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Hybrid Treatment: Expanding the Armamentarium for Infected Infrarenal Abdominal Aortic and Iliac Aneury는

Authors
 Kichang Han  ;  Do Yun Lee  ;  Man-Deuk Kim  ;  Sak Lee  ;  Jong Yun Won  ;  Joon Ho Kwon  ;  Donghoon Choi  ;  Young-Guk Ko 
Citation
 JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, Vol.28(4) : 564-569, 2017 
Journal Title
 JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY 
ISSN
 1051-0443 
Issue Date
2017
MeSH
Aged ; Aneurysm, Infected/diagnostic imaging ; Aneurysm, Infected/microbiology ; Aneurysm, Infected/mortality ; Aneurysm, Infected/surgery* ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/microbiology ; Aortic Aneurysm, Abdominal/mortality ; Aortic Aneurysm, Abdominal/surgery* ; Aortography/methods ; Blood Vessel Prosthesis/adverse effects* ; Blood Vessel Prosthesis Implantation/adverse effects* ; Blood Vessel Prosthesis Implantation/instrumentation ; Blood Vessel Prosthesis Implantation/mortality ; Combined Modality Therapy ; Computed Tomography Angiography ; Device Removal* ; Endovascular Procedures*/adverse effects ; Endovascular Procedures*/instrumentation ; Endovascular Procedures*/mortality ; Humans ; Iliac Aneurysm/diagnostic imaging ; Iliac Aneurysm/microbiology ; Iliac Aneurysm/mortality ; Iliac Aneurysm/surgery* ; Male ; Middle Aged ; Prosthesis-Related Infections/diagnostic imaging ; Prosthesis-Related Infections/microbiology ; Prosthesis-Related Infections/surgery* ; Retrospective Studies ; Time Factors ; Treatment Outcome
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.
Full Text
http://www.sciencedirect.com/science/article/pii/S1051044316307278
DOI
10.1016/j.jvir.2016.10.028
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Ko, Young Guk(고영국) ORCID logo https://orcid.org/0000-0001-7748-5788
Kwon, Joon Ho(권준호) ORCID logo https://orcid.org/0000-0002-6178-7252
Kim, Man Deuk(김만득) ORCID logo https://orcid.org/0000-0002-3575-5847
Won, Jong Yun(원종윤) ORCID logo https://orcid.org/0000-0002-8237-5628
Lee, Do Yun(이도연)
Lee, Sak(이삭) ORCID logo https://orcid.org/0000-0001-6130-2342
Choi, Dong Hoon(최동훈) ORCID logo https://orcid.org/0000-0002-2009-9760
Han, Ki Chang(한기창) ORCID logo https://orcid.org/0000-0002-9701-9757
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/153731
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