Inferior Vena Cava Stent-Graft Sepsis

Ann Vasc Surg. 2015 Oct;29(7):1451.e17-20. doi: 10.1016/j.avsg.2015.04.067. Epub 2015 Jun 26.

Abstract

We present the case of a patient with a complicated medical history, which included stent grafting as a life-saving measure for an iatrogenic inferior vena cava (IVC) injury. For persistent sepsis secondary to stent-graft infection, the patient underwent extraction of 2 IVC stent grafts, primary repair of a duodenal-caval fistula, and repair of the IVC with an allograft vein patch. Discussion of this case sought to shed light on the intricacies involved in medical decision making in an era of advanced medical technology.

Publication types

  • Case Reports

MeSH terms

  • Blood Vessel Prosthesis / adverse effects*
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Blood Vessel Prosthesis Implantation / instrumentation
  • Device Removal
  • Duodenal Diseases / microbiology
  • Duodenal Diseases / surgery
  • Endovascular Procedures / adverse effects*
  • Endovascular Procedures / instrumentation
  • Female
  • Humans
  • Iatrogenic Disease
  • Intestinal Fistula / microbiology
  • Intestinal Fistula / surgery
  • Middle Aged
  • Phlebography / methods
  • Prosthesis Design
  • Prosthesis-Related Infections / diagnosis
  • Prosthesis-Related Infections / microbiology
  • Prosthesis-Related Infections / surgery*
  • Reoperation
  • Sepsis / diagnosis
  • Sepsis / microbiology
  • Sepsis / surgery*
  • Stents / adverse effects*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular System Injuries / diagnosis
  • Vascular System Injuries / etiology
  • Vascular System Injuries / surgery*
  • Vena Cava, Inferior / diagnostic imaging
  • Vena Cava, Inferior / injuries
  • Vena Cava, Inferior / microbiology
  • Vena Cava, Inferior / surgery*