J Korean Geriatr Soc.  2014 Jun;18(2):89-92. 10.4235/jkgs.2014.18.2.89.

Postimplantation Syndrome After Endovascular Aortic Aneurysm Repair in an Elderly Patient

• An HJ
• Kang WY
• Kang C
• Nam DI
• Jung IH
• Kang H
• Lee SS
• Song HY
• Cho SC
• Hwang SH
• Kim W

• KMID: 1708452
• DOI: http://doi.org/10.4235/jkgs.2014.18.2.89

Abstract

Endovascular procedures have been proposed as minimally invasive alternative treatments, allowing safe and effective aortic aneurysm repair. Despite the potential benefits, endovascular stent grafting may elicit an unexpected systemic inflammatory response, called postimplantation syndrome (PIS). The main features of PIS include fever, elevated C-reactive protein levels, leukocytosis and/or coagulation disturbances, perigraft air on abdominal computed tomography, and no evidence of infection. The main management of PIS is supportive care. Antibiotics have no clinical benefit. We report a case of PIS after endovascular aortic aneurysm repair in an elderly patient.

Keyword

Endovascular aortic aneurysm repair; Postimplantation syndrome

MeSH Terms

Aged*
Anti-Bacterial Agents
Aortic Aneurysm*
Blood Vessel Prosthesis
C-Reactive Protein
Endovascular Procedures
Fever
Humans
Leukocytosis
Anti-Bacterial Agents
C-Reactive Protein