Download PDF
CC BY 4.0 · Aorta (Stamford) 2018; 06(04): 102-106
DOI: 10.1055/s-0039-1681067
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Endovascular Aneurysm Repair Complicated with Type Ia Endoleak and Presumable Infection Treated with a Fenestrated Endograft

Arne de Niet
1   Division of Vascular Surgery, Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
,
Paul M. van Schaik
1   Division of Vascular Surgery, Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
,
Ben R. Saleem
1   Division of Vascular Surgery, Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
,
Clark J. Zeebregts
1   Division of Vascular Surgery, Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
,
Ignace F. J. Tielliu
1   Division of Vascular Surgery, Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
› Author Affiliations Funding A. de Niet is financially supported by an unrestricted research grant from Vascutek Ltd.
Further Information

Publication History

20 March 2018

05 November 2018

Publication Date:
08 March 2019 (online)

   Permissions and Reprints

Abstract

An 81-year-old patient presented to the emergency room 5 years after infrarenal endovascular aneurysm repair, with a Type Ia endoleak and a presumable infection of the graft material with Listeria monocytogenes. He was treated with a custom-made fenestrated endograft to seal the endoleak and lifelong antibiotic therapy to suppress the infection. Full explantation of graft material is not always preferable, and endovascular treatment combined with antibiotic suppressive therapy is in some cases an appropriate alternative.

Keywords

popliteal aneurysm - aortic aneurysm - Listeria monocytogenes infection - fenestrated endovascular aneurysm repair
 

  • References

  • 1 Prinssen M, Verhoeven EL, Buth J. , et al; Dutch Randomized Endovascular Aneurysm Management (DREAM)Trial Group. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med 2004; 351 (16) 1607-1618
    CrossrefPubMedGoogle Scholar
  • 2 Lal BK, Zhou W, Li Z. , et al; OVER Veterans Affairs Cooperative Study Group. Predictors and outcomes of endoleaks in the Veterans Affairs Open Versus Endovascular Repair (OVER) trial of abdominal aortic aneurysms. J Vasc Surg 2015; 62 (06) 1394-1404
    CrossrefPubMedGoogle Scholar
  • 3 Spanos K, Karathanos C, Saleptsis V, Giannoukas AD. Systematic review and meta-analysis of migration after endovascular abdominal aortic aneurysm repair. Vascular 2016; 24 (03) 323-336
    CrossrefPubMedGoogle Scholar
  • 4 Argyriou C, Georgiadis GS, Lazarides MK, Georgakarakos E, Antoniou GA. Endograft infection after endovascular abdominal aortic aneurysm repair: a systematic review and meta-analysis. J Endovasc Ther 2017; 24 (05) 688-697
    CrossrefPubMedGoogle Scholar
  • 5 Cernohorsky P, Reijnen MM, Tielliu IF, van Sterkenburg SM, van den Dungen JJ, Zeebregts CJ. The relevance of aortic endograft prosthetic infection. J Vasc Surg 2011; 54 (02) 327-333
    CrossrefPubMedGoogle Scholar
  • 6 Swain III TW, Calligaro KD, Dougherty MD. Management of infected aortic prosthetic grafts. Vasc Endovascular Surg 2004; 38 (01) 75-82
    CrossrefPubMedGoogle Scholar
  • 7 Saleem BR, Pol RA, Slart RH, Reijnen MM, Zeebregts CJ. 18F-Fluorodeoxyglucose positron emission tomography/CT scanning in diagnosing vascular prosthetic graft infection. BioMed Res Int 2014; 2014: 471971
    PubMedGoogle Scholar
  • 8 Varma JK, Samuel MC, Marcus R. , et al. Listeria monocytogenes infection from foods prepared in a commercial establishment: a case-control study of potential sources of sporadic illness in the United States. Clin Infect Dis 2007; 44 (04) 521-528
    CrossrefPubMedGoogle Scholar
  • 9 Heikkinen L, Valtonen M, Lepäntalo M, Saimanen E, Järvinen A. Infrarenal endoluminal bifurcated stent graft infected with Listeria monocytogenes . J Vasc Surg 1999; 29 (03) 554-556
    CrossrefPubMedGoogle Scholar
  • 10 Saleem BR, Berger P, Zeebregts CJ, Slart RH, Verhoeven EL, van den Dungen JJ. Periaortic endograft infection due to Listeria monocytogenes treated with graft preservation. J Vasc Surg 2008; 47 (03) 635-637
    CrossrefPubMedGoogle Scholar
  • 11 Falkensammer J, Taher F, Uhlmann M, Hirsch K, Strassegger J, Assadian A. Rescue of failed endovascular aortic aneurysm repair using the fenestrated Anaconda device. J Vasc Surg 2017; 66 (05) 1334-1339
    CrossrefPubMedGoogle Scholar
  • 12 Chaufour X, Gaudric J, Goueffic Y. , et al; AURC (French University Surgeons Association) collaborators. A multicenter experience with infected abdominal aortic endograft explantation. J Vasc Surg 2017; 65 (02) 372-380
    CrossrefPubMedGoogle Scholar
  • 13 Murphy EH, Szeto WY, Herdrich BJ. , et al. The management of endograft infections following endovascular thoracic and abdominal aneurysm repair. J Vasc Surg 2013; 58 (05) 1179-1185
    CrossrefPubMedGoogle Scholar