Puncture Site Infections Requiring Subsequent Reconstruction Procedures

Abstract

Advancements and standardization of catheterization methods improved the treatment for high-risk patients. However, this has also resulted in the emergence of puncture site infections (PSIs) that are difficult to manage. We examined cases of PSI that subsequently required　skin and subcutaneous reconstruction procedures. Patients who had previously developed infection from a hemostatic device developed re-infection from a vascular suture. A bypass procedure was planned for revascularization in order to keep the site of anastomosis away from the contaminated wound. Patients with chronic limb-threatening ischemia may require additional treatments for hematoma at the surgical site, which can also increase the risk of distant infection from foot lesions. Although catheter placement is a minimally invasive technique, PSI can lead to serious conditions. It is important for surgeons to educate interventionists about the risk of complications associated with minimally invasive techniques.