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  • Title: Percutaneous drainage of aortic aneurysm sac abscesses following endovascular aneurysm repair.
    Author: Pryluck DS, Kovacs S, Maldonado TS, Jacobowitz GR, Adelman MA, Charles HC, Clark TW.
    Journal: Vasc Endovascular Surg; 2010 Nov; 44(8):701-7. PubMed ID: 20675322.
    Abstract:
    PURPOSE: To report preliminary experiences with the treatment of aortic aneurysm sac abscesses following prior endovascular aortic aneurysm repair (EVAR) using computerized tomography (CT)-guided percutaneous drainage. CASE REPORTS: Three patients aged 73 to 78 years with aortic aneurysm sac infections following prior EVAR, 2 of which were associated with aortoduodenal fistula, underwent CT-guided percutaneous drainage and catheter placement. One patient had complete resolution of the aortic aneurysm sac abscess following percutaneous drainage; 1 patient was stabilized to eventual extraanatomic bypass, graft explantation, and fistula repair; and 1 patient was temporized to debridement and fistula repair with endograft preservation. CONCLUSION: CT-guided percutaneous drainage may be a helpful therapy in selected patients for the treatment of aortic aneurysm sac infections following EVAR.
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