[ XXXX bare-metal stent infection after drug-eluting balloon].

@entity1 @entity1311 @entity661 @entity31048 @entity850
INTRODUCTION: Bare-metal stents are used to treat arterial stenotic lesions. Morbidity and mortality are less important compared with other techniques. @entity661 are often used to treat stent @entity850 . We reported the case of a bare-metal stent infection after drug-eluting balloon and a review on the subject. MATERIAL AND METHOD: Two weeks after percutaneous transluminal angioplasty with @entity1311 -eluting balloon and a bare-metal stent, our @entity1 presented an infection of the stent. Diagnosis was based on the clinical presentation, positron emission tomography findings and isolation of @entity31048 in repeated blood cultures. Adapted antibiotic therapy was given for three months with removal of the surgical bare-stent. Antibiotic therapy was interrupted after a second positron emission tomography. A literature search (PubMed and Cochrane) was performed on the subject. RESULTS: We found 49  cases of peripheral bare-metal stent infection including our @entity1 . This is a rare but serious complication with a high morbidity (25% amputation rate) and mortality (30%). It seems to be underestimated. Treatment is based on surgical ablation of the bare-metal stent and intravenous antibiotics. The role of the @entity1311 -eluting balloon is not clearly established but some authors believe that it can produce a local immunosuppression. CONCLUSION: We report the first case of bare-metal stent infection after @entity1311 -eluting balloon. This complication is rare and difficult to diagnose. Manifestations are often limited to skin signs. Functional and vital prognosis is poor.
