Difficult diagnosis and management of a complicated Nellix graft infection

An 81-year-old man, with a complex vascular surgical history, presents with sepsis from an infected Nellix stent-graft. He required an urgent laparotomy, explantation of the graft, and extra-anatomical repair. Although now widely used for this indication, the preoperative 18F-fluorodeoxyglucose posi...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2021-09, Vol.7 (3), p.417-420
Main Authors: Lin, Jin Xin, Taylor, Sam, Hidajat, Cassandra, Hill, Andrew
Format: Article
Language:English
Subjects:
Case report
Complications
Infected stent-graft
Nellix
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Summary:An 81-year-old man, with a complex vascular surgical history, presents with sepsis from an infected Nellix stent-graft. He required an urgent laparotomy, explantation of the graft, and extra-anatomical repair. Although now widely used for this indication, the preoperative 18F-fluorodeoxyglucose positron emission tomography/computed tomography was nondiagnostic for his stent-graft infection. We describe our management of a complicated Nellix graft infection and discuss the utility of positron emission tomography/computed tomography for stent-graft infections.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2021.04.021