Acinetobacter pittii thrombophlebitis complicating cyanoacrylate closure procedure
Chronic venous disease is a common condition causing pain, discomfort, and skin changes that effect quality of life and productivity. Various treatment modalities have been developed to manage retrograde venous blood flow and its associated complications, ranging from conservative therapy to more in...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724000388 |
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| author | Javier J. Barranco-Trabi, MD Kaushal Desai, MD Daniel Chen, MD Dwight Kellicut, MD Wiberg Brandon, DO Sharon Chi, DO Nathanial K. Copeland, MD Edwin Kamau, PhD Viseth Ngauy, MD |
| author_facet | Javier J. Barranco-Trabi, MD Kaushal Desai, MD Daniel Chen, MD Dwight Kellicut, MD Wiberg Brandon, DO Sharon Chi, DO Nathanial K. Copeland, MD Edwin Kamau, PhD Viseth Ngauy, MD |
| author_sort | Javier J. Barranco-Trabi, MD |
| collection | DOAJ |
| description | Chronic venous disease is a common condition causing pain, discomfort, and skin changes that effect quality of life and productivity. Various treatment modalities have been developed to manage retrograde venous blood flow and its associated complications, ranging from conservative therapy to more invasive techniques such as endothermal ablation and cyanoacrylate closure (CAC). Recently, CAC has gained popularity due to its faster recovery time and lower incidence of postprocedure discomfort and complications. The most commonly reported side effects include phlebitis, access site bruising or pain, and dermatitis. We present a case of phlebitis caused by Acinetobacter pittii following a CAC procedure using the VenaSeal device (Medtronic) in a patient with diabetes. The patient required surgical resection of the affected vein and prolonged antibiotic therapy. Bacterial contamination of the cyanoacrylate adhesive within a vein poses a significant treatment challenge with antibiotics alone due to biofilm production. Aggressive source control with removal of the adhesive-treated vein could be required for treatment of endovascular infections resulting from these common procedures. |
| format | Article |
| id | doaj-art-24a90a1685a44a0fb4a5e7000ffece5f |
| institution | DOAJ |
| issn | 2468-4287 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-24a90a1685a44a0fb4a5e7000ffece5f2025-08-20T02:49:00ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-12-0110610145410.1016/j.jvscit.2024.101454Acinetobacter pittii thrombophlebitis complicating cyanoacrylate closure procedureJavier J. Barranco-Trabi, MD0Kaushal Desai, MD1Daniel Chen, MD2Dwight Kellicut, MD3Wiberg Brandon, DO4Sharon Chi, DO5Nathanial K. Copeland, MD6Edwin Kamau, PhD7Viseth Ngauy, MD8Department of Medicine, Tripler Army Medical Center and U.S. Department of Veterans Affairs, Honolulu, HI; Correspondence: Javier J. Barranco-Trabi, MD, Department of Medicine, Tripler Army Medical Center, 1 Jarrett Rd, Honolulu, HI 96815Division of Vascular Surgery, Department of Surgery, Tripler Army Medical Center, Honolulu, HIDivision of Vascular Surgery, Department of Surgery, Tripler Army Medical Center, Honolulu, HIDivision of Vascular Surgery, Department of Surgery, Tripler Army Medical Center, Honolulu, HIDepartment of Radiology, Tripler Army Medical Center, Honolulu, HISpecialty Care, Infectious Disease, U.S. Department of Veterans Affairs, Honolulu, HIInfectious Disease Service, Department of Medicine, Tripler Army Medical Center, Honolulu, HIDepartment of Pathology and Area Laboratory Services, Microbiology Laboratory, Tripler Army Medical Center, Honolulu, HIInfectious Disease Service, Department of Medicine, Tripler Army Medical Center, Honolulu, HI; Department of Clinical Investigation, Tripler Army Medical Center, Honolulu, HIChronic venous disease is a common condition causing pain, discomfort, and skin changes that effect quality of life and productivity. Various treatment modalities have been developed to manage retrograde venous blood flow and its associated complications, ranging from conservative therapy to more invasive techniques such as endothermal ablation and cyanoacrylate closure (CAC). Recently, CAC has gained popularity due to its faster recovery time and lower incidence of postprocedure discomfort and complications. The most commonly reported side effects include phlebitis, access site bruising or pain, and dermatitis. We present a case of phlebitis caused by Acinetobacter pittii following a CAC procedure using the VenaSeal device (Medtronic) in a patient with diabetes. The patient required surgical resection of the affected vein and prolonged antibiotic therapy. Bacterial contamination of the cyanoacrylate adhesive within a vein poses a significant treatment challenge with antibiotics alone due to biofilm production. Aggressive source control with removal of the adhesive-treated vein could be required for treatment of endovascular infections resulting from these common procedures.http://www.sciencedirect.com/science/article/pii/S2468428724000388Acinetobacter pittiiChronic venous diseaseCyanoacrylate closure procedure |
| spellingShingle | Javier J. Barranco-Trabi, MD Kaushal Desai, MD Daniel Chen, MD Dwight Kellicut, MD Wiberg Brandon, DO Sharon Chi, DO Nathanial K. Copeland, MD Edwin Kamau, PhD Viseth Ngauy, MD Acinetobacter pittii thrombophlebitis complicating cyanoacrylate closure procedure Journal of Vascular Surgery Cases and Innovative Techniques Acinetobacter pittii Chronic venous disease Cyanoacrylate closure procedure |
| title | Acinetobacter pittii thrombophlebitis complicating cyanoacrylate closure procedure |
| title_full | Acinetobacter pittii thrombophlebitis complicating cyanoacrylate closure procedure |
| title_fullStr | Acinetobacter pittii thrombophlebitis complicating cyanoacrylate closure procedure |
| title_full_unstemmed | Acinetobacter pittii thrombophlebitis complicating cyanoacrylate closure procedure |
| title_short | Acinetobacter pittii thrombophlebitis complicating cyanoacrylate closure procedure |
| title_sort | acinetobacter pittii thrombophlebitis complicating cyanoacrylate closure procedure |
| topic | Acinetobacter pittii Chronic venous disease Cyanoacrylate closure procedure |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724000388 |
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