Ruptured Left Subclavian Artery Aneurysm in a 41-Year-Old Woman with Neurofibromatosis Type 1

Abstract

Objective: We report the first case of spondylodiscitis following endovascular aneurysm repair (EVAR), without graft infection. Case report: Three weeks following elective EVAR, a 78 year old man represented with confusion, anorexia, fever and back pain. Escherichia coli bacteraemia was identified on blood cultures. Computer tomography angiogram and radio-labelled white cell scan excluded graft infection. Positron emission tomography revealed spondylodiscitis at T10/T11. He was treated with 6 weeks of intravenous antibiotics. At 12 months follow-up the patient was asymptomatic. Conclusion: We report spondylodiscitis as a complication of EVAR in the absence of graft infection.

Adjuvant spinal cord stimulation improves wound healing of peripheral tissue loss due to steal syndrome of the hand: clinical challenge treating a difficult case

“…At a conceptual level, the goal for managing steal syndrome must focus on increasing blood flow distal to the access to relieve ischaemia while preserving the lifeline of the patient. Several operative techniques are available to achieve this goal and the use of therapeutic strategies or combination of adjuvants can prevent the risk of major amputations in ischaemic syndromes of the limbs .…”