ABSTRACT
Primary infectious arteritis is exceptional and remains a challenging problem. The etiology of these infections changed in recent years. The authors report a case of isolated thrombosed infected common femoral artery. They discuss the different mechanisms leading to infection, the work-up and the current treatment options.
Subject(s)
Arteritis/microbiology , Escherichia coli Infections , Femoral Artery , Aneurysm, False/etiology , Aneurysm, False/pathology , Aneurysm, False/surgery , Aneurysm, Infected/microbiology , Aneurysm, Infected/pathology , Aneurysm, Infected/surgery , Arteritis/pathology , Arteritis/surgery , Blood Vessel Prosthesis Implantation , Escherichia coli Infections/pathology , Escherichia coli Infections/surgery , Humans , Male , Middle Aged , Prosthesis-Related Infections/microbiology , Prosthesis-Related Infections/pathology , Prosthesis-Related Infections/surgery , ReoperationABSTRACT
The treatment of critical limb ischemia remains until now, and more and more, a very challenging topic for vascular surgeons. Among the tools available, the rotational atherectomy appears a useful alternative to surgical revascularisation, especially for the worst cases of infrainguinal arterial occlusive disease. The authors remind the basic principle of the atherectomy device, its history and how to work with it. The review of the literature and analysis of their results underscore on the usefulness of the rotational atherectomy for limb threatening arterial occlusive disease.
Subject(s)
Arterial Occlusive Diseases/surgery , Atherectomy/instrumentation , Ischemia/surgery , Leg/blood supply , Peripheral Vascular Diseases/surgery , Aged , Aged, 80 and over , Arterial Occlusive Diseases/diagnostic imaging , Atherectomy/methods , Female , Femoral Artery/diagnostic imaging , Femoral Artery/surgery , Follow-Up Studies , Humans , Ischemia/diagnostic imaging , Male , Middle Aged , Peripheral Vascular Diseases/diagnostic imaging , Popliteal Artery/diagnostic imaging , Popliteal Artery/surgery , Postoperative Complications/prevention & control , Radiography , Risk AssessmentABSTRACT
Surgery of the infrarenal aorta rarely gives rise to medullary lesions. This can happen however, most often after treatment of a ruptured aneurysm. We present a new case of spinal cord ischaemia following resection of an infrarenal aneurysm. Among the different factors playing a role in this fearsome and unpredictable complication, hypotension seems to be one of the most important. Different aspects of this complication are discussed in the light of our clinical case as well as a review of the literature.
