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| http://dx.doi.org/10.1016/j.jvscit.2018.12.001 | DOI Listing |
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A rare case of infectious aortitis caused by Burkholderia pseudomallei.
Int J Surg Case Rep
December 2024
Department of Vascular Surgery, Royal Perth Hospital, Perth, Australia.
Introduction: Melioidosis is caused by Burkholderia pseudomallei and primarily affects non-vascular organ systems. We present a case of a melioidotic penetrating aortic ulcer (PAU) with unusual clinical features of vascular infection. The patient was successfully treated with a single-stage neoaortoiliac system procedure, highlighting the challenges in managing melioidotic aortic infections.
View Article and Find Full Text PDFContemporary Experience of the Neo-Aortoiliac System (NAIS) Procedure: A Case Series with Review of the Literature.
Ann Vasc Surg
December 2024
Charles E. Schmidt College of Medicine at Florida Atlantic University, Boca Raton, FL; Department of Vascular Surgery, Boca Raton Regional Hospital, Boca Raton, FL. Electronic address:
Article Synopsis
- Aortic graft infection (AGI) is a serious condition that can lead to severe complications, making the NAIS procedure a potential reconstruction option after graft removal.
- A study reviewed 14 patients undergoing the NAIS procedure at a single center from 2010 to 2022, finding a 30-day mortality of 21% and a 64.3% overall complication rate during a mean follow-up of 22 months.
- A systematic review of the literature revealed a broader analysis of 368 patients, indicating a lower combined 30-day mortality of 9% and re-intervention rates of around 20.5%, suggesting variable outcomes depending on the context and patient population.
How I do it: The neoaortoiliac system for treatment of aortoduodenal fistula after endovascular aortic repair.
J Vasc Surg Cases Innov Tech
December 2022
Advanced Vascular Care, Dallas, TX.
The term neoaortoiliac system (NAIS) was coined by Clagett in 1993 to describe the use of the deep veins in the thigh to replace the aorta and iliac arteries in the setting of graft infection. Since that time, the NAIS procedure has been used to treat a wide array of both infectious and noninfectious conditions affecting the aortoiliac segment. In this article, we present a 10-step description of the NAIS procedure to treat an aortoduodenal fistula in a patient with an infected endovascular aneurysm repair.
View Article and Find Full Text PDFOutcomes Following in Situ Reconstruction for Aortic Infection with the Neo-Aortoiliac System and Aortic Homograft.
Ann Vasc Surg
March 2023
Division of Vascular and Endovascular Surgery, Duke University Medical Center, Durham, NC.
Background: In situ reconstruction is one of the primary surgical options for primary aortic and graft and endograft infections. One institution's outcomes following aortic reconstruction with femoro-popliteal vein (i.e.
View Article and Find Full Text PDFNeoaortoiliac system and cryopreserved human allograft for the treatment of aortic graft infections.
Vascular
October 2023
Department of Vascular Surgery, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charité - Universitätsmedizin Berlin, Germany.
Objective: To report and compare neoaortoiliac system reconstruction and cryopreserved human allograft in treating aortic graft infections.
Methods: We retrospectively analysed the data of the patients treated for aorto graft infections between January 2015 and May 2021 in our hospital. The clinical data, diagnostic procedures, and surgical options were evaluated.
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