An Infected, Noncoronary, Bare Metal Stent Presenting as a Right Groin Abscess

Bare metal stent infections complicating peripheral endovascular stenting are rare but can be associated with devastating morbidities. The current standard of care necessitates explantation and extra-anatomical bypass of the affected limb. We report the case of a patient presenting with a right groi...

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Main Authors: Madiha Khan, Youssef Mourad, Alan Zeitlin, Martine Alice Louis, Syed Ali Rizvi, Kelly L. Cervellione
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2023/6777086
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author Madiha Khan
Youssef Mourad
Alan Zeitlin
Martine Alice Louis
Syed Ali Rizvi
Kelly L. Cervellione
author_facet Madiha Khan
Youssef Mourad
Alan Zeitlin
Martine Alice Louis
Syed Ali Rizvi
Kelly L. Cervellione
author_sort Madiha Khan
collection DOAJ
description Bare metal stent infections complicating peripheral endovascular stenting are rare but can be associated with devastating morbidities. The current standard of care necessitates explantation and extra-anatomical bypass of the affected limb. We report the case of a patient presenting with a right groin abscess with draining sinuses secondary to an infected common femoral and right external iliac artery bare metal stent. In addition, a portion of the stent was explanted into the subcutaneous tissues instead of where it was placed intravascularly one year prior. The patient was not an ideal candidate for explantation and bypass due to significant medical comorbidities and underwent local debridement and long-term antibiotic management instead. His postoperative course was uncomplicated, and he had a successful outcome with management utilizing antibiotics and debridement. We aim to highlight the importance of recognizing bare metal stent infections along with their deceptive cutaneous manifestations in order to prevent the development of significant morbidity and mortality.
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publishDate 2023-01-01
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series Case Reports in Vascular Medicine
spelling doaj-art-593e59d4d9a34cd0b15833c419ac45f42025-02-03T06:47:22ZengWileyCase Reports in Vascular Medicine2090-69942023-01-01202310.1155/2023/6777086An Infected, Noncoronary, Bare Metal Stent Presenting as a Right Groin AbscessMadiha Khan0Youssef Mourad1Alan Zeitlin2Martine Alice Louis3Syed Ali Rizvi4Kelly L. Cervellione5New York Institute of Technology College of Osteopathic MedicineFlushing Hospital Medical CenterFlushing Hospital Medical CenterFlushing Hospital Medical CenterFlushing Hospital Medical CenterFlushing Hospital Medical CenterBare metal stent infections complicating peripheral endovascular stenting are rare but can be associated with devastating morbidities. The current standard of care necessitates explantation and extra-anatomical bypass of the affected limb. We report the case of a patient presenting with a right groin abscess with draining sinuses secondary to an infected common femoral and right external iliac artery bare metal stent. In addition, a portion of the stent was explanted into the subcutaneous tissues instead of where it was placed intravascularly one year prior. The patient was not an ideal candidate for explantation and bypass due to significant medical comorbidities and underwent local debridement and long-term antibiotic management instead. His postoperative course was uncomplicated, and he had a successful outcome with management utilizing antibiotics and debridement. We aim to highlight the importance of recognizing bare metal stent infections along with their deceptive cutaneous manifestations in order to prevent the development of significant morbidity and mortality.http://dx.doi.org/10.1155/2023/6777086
spellingShingle Madiha Khan
Youssef Mourad
Alan Zeitlin
Martine Alice Louis
Syed Ali Rizvi
Kelly L. Cervellione
An Infected, Noncoronary, Bare Metal Stent Presenting as a Right Groin Abscess
Case Reports in Vascular Medicine
title An Infected, Noncoronary, Bare Metal Stent Presenting as a Right Groin Abscess
title_full An Infected, Noncoronary, Bare Metal Stent Presenting as a Right Groin Abscess
title_fullStr An Infected, Noncoronary, Bare Metal Stent Presenting as a Right Groin Abscess
title_full_unstemmed An Infected, Noncoronary, Bare Metal Stent Presenting as a Right Groin Abscess
title_short An Infected, Noncoronary, Bare Metal Stent Presenting as a Right Groin Abscess
title_sort infected noncoronary bare metal stent presenting as a right groin abscess
url http://dx.doi.org/10.1155/2023/6777086
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