Arterial infection and staphylococcus aureus bacteremia after transfemoral cannulation for percutaneous carotid angioplasty and stenting.

Abstract:

:In this report, we present a patient who developed an infected femoral artery after repuncture cannulation for carotid angioplasty and intraluminal stenting. The case was complicated by persistent bacteremia and a delay in diagnosis before it was managed successfully with an autogenous replacement graft and appropriate antibiotics. Overt stent infection is exceedingly rare, but according to the literature describing transfemoral coronary artery intervention, the spectrum of clinical syndromes related to infection of the arterial puncture site includes local invasion, pseudoaneurysm formation, septic embolization to the distal limb, and bacteremia. The diagnosis requires a high degree of clinical suspicion and is often delayed. Although the incidence of infectious complications reported for percutaneous intra-arterial interventions historically has been low, the absolute number of these complications almost certainly will increase in the future because of the expanding array of interventional procedures that is becoming available.

journal_name

J Vasc Surg

authors

Culver DA,Chua J,Rehm SJ,Whitlow P,Hertzer NR

doi

10.1067/mva.2002.119398

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

576-9

issue

3

eissn

0741-5214

issn

1097-6809

pii

S0741521402581611

journal_volume

35

pub_type

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