Document Detail


Endovascular treatment of mycotic aortic pseudoaneurysms with stent-grafts.
MedLine Citation:
PMID:  18236107     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Mycotic aortic aneurysms remain a therapeutic challenge, especially in patients who are not suitable for open surgery. Endovascular treatment with stent-grafts in this indication is still disputed. Between January 2002 and January 2006, six patients with mycotic aneurysms of the thoracoabdominal or abdominal aorta were admitted to our department. All patients were male, aged 57-83 years (mean, 74.6 years). The mycotic aneurysms were diagnosed on the basis of clinical signs of infection, on CT, and, in four cases, on a positive blood culture. In all patients the mycotic aortic aneurysms were treated endovascularly by stent-graft implantation. Technical and clinical success was achieved in all patients. There was no in-hospital or 30-day mortality. In the follow-up period (range, 2-47 months) four patients died of cancer, cardiac failure, or unknown cause (one case). Two patients are still alive with nearly complete regression of the aneurysms. We conclude that treatment of mycotic aortic aneurysms with stent-grafts may be an alternative in selected patients.
Authors:
Kurt Tiesenhausen; Michael Hessinger; Maurice Tomka; Horst Portugaller; Shota Swanidze; Peter Oberwalder
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Publication Detail:
Type:  Journal Article     Date:  2008-01-31
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  31     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2008 May-Jun
Date Detail:
Created Date:  2008-05-06     Completed Date:  2008-07-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  509-13     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, University Hospital, Auenbruggerplatz 29, 8036 Graz, Austria. kurt.tiesenhausen@meduni-graz.at
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Aneurysm, False / microbiology,  radiography,  surgery*
Aneurysm, Infected / microbiology*,  radiography,  surgery*
Angiography / methods
Angioplasty / methods*,  mortality
Aortic Aneurysm / mortality,  radiography,  surgery
Blood Vessel Prosthesis Implantation / methods*,  mortality
Follow-Up Studies
Humans
Male
Middle Aged
Retrospective Studies
Risk Assessment
Stents*
Survival Rate
Tomography, X-Ray Computed / methods
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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