目的 探討主動脈支架移植物感染的診斷和治療方法。方法 回顧性分析1998～2008年期間我科收治的4例主動脈腔內(nèi)治療術(shù)后發(fā)生支架移植物感染患者的臨床資料。結(jié)果 2例患者原手術(shù)為胸主動脈腔內(nèi)修復(fù)術(shù)，2例為腹主動脈瘤腔內(nèi)修復(fù)術(shù)。4例感染患者臨床均有非特異性發(fā)熱表現(xiàn)，CT檢查均有感染征象，2例細菌培養(yǎng)為豬霍亂沙門菌。實施清創(chuàng)引流聯(lián)合抗感染治療2例，單純行抗感染治療2例，均獲得成功，隨訪期間無再感染發(fā)生。結(jié)論 支架移植物感染發(fā)生率低但產(chǎn)生的后果嚴重，結(jié)合影像學(xué)檢查可提高診斷的準確性，在合適的患者中可以實施保留移植物的保守治療。
引用本文： 方征東,符偉國,王玉琦,郭大喬,徐欣,陳斌. 主動脈支架移植物感染的診治體會（附4例報道）. 中國普外基礎(chǔ)與臨床雜志, 2009, 16(6): 429-432. doi: 復(fù)制
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| 3. | 郭偉, 楊代華. 腹主動脈瘤腔內(nèi)修復(fù)術(shù)后內(nèi)漏的診斷與治療 [Ｊ]. 中國普外基礎(chǔ)與臨床雜志, 2006; 13(6): 636-637. |
| 4. | Chalmers N, Eadington DW, Gandanhamo D, et al. Case report: infected false aneurysm at the site of an iliac stent [Ｊ]. Br J Radiol, 1993; 66(790): 946-948. |
| 5. | 施德兵, 符偉國, 王玉琦, 等. 合并馬凡綜合征的破裂腹主動脈瘤腔內(nèi)治療術(shù)后并發(fā)感染 [Ｊ]. 中國實用外科雜志, 2006; 26(5): 391-394. |
| 6. | Fu WG, Shi DB, Wang YQ, et al. Aortic stent graft infection in a patient with Marfan syndrome [Ｊ]. Chin Med J (Engl), 2007; 120(10): 935-937. |
| 7. | Silberfein EJ, Lin PH, Bush RL, et al. Aortic endograft infection due to Pasteurella multocida following a rabbit bite [Ｊ]. J Vasc Surg, 2006; 43(2): 393-395. |
| 8. | Ducasse E, Calisti A, Speziale F, et al. Aortoiliac stent graft infection: current problems and management [Ｊ]. Ann Vasc Surg, 2004; 18(5): 521-526. |
| 9. | Fiorani P, Speziale F, Calisti A, et al. Endovascular graft infection: preliminary results of an international enquiry [Ｊ]. J Endovasc Ther, 2003; 10(5): 919-927. |
| 10. | Heyer KS, Modi P, Morasch MD, et al. Secondary infections of thoracic and abdominal aortic endografts [Ｊ]. J Vasc Interv Radiol, 2009; 20(2): 173-179. |
| 11. | Zetrenne E, McIntosh BC, McRae MH, et al. Prosthetic va-scular graft infection: a multi-center review of surgical management [Ｊ]. Yale J Biol Med, 2007; 80(3): 113-121. |
| 12. | Sharif MA, Lee B, Lau LL, et al. Prosthetic stent graft infection after endovascular abdominal aortic aneurysm repair [Ｊ]. J Vasc Surg, 2007; 46(3): 442-448. |
| 13. | Parsons RE, Sanchez LA, Marin ML, et al. Comparison of endovascular and conventional vascular prostheses in an experimental infection model [Ｊ]. J Vasc Surg, 1996; 24(6): 920-925; discussion 925-926. |
| 14. | Speziale F, Calisti A, Zaccagnini D, et al. The value of technetium-99m HMPAO leukocyte scintigraphy in infectious abdominal aortic aneurysm stent graft complications [Ｊ]. J Vasc Surg, 2002; 35(6): 1306-1307. |
- 1. Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms [Ｊ]. Ann Vasc Surg, 1991; 5(6): 491-499.
- 2. 景在平, 馮翔. 主動脈疾病腔內(nèi)治療的進展與前景 [Ｊ]. 中國普外基礎(chǔ)與臨床雜志, 2003; 10(3): 215-217.
- 3. 郭偉, 楊代華. 腹主動脈瘤腔內(nèi)修復(fù)術(shù)后內(nèi)漏的診斷與治療 [Ｊ]. 中國普外基礎(chǔ)與臨床雜志, 2006; 13(6): 636-637.
- 4. Chalmers N, Eadington DW, Gandanhamo D, et al. Case report: infected false aneurysm at the site of an iliac stent [Ｊ]. Br J Radiol, 1993; 66(790): 946-948.
- 5. 施德兵, 符偉國, 王玉琦, 等. 合并馬凡綜合征的破裂腹主動脈瘤腔內(nèi)治療術(shù)后并發(fā)感染 [Ｊ]. 中國實用外科雜志, 2006; 26(5): 391-394.
- 6. Fu WG, Shi DB, Wang YQ, et al. Aortic stent graft infection in a patient with Marfan syndrome [Ｊ]. Chin Med J (Engl), 2007; 120(10): 935-937.
- 7. Silberfein EJ, Lin PH, Bush RL, et al. Aortic endograft infection due to Pasteurella multocida following a rabbit bite [Ｊ]. J Vasc Surg, 2006; 43(2): 393-395.
- 8. Ducasse E, Calisti A, Speziale F, et al. Aortoiliac stent graft infection: current problems and management [Ｊ]. Ann Vasc Surg, 2004; 18(5): 521-526.
- 9. Fiorani P, Speziale F, Calisti A, et al. Endovascular graft infection: preliminary results of an international enquiry [Ｊ]. J Endovasc Ther, 2003; 10(5): 919-927.
- 10. Heyer KS, Modi P, Morasch MD, et al. Secondary infections of thoracic and abdominal aortic endografts [Ｊ]. J Vasc Interv Radiol, 2009; 20(2): 173-179.
- 11. Zetrenne E, McIntosh BC, McRae MH, et al. Prosthetic va-scular graft infection: a multi-center review of surgical management [Ｊ]. Yale J Biol Med, 2007; 80(3): 113-121.
- 12. Sharif MA, Lee B, Lau LL, et al. Prosthetic stent graft infection after endovascular abdominal aortic aneurysm repair [Ｊ]. J Vasc Surg, 2007; 46(3): 442-448.
- 13. Parsons RE, Sanchez LA, Marin ML, et al. Comparison of endovascular and conventional vascular prostheses in an experimental infection model [Ｊ]. J Vasc Surg, 1996; 24(6): 920-925; discussion 925-926.
- 14. Speziale F, Calisti A, Zaccagnini D, et al. The value of technetium-99m HMPAO leukocyte scintigraphy in infectious abdominal aortic aneurysm stent graft complications [Ｊ]. J Vasc Surg, 2002; 35(6): 1306-1307.