Septic embolization from stented arteriovenous fistula

J Vasc Surg Cases Innov Tech. 2019 May 31;5(2):195-196. doi: 10.1016/j.jvscit.2019.02.004. eCollection 2019 Jun.

Abstract

Anastomotic stenosis of an arteriovenous fistula is often amenable to percutaneous intervention (angioplasty and stenting) and unlikely to be complicated by infection. A 69-year-old man underwent pre-emptive arteriovenous fistula construction that required interval placement of a covered stent for juxta-anastomotic stenosis. The patient presented 1 year after the intervention with systemic sepsis that required stent graft explantation and revision. This is a unique case report showing an infected stent graft, placed to restore secondary patency, that was later found to be the source of bacteremia and septic pulmonary emboli.

Keywords: AVF stent graft; Covered stent infection; Infected stent graft.

Publication types

  • Case Reports