Abstract
Purpose To investigate safety and efficacy of hybrid treatment for infected aortic and iliac aneurysms. Materials and Methods Between July 2007 and May 2011, hybrid treatment was performed in 6 male patients (mean age, 67.7 y; range, 57–76 y). Hybrid treatment consisted of extraanatomic bypass (EAB) and isolation of infected aneurysm with vascular plugs. Aneurysms were divided into primary and secondary infected aneurysms. Primary infected aneurysm refers to an aneurysm arising from bacterial infection of the native arterial wall; secondary infected aneurysm refers to infection involving an aneurysm that was previously treated with graft placement. Results The infected aneurysm involved the infrarenal abdominal aorta in 4 patients and common iliac artery in 2 patients. Hybrid treatment was successful in all 6 patients. The 3 patients with primary infected aneurysms required only hybrid treatment, whereas infected graft excision and new graft interposition was performed in 2 of the 3 patients with secondary infected aneurysms. No 30-day mortality or complications were reported. During mean follow-up of 58.6 months (range, 32.6–75.8 months), 1 patient (17%) with a secondary infected aneurysm who did not undergo additional surgery died 32.6 months after hybrid treatment from hypovolemic shock secondary to recurrent aortoenteric fistula. Cumulative survival was 100%, 100%, 83%, and 83% at 3 months, 1 year, 3 years, and 5 years. Conclusions Hybrid treatment appears to be a stand-alone, curative treatment for primary infected aneurysms and serves as bridge therapy to subsequent surgery for secondary infected aneurysms.
| Original language | English |
|---|---|
| Pages (from-to) | 564-569 |
| Number of pages | 6 |
| Journal | Journal of Vascular and Interventional Radiology |
| Volume | 28 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2017 Apr 1 |
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All Science Journal Classification (ASJC) codes
- Radiology Nuclear Medicine and imaging
- Cardiology and Cardiovascular Medicine
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Hybrid Treatment : Expanding the Armamentarium for Infected Infrarenal Abdominal Aortic and Iliac Aneurysms. / Han, Kichang; Lee, Do Yun; Kim, ManDeuk; Lee, Sak; Won, Jong Yun; Kwon, Joon Ho; Choi, Donghoon; Ko, Young Guk.
In: Journal of Vascular and Interventional Radiology, Vol. 28, No. 4, 01.04.2017, p. 564-569.Research output: Contribution to journal › Article
TY - JOUR
T1 - Hybrid Treatment
T2 - Expanding the Armamentarium for Infected Infrarenal Abdominal Aortic and Iliac Aneurysms
AU - Han, Kichang
AU - Lee, Do Yun
AU - Kim, ManDeuk
AU - Lee, Sak
AU - Won, Jong Yun
AU - Kwon, Joon Ho
AU - Choi, Donghoon
AU - Ko, Young Guk
PY - 2017/4/1
Y1 - 2017/4/1
N2 - Purpose To investigate safety and efficacy of hybrid treatment for infected aortic and iliac aneurysms. Materials and Methods Between July 2007 and May 2011, hybrid treatment was performed in 6 male patients (mean age, 67.7 y; range, 57–76 y). Hybrid treatment consisted of extraanatomic bypass (EAB) and isolation of infected aneurysm with vascular plugs. Aneurysms were divided into primary and secondary infected aneurysms. Primary infected aneurysm refers to an aneurysm arising from bacterial infection of the native arterial wall; secondary infected aneurysm refers to infection involving an aneurysm that was previously treated with graft placement. Results The infected aneurysm involved the infrarenal abdominal aorta in 4 patients and common iliac artery in 2 patients. Hybrid treatment was successful in all 6 patients. The 3 patients with primary infected aneurysms required only hybrid treatment, whereas infected graft excision and new graft interposition was performed in 2 of the 3 patients with secondary infected aneurysms. No 30-day mortality or complications were reported. During mean follow-up of 58.6 months (range, 32.6–75.8 months), 1 patient (17%) with a secondary infected aneurysm who did not undergo additional surgery died 32.6 months after hybrid treatment from hypovolemic shock secondary to recurrent aortoenteric fistula. Cumulative survival was 100%, 100%, 83%, and 83% at 3 months, 1 year, 3 years, and 5 years. Conclusions Hybrid treatment appears to be a stand-alone, curative treatment for primary infected aneurysms and serves as bridge therapy to subsequent surgery for secondary infected aneurysms.
AB - Purpose To investigate safety and efficacy of hybrid treatment for infected aortic and iliac aneurysms. Materials and Methods Between July 2007 and May 2011, hybrid treatment was performed in 6 male patients (mean age, 67.7 y; range, 57–76 y). Hybrid treatment consisted of extraanatomic bypass (EAB) and isolation of infected aneurysm with vascular plugs. Aneurysms were divided into primary and secondary infected aneurysms. Primary infected aneurysm refers to an aneurysm arising from bacterial infection of the native arterial wall; secondary infected aneurysm refers to infection involving an aneurysm that was previously treated with graft placement. Results The infected aneurysm involved the infrarenal abdominal aorta in 4 patients and common iliac artery in 2 patients. Hybrid treatment was successful in all 6 patients. The 3 patients with primary infected aneurysms required only hybrid treatment, whereas infected graft excision and new graft interposition was performed in 2 of the 3 patients with secondary infected aneurysms. No 30-day mortality or complications were reported. During mean follow-up of 58.6 months (range, 32.6–75.8 months), 1 patient (17%) with a secondary infected aneurysm who did not undergo additional surgery died 32.6 months after hybrid treatment from hypovolemic shock secondary to recurrent aortoenteric fistula. Cumulative survival was 100%, 100%, 83%, and 83% at 3 months, 1 year, 3 years, and 5 years. Conclusions Hybrid treatment appears to be a stand-alone, curative treatment for primary infected aneurysms and serves as bridge therapy to subsequent surgery for secondary infected aneurysms.
UR - http://www.scopus.com/inward/record.url?scp=85009223531&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85009223531&partnerID=8YFLogxK
U2 - 10.1016/j.jvir.2016.10.028
DO - 10.1016/j.jvir.2016.10.028
M3 - Article
C2 - 28034703
AN - SCOPUS:85009223531
VL - 28
SP - 564
EP - 569
JO - Journal of Vascular and Interventional Radiology
JF - Journal of Vascular and Interventional Radiology
SN - 1051-0443
IS - 4
ER -