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Article: The management of mycotic aortic aneurysms: Is there a role for endoluminal treatment?

TitleThe management of mycotic aortic aneurysms: Is there a role for endoluminal treatment?
Authors
KeywordsAbdominal aorta
Endovascular treatment
Mycotic aneurysm
Thoracic aorta
Issue Date2005
Citation
Acta Chirurgica Belgica, 2005, v. 105 n. 6, p. 580-587 How to Cite?
AbstractBackground : Mycotic aneurysms are rare. Conventional surgical options include ligation or excision with in-situ or extra-anatomical reconstruction. The use of endoluminal stenting for mycotic aneurysms in the presence of sepsis is controversial, but may be a temporising measure, or sometimes the only option in the management of critically ill patients who are not fit for surgery. Methods : A literature review was undertaken using Medline, all relevant papers on endoluminal management of mycotic aneurysm were taken into account. Results : Open surgical repair of mycotic aortic aneurysm is associated with considerable peri- and post-operative morbidity and mortality. Endoluminal treatment with stent-grafts has been introduced as an alternative, and early results are promising. Conclusion : No level I evidence for the endoluminal treatment of mycotic aneurysms exists. Ideally a randomised controlled trial of open surgery versus endoluminal treatment should be performed but this may be difficult to perform because of the low incidence of infected aneurysms.
Persistent Identifierhttp://hdl.handle.net/10722/147679
ISSN
2015 Impact Factor: 0.394
2015 SCImago Journal Rankings: 0.286
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, YCen_HK
dc.contributor.authorMorales, JPen_HK
dc.contributor.authorTaylor, PRen_HK
dc.date.accessioned2012-05-29T06:07:54Z-
dc.date.available2012-05-29T06:07:54Z-
dc.date.issued2005en_HK
dc.identifier.citationActa Chirurgica Belgica, 2005, v. 105 n. 6, p. 580-587en_HK
dc.identifier.issn0001-5458en_HK
dc.identifier.urihttp://hdl.handle.net/10722/147679-
dc.description.abstractBackground : Mycotic aneurysms are rare. Conventional surgical options include ligation or excision with in-situ or extra-anatomical reconstruction. The use of endoluminal stenting for mycotic aneurysms in the presence of sepsis is controversial, but may be a temporising measure, or sometimes the only option in the management of critically ill patients who are not fit for surgery. Methods : A literature review was undertaken using Medline, all relevant papers on endoluminal management of mycotic aneurysm were taken into account. Results : Open surgical repair of mycotic aortic aneurysm is associated with considerable peri- and post-operative morbidity and mortality. Endoluminal treatment with stent-grafts has been introduced as an alternative, and early results are promising. Conclusion : No level I evidence for the endoluminal treatment of mycotic aneurysms exists. Ideally a randomised controlled trial of open surgery versus endoluminal treatment should be performed but this may be difficult to perform because of the low incidence of infected aneurysms.en_HK
dc.languageengen_US
dc.relation.ispartofActa Chirurgica Belgicaen_HK
dc.subjectAbdominal aortaen_HK
dc.subjectEndovascular treatmenten_HK
dc.subjectMycotic aneurysmen_HK
dc.subjectThoracic aortaen_HK
dc.subject.meshAneurysm, Infected - Diagnosis - Surgeryen_US
dc.subject.meshAngioplastyen_US
dc.subject.meshAnti-Bacterial Agents - Therapeutic Useen_US
dc.subject.meshAortic Aneurysm - Diagnosis - Surgeryen_US
dc.subject.meshCoated Materials, Biocompatibleen_US
dc.subject.meshHumansen_US
dc.subject.meshStentsen_US
dc.titleThe management of mycotic aortic aneurysms: Is there a role for endoluminal treatment?en_HK
dc.typeArticleen_HK
dc.identifier.emailChan, YC: ycchan88@hkucc.hku.hken_HK
dc.identifier.authorityChan, YC=rp00530en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid16438066-
dc.identifier.scopuseid_2-s2.0-30544443284en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-30544443284&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume105en_HK
dc.identifier.issue6en_HK
dc.identifier.spage580en_HK
dc.identifier.epage587en_HK
dc.identifier.isiWOS:000234599400004-
dc.identifier.scopusauthoridChan, YC=27170769400en_HK
dc.identifier.scopusauthoridMorales, JP=8082109300en_HK
dc.identifier.scopusauthoridTaylor, PR=35103559200en_HK

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