Nationwide Study of the Treatment of Mycotic Abdominal Aortic Aneurysms Comparing Open and Endovascular Repair in The Netherlands

Dang, Quan; Eps, Randolph van; Wever, Jan J.; Veger, Hugo Tc

doi:10.1016/j.ejvs.2019.09.390

Cited by 4 publications

(4 citation statements)

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“…Existing data shows a 55% 5-year survival rate with EVAR combined with long-term antibiotic therapy (46). The Swedish study also found that EVAR has significant early survival benefits in cases of severe infection or complications related to aneurysms (47). Therefore, based on our center's experience and in the absence of clear EVAR contraindications, such as the lack of suitable stents or uncontrollable severe infection, endovascular therapy may be prioritized for Brucellainduced abdominal aortic aneurysms when feasible (48).…”

Section: Discussionmentioning

confidence: 97%

Brucella-infected abdominal aortic aneurysm: management strategies for an uncommon aneurysm

Ma,

Yang,

Liu

et al. 2023

Front. Med.

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ObjectiveThe occurrence of Brucella-induced abdominal aortic aneurysms is an exceedingly rare phenomenon, yet it stands as one of the most severe complications within this context. The combined utilization of serological testing and imaging diagnostics has been validated as an effective approach for the identification of Brucella-induced abdominal aortic aneurysms. Presently, the predominant therapeutic strategies encompass antibiotic treatment and surgical intervention. Nonetheless, ongoing controversies persist concerning the establishment of diagnostic criteria, the optimal timing and selection of antibiotic regimens, and the nuanced decision between open surgical procedures and endovascular interventions. Through a meticulous analysis of cases originating from our institution as well as a comprehensive review of previously documented instances, we aim to engage in a detailed discourse on the salient diagnostic and therapeutic facets surrounding Brucella-induced abdominal aortic aneurysms.MethodsWe conducted a retrospective summary of three cases involving Brucella-induced abdominal aortic aneurysms treated within our institution. Furthermore, we performed a comprehensive PubMed search, without imposing restrictions on language or publication year, to identify pertinent literature pertaining to Brucella-induced abdominal aortic aneurysms. The selection criteria primarily focused on case reports delineating occurrences of abdominal aortic aneurysms attributed to Brucella infection.ResultsWe present three distinct cases of Brucella-induced abdominal aortic aneurysms managed at our institution, providing comprehensive insights into the employed diagnostic and therapeutic approaches. Additionally, over the past five decades, a total of 24 cases in 23 publications of Brucella-induced abdominal aortic aneurysms have been reported on PubMed. The earliest report dates back to 1976.ConclusionOur analysis suggests that Brucella-induced abdominal aortic aneurysm is characterized by a remarkably low incidence but is associated with a substantial risk of life-threatening complications. The integration of serological and imaging assessments assumes pivotal importance in facilitating prompt diagnosis of this condition. The prompt initiation of targeted antibiotic therapy is recommended, and the selection of appropriate surgical strategies should be guided by considerations including aneurysm dimensions and morphological attributes. The timely identification and intervention carry utmost significance in retarding disease advancement and ameliorating unfavorable clinical outcomes.

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Section: Discussionmentioning

confidence: 97%

Brucella-infected abdominal aortic aneurysm: management strategies for an uncommon aneurysm

Ma,

Yang,

Liu

et al. 2023

Front. Med.

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“…The issue of mycotic abdominal aortic aneurysm (AAA) has been discussed in the literature. However, due to its rarity, there are limited studies available to establish a consensus on its treatment and management (21)(22)(23). According to the 2016 Dutch Audit of Surgical Aneurysms, 26 cases of mycotic AAA were identified, representing 0.7 % of all reported AAA cases (21).…”

Section: Discussionmentioning

confidence: 99%

“…However, due to its rarity, there are limited studies available to establish a consensus on its treatment and management (21)(22)(23). According to the 2016 Dutch Audit of Surgical Aneurysms, 26 cases of mycotic AAA were identified, representing 0.7 % of all reported AAA cases (21). Monthly mortality among these patients was 7.7 %, with one patient dying within the first day after surgery, representing 9.1 % of cases.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Abdominal Aortic Aneurysms

Nuellari

2023

Gac Méd Caracas

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“…However, due to its rarity, limited studies are available to establish a consensus on its treatment and management (Dang Q. et al, 2020;Premnath S. et al, 2021;Touma J et al, 2022). [ 19,20,21] according to the 2016 Dutch audit of surgical Aneurysms, 26 cases of mycotic AAA were identified, representing 0.7% of all reported AAA cases (Dang Q. et al, 2020) [19]. Monthly mortality among these patients was 7.7%, with one patient dying within the first day after surgery, representing 9.1% of cases.…”

Section: Table 5 Type and Frequency Of Postoperative Complicationsmentioning

confidence: 99%

Surgical Treatment of Abdominal Aortic Aneurysms. A Retrospective Study.

Nuellari,

Kuci,

Kenga

et al. 2024

AJTES

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Introduction: Surgical treatment of abdominal aortic aneurysms poses a significant challenge in the field of vascular surgery, with numerous factors influencing operative technique and surgical outcome. This study aimed to assess the outcomes of open surgical treatment for patients with abdominal aortic aneurysms at the Vascular Surgery Service of University Hospital Centre “Mother Teresa” Tirana and provide recommendations for improving outcomes. Material and Methods: A single-center, non-randomized, retrospective study of the results of open surgical treatment of abdominal aortic aneurysms in 206 patients from January 2008 to December 2015 was performed at the Vascular Surgery Service of University Hospital Centre “Mother Teresa” Tirana. The study only included patients with a histologically confirmed diagnosis of abdominal aortic aneurysm, while patients with ruptured abdominal aortic aneurysm were excluded. The study evaluated the incidence of abdominal aortic aneurysms, clinical and imaging findings of the disease (ultrasound, tomographic, and arteriographic), frequency of involvement of the iliac artery in the pathological process, and postoperative complications. Transabdominal access was the most commonly utilized, while retroperitoneal access was deemed the safest. No significant differences in recurrence rates were noted between the two approaches. Results: During the study period, 206 patients underwent surgery for AAA and met the inclusion criteria. Of these, 188 (91.3%) were male and 18 (8.7%) were female. The mean age of the patients was 67.8±5.7 years, with 67.7±5.9 years for men and 69±3.1 years for women. There were no statistically significant differences in age between genders (p>0.05). Conclusion: In all other cases of abdominal aortic aneurysms, surgical treatment should be strongly recommended. Finally, given the clinical benefits of using surgical treatment of asymptomatic aneurysms to reduce mortality, it is necessary to conduct an economic assessment of the feasibility of abdominal aortic aneurysms screening in the population over 55 of the age of both sexes.

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Nationwide Study of the Treatment of Mycotic Abdominal Aortic Aneurysms Comparing Open and Endovascular Repair in The Netherlands

Cited by 4 publications

References 0 publications

Brucella-infected abdominal aortic aneurysm: management strategies for an uncommon aneurysm

Brucella-infected abdominal aortic aneurysm: management strategies for an uncommon aneurysm

Surgical Treatment of Abdominal Aortic Aneurysms

Surgical Treatment of Abdominal Aortic Aneurysms. A Retrospective Study.

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