scholarly journals TCTAP C-177 Two Case Reports of Huge Mycotic Aneurysm Successfully Treated by Multilayer Stent Graft

2016 ◽  
Vol 67 (16) ◽  
pp. S309-S311
Author(s):  
Jong Hyun Choi ◽  
Han Cheol Lee ◽  
Jin Sup Park ◽  
Hye Won Lee ◽  
Jun-Hyok Oh ◽  
...  
Keyword(s):  
Stent Graft ◽  
Mycotic Aneurysm ◽  
Case Reports ◽  
Multilayer Stent

scholarly journals Management of a Mycotic Aneurysm in a Patient with COVID-19: A Case Report

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 620
Author(s):  
Muzammil H. Syed ◽  
Mark Wheatcroft ◽  
Danny Marcuzzi ◽  
Hooman Hennessey ◽  
Mohammad Qadura
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Stent Graft ◽  
Mycotic Aneurysm ◽  
Neurological Deficits ◽  
Endovascular Stent ◽  
Endovascular Stents ◽  
Abdominal Aortic ◽  
Short Period

The aim of this paper is to share our experience in managing a patient with Klebsiella pneumoniae mycotic abdominal aortic aneurysm who was also infected with COVID-19. A 69-year-old male was transferred to our hospital for the management of an infra-renal mycotic abdominal aortic aneurysm. During his hospital course, the patient contracted severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). He was intubated due to respiratory distress. Over a short period, his mycotic aneurysm increased in size from 2.5 cm to 3.9 cm. An emergency repair of his expanding aneurysm was achieved using our previously described protocol of coating endovascular stents with rifampin. The patient was managed with a rifampin-coated endovascular stent graft without any major complications. Postoperatively, the patient did not demonstrate any neurological deficits nor any vascular compromise. He remained afebrile during his postoperative course and was extubated sometime thereafter. He was then transferred to the ward for additional monitoring prior to his discharge to a rehab hospital while being on long-term antibiotics. During his hospital stay, he was monitored with serial ultrasounds to ensure the absence of abscess formation, aortic aneurysm growth or graft endoleak. At 6 weeks after stent graft placement, he underwent a CT scan, which showed a patent stent graft, with a residual sac size of 2.5 cm without any evidence of abscess or endoleak. Over a follow-up period of 180 days, the patient remained asymptomatic while remaining on long-term antibiotics. Thus, in patients whose surgical risk is prohibitive, endovascular stent grafts can be used as a bridge to definitive surgical management.

scholarly journals Successful endovascular stenting of a bleeding external iliac vein mycotic aneurysm in an oncologic patient: a case report

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Rupal S. Parikh ◽  
Shiyi Li ◽  
Christopher Shackles ◽  
Tamim Khaddash
Keyword(s):  
Mycotic Aneurysm ◽  
Case Reports ◽  
Treatment Options ◽  
Iliac Vein ◽  
Pelvic Abscess ◽  
Vascular Lesions ◽  
Endovascular Stenting ◽  
Oncologic Patient ◽  
External Iliac Vein ◽  
Effective Option

Abstract Background Mycotic aneurysms are rare vascular lesions, occurring in 0.6–2% of arterial aneurysms but with no reported venous cases. Venous aneurysms unrelated to an underlying infectious process have been previously described and are typically surgically repaired due to risk of thromboembolic events. Case presentation This case reports a bleeding external iliac vein mycotic aneurysm secondary to erosion of a chronic pelvic abscess, successfully treated with endovascular stenting, in an oncologic patient without alternative therapeutic options. Conclusion Venous aneurysms are uncommon vascular lesions which have historically been treated with open surgical repair. Given the lower degree of procedural morbidity, endovascular management of these lesions may be an effective option in the appropriate setting, particularly as a last resort in patients without surgical treatment options.

Covered Stents for True Subclavian Aneurysms in Patients with Degenerative Connective Tissue Disorders

2003 ◽  
Vol 10 (3) ◽  
pp. 647-652 ◽  
Author(s):  
Karthikeshwar Kasirajan ◽  
Brian Matteson ◽  
John M. Marek ◽  
Mark Langsfeld
Keyword(s):  
Connective Tissue ◽  
Stent Graft ◽  
Subclavian Artery ◽  
Case Reports ◽  
The Other ◽  
Long Term Results ◽  
Covered Stents ◽  
Connective Tissue Disorders ◽  
Invasive Treatment ◽  
Cystic Medial Necrosis

Purpose: To report the endovascular repair of rare true aneurysms of the subclavian artery in patients with degenerative connective tissue disorders. Case Reports: Two patients, one with Marfan syndrome and the other with idiopathic cystic medial necrosis, presented with 3 subclavian artery aneurysms. A Wallgraft and 2 Viabahn covered stents were used to successfully exclude these aneurysms. After 3 months, the Wallgraft thrombosed, but the contralateral Viabahn remained patent at the most recent examination 13 months after treatment. The other patient with the unilateral aneurysm had a patent Viabahn stent-graft at 10 months. Conclusions: Patients with degenerative connective tissue disorders may benefit from less invasive treatment with stent-grafts. The more flexible Viabahn stent-graft may be better able to adapt to arterial tortuosity. However, the long-term results of this new technique have not yet been established.

How to Exclude the Dilated False Lumen in Patients after a Type B Aortic Dissection? The Cork in the Bottleneck

2003 ◽  
Vol 10 (2) ◽  
pp. 244-248 ◽  
Author(s):  
Maartje C. Loubert ◽  
Victor P.M. van der Hulst ◽  
Cees De Vries ◽  
Kees Bloemendaal ◽  
Anco C. Vahl
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Case Reports ◽  
False Lumen ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Type B Dissection ◽  
Occluder Device ◽  
Stent Graft Implantation ◽  
Graft Implantation

Purpose: To report techniques for excluding the dilated false lumen associated with chronic type B aortic dissection following placement of a stent-graft in the true lumen. Case Reports: Two patients underwent stent-graft implantation for a dilated false lumen after chronic aortic dissection, but the false lumen was not excluded from the circulation by this procedure. The false lumen was obliterated in one case with Greenfield filters and detachable balloons placed above a renal artery orifice that was perfused via the false lumen. This acted like “a cork in the bottleneck” to block retrograde flow into the thoracic portion of the false lumen above the blockade. In the other patient, an occluder device was used as the “cork.” In both cases, a good result was obtained. The occluder device is preferred because deployment is more controllable. Conclusions: An occluder device may be used like a cork in a bottle to exclude the dilated false lumen in the thoracic aorta after a type B dissection.

Endovascular Treatment of External Iliac Artery Injuries after Hip Arthroplasty

2003 ◽  
Vol 10 (3) ◽  
pp. 672-675 ◽  
Author(s):  
Roberto Adovasio ◽  
Fabio Pozzi Mucelli ◽  
Giovanni Lubrano ◽  
Cristiana Gasparini ◽  
Manuel Belgrano ◽  
...  
Keyword(s):  
Stent Graft ◽  
Iliac Artery ◽  
Elderly Women ◽  
Case Reports ◽  
External Iliac Artery ◽  
Hip Surgery ◽  
Hip Prostheses ◽  
Arterial Lesions ◽  
Stent Graft Repair

Purpose: To report endovascular repair of injuries to the external iliac artery during hip surgery. Case Reports: Two elderly women with histories of chronically infected hip prostheses were found to have iatrogenic leaking pseudoaneurysms of the external iliac artery due to hip surgery trauma in the past. Both were treated successfully with a Jostent Peripheral Stent-Graft. The first patient died 17 months after treatment, and the second was well, with an excluded false aneurysm, at the 6-month follow-up. Conclusions: Stent-graft repair may be an appropriate and effective treatment for some traumatic arterial lesions.

scholarly journals Successful Endovascular Stenting of a Bleeding External Iliac Vein Mycotic Aneurysm: A Case Report

2021 ◽  
Author(s):  
Rupal Parikh ◽  
Shiyi Li ◽  
Christopher Shackles ◽  
Tamim Khaddash
Keyword(s):  
Mycotic Aneurysm ◽  
Case Reports ◽  
Iliac Vein ◽  
Pelvic Abscess ◽  
Vascular Lesions ◽  
Endovascular Stenting ◽  
External Iliac Vein ◽  
Effective Option ◽  
Mycotic Aneurysms ◽  
Arterial Aneurysms

Abstract Background: Mycotic aneurysms are rare vascular lesions, occurring in 0.6-2% of arterial aneurysms but with no reported venous cases. Venous aneurysms unrelated to an underlying infectious process have been previously described and are typically surgically repaired due to risk of thromboembolic events. Only a few reported cases have been successfully treated with endovascular repair. Case presentation: This case reports a bleeding external iliac vein mycotic aneurysm secondary to erosion of a chronic pelvic abscess, successfully treated with endovascular stenting. Conclusion: Venous aneurysms are uncommon vascular lesions which have historically been treated with open surgical repair. Given the lower degree of procedural morbidity, endovascular management of these lesions may be an effective option in the appropriate setting.

Polymer leak with the Ovation Abdominal Stent Graft System: Early recognition and treatment

Vascular ◽  
2019 ◽  
Vol 28 (2) ◽  
pp. 159-164
Author(s):  
Navyash Gupta ◽  
Karen L Hynes ◽  
Omeed Mahrouyan ◽  
Charles S Briggs ◽  
Ali Azzizadeh
Keyword(s):  
Anaphylactic Reaction ◽  
Stent Graft ◽  
Early Recognition ◽  
Case Reports ◽  
Endovascular Aneurysm Repair ◽  
Systemic Exposure ◽  
Cure Rate ◽  
Root Cause ◽  
Incidence Risk ◽  
Aneurysm Repair

Objective Endovascular aneurysm repair can be performed using multiple commercially available stent graft systems, each with their own unique design features and potential complications. This study evaluated the incidence, risk factors and outcomes of patients who developed an anaphylactic reaction following systemic exposure to the polymer used with the Ovation Abdominal Stent Graft System (Endologix Inc., Irvine, CA). Methods We reviewed all reports related to polymer leak with the device received by the manufacturer (formerly known as TriVascular, Santa Rosa, CA). Patients who developed an anaphylactic or hypersensitivity reaction were evaluated for root cause. The manufacturer was contacted to assemble all available data and outcomes related to the case reports. Results Between November 2009 and August 2016, polymer leak was reported in 26 patients (mean age, 77, range 61–100 years) from approximately 10,000 device implants (reported incidence, 0.26%). Symptoms occurred in 24 patients, with hypotension being the primary symptom. Treatment was in accordance for an anaphylactic reaction. There were no deaths, and the aneurysm sac remained unexcluded in three patients at the end of the case. Of these, one patient underwent successful endovascular re-intervention, one was converted to open surgical repair and one patient continued to be monitored. Factors that appear to contribute to the risk of polymer leak include initial manufacturing process for the device, excessive graft manipulation, early ballooning prior to complete polymer cure and lower body temperature, which can slow the polymer cure rate. Conclusion Although polymer leak and anaphylaxis appear to be an infrequent event associated with use of the Ovation graft, awareness of this complication and prompt recognition can allow for timely treatment. Returning the patient to hemodynamic stability can allow for completion of the procedure and successful exclusion of the aneurysm sac.

scholarly journals Mycotic Aneurysm Due to Burkholderia pseudomallei Infection: Case Reports and Literature Review

2005 ◽  
Vol 40 (1) ◽  
pp. 193-198 ◽  
Author(s):  
J. G. H. Low ◽  
A. M. L. Quek ◽  
Y. K. Sin ◽  
B. S. P. Ang
Keyword(s):  
Literature Review ◽  
Burkholderia Pseudomallei ◽  
Mycotic Aneurysm ◽  
Case Reports

scholarly journals Cavernous Thrombophlebitis Secondary to Cavernous Internal Carotid Mycotic Aneurysm

2019 ◽  
Vol 10 (3) ◽  
pp. 221-223
Author(s):  
Devin J. Burke ◽  
Ashutosh Jadhav
Keyword(s):  
Mycotic Aneurysm ◽  
Internal Carotid ◽  
Case Reports ◽  
Case Series ◽  
Intravenous Drug Use ◽  
Cavernous Sinus Syndrome ◽  
Full Resolution ◽  
Fungal Endocarditis ◽  
History Of ◽  
Mycotic Aneurysms

We report a case of a 22-year-old male with a history of intravenous drug use presenting with cavernous sinus syndrome secondary to cavernous thrombophlebitis. The source of the thrombophlebitis was from a mycotic aneurysm in the setting of fungal endocarditis. With antifungal therapy and aortic valve replacement, the patient had full resolution of cranial nerve deficits. Descriptions of mycotic aneurysms of the cavernous portion of the internal carotid artery are limited to case reports and case series. Most have been nonendocarditic in etiology with poor prognosis. We present a unique case with endocarditic etiology and an excellent prognosis.

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