Despite a long-term oral antibiotic therapy, the clinical symptoms showed no falling trend. Because of the expanded infection from above the celiac trunk up to the aortic arch, we decided to remove the infected endograft and to implant an extra-anatomic ascendobifemoral bypass. Conclusion  The implantation of an ascendobifemoral bypass was a successful treatment option for EIs after TEVAR.
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spelling pubmed-56334072017-10-12 Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection Pleger, Sebastian Paul Nink, Nadine Böning, Andreas Koshty, Ahmed Thorac Cardiovasc Surg Rep Background  Endograft infections (EIs) are rare complications after endovascular procedures in the thoracic and abdominal aortas. The challenging treatment encloses antibiotic and surgical therapies. Case Description  A 74-year-old male patient developed an EI after an endovascular procedure (thoracic endovascular aortic repair [TEVAR]). Despite a long-term oral antibiotic therapy, the clinical symptoms showed no falling trend. Because of the expanded infection from above the celiac trunk up to the aortic arch, we decided to remove the infected endograft and to implant an extra-anatomic ascendobifemoral bypass. Conclusion  The implantation of an ascendobifemoral bypass was a successful treatment option for EIs after TEVAR. Georg Thieme Verlag KG 2017-01 2017-10-09 /pmc/articles/PMC5633407/ /pubmed/29026687 http://dx.doi.org/10.1055/s-0037-1607272 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Pleger, Sebastian Paul
Nink, Nadine
Böning, Andreas
Koshty, Ahmed
Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection
title Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection
title_full Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection
title_fullStr Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection
title_full_unstemmed Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection
title_short Ascendobifemoral Bypass for the Treatment of a Thoracic Endograft Infection
title_sort ascendobifemoral bypass for the treatment of a thoracic endograft infection
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5633407/
https://www.ncbi.nlm.nih.gov/pubmed/29026687
http://dx.doi.org/10.1055/s-0037-1607272
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AT koshtyahmed ascendobifemoralbypassforthetreatmentofathoracicendograftinfection

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