Endovascular Treatment of Infected Aortic Aneurysms
| Autor: | Vilém Rohn, K. El Samman, O. Belohlavek, P. Sedivy, P. Stadler, V. Jindrak, Tomáš Mach, Miroslav Špaček |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Resuscitation medicine.medical_specialty Time Factors medicine.medical_treatment Pseudoaneurysm Aortic aneurysm Aneurysm medicine.artery Stent graft medicine Humans Endocarditis FDG/PET Aged Czech Republic Retrospective Studies Aged 80 and over Medicine(all) Aortic Aneurysm Thoracic Endovascular business.industry General surgery Endovascular Procedures Abdominal aorta Stent Middle Aged medicine.disease Infected aortic aneurysm Blood Vessel Prosthesis Surgery Survival Rate Infectious aortitis cardiovascular system Pancreatitis Female Stents Radiology Cardiology and Cardiovascular Medicine business Aneurysm Infected Aneurysm False Aortic Aneurysm Abdominal Follow-Up Studies |
| Zdroj: | European Journal of Vascular and Endovascular Surgery. 44(4):385-394 |
| ISSN: | 1078-5884 |
| DOI: | 10.1016/j.ejvs.2012.07.011 |
| Popis: | Objective To report on the short- and long-term outcomes of patients with primary infected aortic aneurysm (IAA) treated by stent graft (SG) in two centers. Material and method Over a period of 15 years, 32 patients with IAA underwent endovascular treatment. None had undergone previous aortic surgery. The causal relationship was gastrointestinal infection in 9 patients (28%), endovascular diagnostic/therapeutic procedures/resuscitation in 6 (19%), wound infection after previous surgeries in 5 (16%), urinary infection in 4 (13%), urology or gastroenterology procedures in 3 (9%), pancreatitis in 2 (6%), endocarditis in 1 (3%) and phlebitis in 1 (3%) patient. We implanted 11 bifurcated, 10 tubular thoracic, 4 aorto-uni-iliac, 4 tubular abdominal and 1 iliac SG. Two other surgeries were hybrid procedures. Results The etiological agent was identified in 28 (88%) patients. Twenty-six (81%) patients survived the 30-day postoperative period. Sixteen (50%) survived to 1-year follow-up and 13 (40.6%) survived to 3-year follow-up. Three patients have survived for less than 1 year and a further 3 for less than 3 years, so far. Among patients with aneurysms situated in central parts of the thoracic and infrarenal aorta there was a better death/survival ratio than among patients with a proximal or distal aneurysm location. Conclusion The implantation of a SG may be an alternative to open surgery in selected groups of patients with primary IAA. Aneurysms of the central part of the thoracic or abdominal aorta have a more favorable prognosis with endovascular treatment. |
| Databáze: | OpenAIRE |
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