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- Keisuke Senda, Hidetsugu Yoda, Kyoko Shoin, Yasutaka Oguchi, Katsuyuki Aizawa, Shinichi Aso, Erio Shirai, Niro Kikuchi, Yoshinori Ohtsu, Hideo Tsunemoto, and Chihiro Suzuki.
- Department of Cardiology, Aizawa Hospital, Japan.
- Intern. Med. 2021 Jan 1; 60 (1): 73-77.
AbstractThe case was a 76-year-old man with chronic limb-threatening ischemia. Plain old balloon angioplasty (POBA) was performed on the popliteal artery. Subsequently, he suffered from cellulitis around the POBA site, followed by reocclusion. Staphylococcus aureus was detected in a blood culture. After re-revascularization with POBA, both purulent gonitis and an infected popliteal aneurysm were observed to occur. We performed aneurysmectomy and bypass grafting with the saphenous vein and then continued antibiotic therapy. Although treatment consisted of endovascular therapy (EVT) with nothing left behind, management was difficult because of secondary infectious complications. We conclude that prophylactic antibiotics before EVT should be considered in such cases.
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