Nationwide study of the treatment of mycotic abdominal aortic aneurysms comparing open and endovascular repair in The Netherlands

Dutch Society of Vascular Surgery, the Steering Committee of the Dutch Surgical Aneurysm Audit, and the Dutch Institute for Clinical Auditing

doi:10.1016/j.jvs.2019.09.060

Nationwide study of the treatment of mycotic abdominal aortic aneurysms comparing open and endovascular repair in The Netherlands

Dutch Society of Vascular Surgery, the Steering Committee of the Dutch Surgical Aneurysm Audit, and the Dutch Institute for Clinical Auditing

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objective: Mycotic aneurysms of the abdominal aorta (MAAA) can be treated by open repair (OR) or endovascular aneurysm repair (EVAR). This nationwide study provides an overview of the situation of MAAA treatment in The Netherlands in 2016. Methods: A retrospective cohort study was conducted with all centers that registered aortic abdominal aneurysms in the Dutch Surgical Aneurysm Audit in 2016. Questionnaires on 1-year outcomes were sent to all centers that treated patients with MAAA. The primary aim was to determine 30-day and 1-year mortality and morbidity of OR- and EVAR-treated patients. Morbidity was determined by the need for reoperations and the number of readmissions to the hospital. Results: Twenty-six MAAA were detected in the Dutch Surgical Aneurysm Audit database of 2016, resulting in an incidence of 0.7% of all registered abdominal aortic aneurysms. The 30-day mortality for OR and EVAR treated patients was 1 in 13 and 0 in 13, respectively. Major and minor reinterventions within 30 days were needed for two (one OR and one EVAR) and two (one OR and one EVAR) patients, respectively. Two patients (15.4%) in the OR group and one patient (7.7%) in the EVAR group were readmitted to hospital within 30 days. In total, 1-year outcomes of 23 patients were available. In the OR group, one patient (9.1%) died in the first postoperative year. There was one major reintervention (removal of endoprosthesis and spiralvein reconstruction) in the EVAR group. Two patients (18.2%) treated with OR and two (16.7%) treated with EVAR required a minor reintervention. In both groups, four patients (OR, 36.4%; EVAR, 33.3%) were readmitted to hospital within 1 year postoperatively. Conclusions: Both OR- and EVAR-treated patients show acceptable clinical outcomes after 30 days and at the 1-year follow-up. Depending on the clinical course of the patient, EVAR may be considered in the management of this disease.

Original language	English
Pages (from-to)	531-540
Number of pages	10
Journal	Journal of Vascular Surgery
Volume	72
Issue number	2
DOIs	https://doi.org/10.1016/j.jvs.2019.09.060
Publication status	Published - Aug 2020

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10.1016/j.jvs.2019.09.060

Cite this

@article{68ac1bfbd7be4ec0888ec7d81ce7cc20,

title = "Nationwide study of the treatment of mycotic abdominal aortic aneurysms comparing open and endovascular repair in The Netherlands",

abstract = "Objective: Mycotic aneurysms of the abdominal aorta (MAAA) can be treated by open repair (OR) or endovascular aneurysm repair (EVAR). This nationwide study provides an overview of the situation of MAAA treatment in The Netherlands in 2016. Methods: A retrospective cohort study was conducted with all centers that registered aortic abdominal aneurysms in the Dutch Surgical Aneurysm Audit in 2016. Questionnaires on 1-year outcomes were sent to all centers that treated patients with MAAA. The primary aim was to determine 30-day and 1-year mortality and morbidity of OR- and EVAR-treated patients. Morbidity was determined by the need for reoperations and the number of readmissions to the hospital. Results: Twenty-six MAAA were detected in the Dutch Surgical Aneurysm Audit database of 2016, resulting in an incidence of 0.7% of all registered abdominal aortic aneurysms. The 30-day mortality for OR and EVAR treated patients was 1 in 13 and 0 in 13, respectively. Major and minor reinterventions within 30 days were needed for two (one OR and one EVAR) and two (one OR and one EVAR) patients, respectively. Two patients (15.4%) in the OR group and one patient (7.7%) in the EVAR group were readmitted to hospital within 30 days. In total, 1-year outcomes of 23 patients were available. In the OR group, one patient (9.1%) died in the first postoperative year. There was one major reintervention (removal of endoprosthesis and spiralvein reconstruction) in the EVAR group. Two patients (18.2%) treated with OR and two (16.7%) treated with EVAR required a minor reintervention. In both groups, four patients (OR, 36.4%; EVAR, 33.3%) were readmitted to hospital within 1 year postoperatively. Conclusions: Both OR- and EVAR-treated patients show acceptable clinical outcomes after 30 days and at the 1-year follow-up. Depending on the clinical course of the patient, EVAR may be considered in the management of this disease.",

keywords = "Abdominal aneurysm, Clinical audit, Endovascular aneurysm repair, Infectious, Mycotic",

author = "Quan Dang and {Statius van Eps}, {Randolph G.} and Wever, {J. J.} and Veger, {Hugo T.C.} and {Van den Akker}, {L. H.} and {Van den Akker}, {P. J.} and Akkersdijk, {G. J.} and Akkersdijk, {G. P.} and Akkersdijk, {W. L.} and {van Andringa de Kempenaer}, {M. G.} and Arts, {C. H.} and Avontuur, {J. A.} and Baal, {J. G.} and Bakker, {O. J.} and R. Balm and Barendregt, {W. B.} and Bender, {M. H.} and Bendermacher, {B. L.} and {van den Berg}, M. and P. Berger and Beuk, {R. J.} and Blankensteijn, {J. D.} and Bleker, {R. J.} and Bockel, {J. H.} and Bodegom, {M. E.} and Bogt, {K. E.} and Boll, {A. P.} and Booster, {M. H.} and {Borger van der Burg}, {B. L.} and {de Borst}, {G. J.} and {Bos- van Rossum}, {W. T.} and J. Bosma and Botman, {J. M.} and Bouwman, {L. H.} and Breek, {J. C.} and V. Brehm and Brinckman, {M. J.} and {van den Broek}, {T. H.} and Brom, {H. L.} and {de Bruijn}, {M. T.} and {de Bruin}, {J. L.} and P. Brummel and {van Brussel}, {J. P.} and Buijk, {S. E.} and Buimer, {M. G.} and Burger, {D. H.} and Buscher, {H. C.} and {den Butter}, G. and E. Cancrinus and Castenmiller, {P. H.} and G. Cazander and Coveliers, {H. M.} and Cuypers, {P. H.} and Daemen, {J. H.} and I. Dawson and Derom, {A. F.} and Dijkema, {A. R.} and J. Diks and Dinkelman, {M. K.} and M. Dirven and Dolmans, {D. E.} and {van Doorn}, {R. C.} and {van Dortmont}, {L. M.} and {van der Eb}, {M. M.} and D. Eefting and {van Eijck}, {G. J.} and Elshof, {J. W.} and Elsman, {B. H.} and {van der Elst}, A. and {van Engeland}, {M. I.} and {van Eps}, {R. G.} and Faber, {M. J.} and {de Fijter}, {W. M.} and B. Fioole and Fritschy, {W. M.} and Geelkerken, {R. H.} and {van Gent}, {W. B.} and Glade, {G. J.} and B. Govaert and Groenendijk, {R. P.} and {de Groot}, {H. G.} and {van den Haak}, {R. F.} and {de Haan}, {E. F.} and Hajer, {G. F.} and Hamming, {J. F.} and {van Hattum}, {E. S.} and Hazenberg, {C. E.} and {Hedeman Joosten}, {P. P.} and Helleman, {J. N.} and {van der Hem}, {L. G.} and Hendriks, {J. M.} and {van Herwaarden}, {J. A.} and Heyligers, {J. M.} and Hinnen, {J. W.} and Hissink, {R. J.} and Ho, {G. H.} and {den Hoed}, {P. T.} and Hoedt, {M. T.} and {van Hoek}, F. and R. Hoencamp and Hoffmann, {W. H.} and Hoksbergen, {A. W.} and Hollander, {E. J.} and Huisman, {L. C.} and Hulsebos, {R. G.} and Huntjens, {K. M.} and Idu, {M. M.} and Jacobs, {M. J.} and {van der Jagt}, {M. F.} and Jansbeken, {J. R.} and Janssen, {R. J.} and Jiang, {H. H.} and {de Jong}, {S. C.} and V. Jongkind and Kapma, {M. R.} and Keller, {B. P.} and {Khodadade Jahrome}, A. and Kievit, {J. K.} and Klemm, {P. L.} and P. Klinkert and B. Knippenberg and Koedam, {N. A.} and Koelemaij, {M. J.} and Kolkert, {J. L.} and Koning, {G. G.} and Koning, {O. H.} and Krasznai, {A. G.} and Krol, {R. M.} and Kropman, {R. H.} and Kruse, {R. R.} and {van der Laan}, L. and {van der Laan}, {M. J.} and {van Laanen}, {J. H.} and Lardenoye, {J. H.} and Lawson, {J. A.} and Legemate, {D. A.} and Leijdekkers, {V. J.} and Lemson, {M. S.} and Lensvelt, {M. M.} and Lijkwan, {M. A.} and Lind, {R. C.} and {van der Linden}, {F. T.} and {Liqui Lung}, {P. F.} and Loos, {M. J.} and Loubert, {M. C.} and Mahmoud, {D. E.} and Manshanden, {C. G.} and Mattens, {E. C.} and R. Meerwaldt and Mees, {B. M.} and R. Metz and Minnee, {R. C.} and {de Mol van Otterloo}, {J. C.} and Moll, {F. L.} and {Montauban van Swijndregt}, {Y. C.} and Morak, {M. J.} and {van de Mortel}, {R. H.} and W. Mulder and Nagesser, {S. K.} and Naves, {C. C.} and Nederhoed, {J. H.} and Nevenzel-Putters, {A. M.} and {de Nie}, {A. J.} and Nieuwenhuis, {D. H.} and J. Nieuwenhuizen and {van Nieuwenhuizen}, {R. C.} and D. Nio and Oomen, {A. P.} and Oranen, {B. I.} and J. Oskam and Palamba, {H. W.} and Peppelenbosch, {A. G.} and {van Petersen}, {A. S.} and Peterson, {T. F.} and Petri, {B. J.} and Pierie, {M. E.} and Ploeg, {A. J.} and Pol, {R. A.} and Ponfoort, {E. D.} and Poyck, {P. P.} and A. Prent and {ten Raa}, S. and Raymakers, {J. T.} and M. Reichart and Reichmann, {B. L.} and Reijnen, {M. M.} and A. Rijbroek and {van Rijn}, {M. J.} and {de Roo}, {R. A.} and Rouwet, {E. V.} and Rupert, {C. G.} and Saleem, {B. R.} and {van Sambeek}, {M. R.} and Samyn, {M. G.} and {van {\textquoteright}t Sant}, {H. P.} and {van Schaik}, J. and {van Schaik}, {P. M.} and Scharn, {D. M.} and Scheltinga, {M. R.} and A. Schepers and Schlejen, {P. M.} and Schlosser, {F. J.} and Schol, {F. P.} and O. Schouten and Schreinemacher, {M. H.} and Schreve, {M. A.} and Schurink, {G. W.} and Sikkink, {C. J.} and {te Slaa}, A. and Smeets, {H. J.} and L. Smeets and {de Smet}, {A. A.} and {de Smit}, P. and Smit, {P. C.} and Smits, {T. M.} and Snoeijs, {M. G.} and Sondakh, {A. O.} and {van der Steenhoven}, {T. J.} and {van Sterkenburg}, {S. M.} and Stigter, {D. A.} and H. Stigter and Strating, {R. P.} and Stulti{\"e}ns, {G. N.} and Sybrandy, {J. E.} and Teijink, {J. A.} and Telgenkamp, {B. J.} and Testroote, {M. J.} and The, {R. M.} and Thijsse, {W. J.} and Tielliu, {I. F.} and {van Tongeren}, {R. B.} and Toorop, {R. J.} and Tordoir, {J. H.} and E. Tournoij and M. Truijers and K. T{\"u}rkcan and {Tutein Nolthenius}, {R. P.} and {\"U}nl{\"u} and Vafi, {A. A.} and Vahl, {A. C.} and Veen, {E. J.} and Veger, {H. T.} and Veldman, {M. G.} and Verhagen, {H. J.} and Verhoeven, {B. A.} and Vermeulen, {C. F.} and Vermeulen, {E. G.} and Vierhout, {B. P.} and Visser, {M. J.} and {van der Vliet}, {J. A.} and {Vlijmen - van Keulen}, {C. J.} and Voesten, {H. G.} and R. Voorhoeve and Vos, {A. W.} and {de Vos}, B. and Vos, {G. A.} and Vriens, {B. H.} and Vriens, {P. W.} and {de Vries}, {A. C.} and {de Vries}, {J. P.} and {de Vries}, M. and {van der Waal}, C. and Waasdorp, {E. J.} and {Wallis de Vries}, {B. M.} and {van Walraven}, {L. A.} and {van Wanroij}, {J. L.} and Warl{\'e}, {M. C.} and {van Weel}, V. and {van Well}, {A. M.} and Welten, {G. M.} and Welten, {R. J.} and Wever, {J. J.} and Wiersema, {A. M.} and Wikkeling, {O. R.} and Willaert, {W. I.} and J. Wille and Willems, {M. C.} and Willigendael, {E. M.} and W. Wisselink and Witte, {M. E.} and Wittens, {C. H.} and {Wolf-de Jonge}, {I. C.} and O. Yazar and Zeebregts, {C. J.} and {van Zeeland}, {M. L.} and {Dutch Society of Vascular Surgery, the Steering Committee of the Dutch Surgical Aneurysm Audit, and the Dutch Institute for Clinical Auditing}",

year = "2020",

month = aug,

doi = "10.1016/j.jvs.2019.09.060",

language = "English",

volume = "72",

pages = "531--540",

journal = "Journal of Vascular Surgery",

issn = "0741-5214",

publisher = "Mosby Inc.",

number = "2",

}

Dutch Society of Vascular Surgery, the Steering Committee of the Dutch Surgical Aneurysm Audit, and the Dutch Institute for Clinical Auditing 2020, 'Nationwide study of the treatment of mycotic abdominal aortic aneurysms comparing open and endovascular repair in The Netherlands', Journal of Vascular Surgery, vol. 72, no. 2, pp. 531-540. https://doi.org/10.1016/j.jvs.2019.09.060

Nationwide study of the treatment of mycotic abdominal aortic aneurysms comparing open and endovascular repair in The Netherlands. / Dutch Society of Vascular Surgery, the Steering Committee of the Dutch Surgical Aneurysm Audit, and the Dutch Institute for Clinical Auditing.

In: Journal of Vascular Surgery, Vol. 72, No. 2, 08.2020, p. 531-540.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Nationwide study of the treatment of mycotic abdominal aortic aneurysms comparing open and endovascular repair in The Netherlands

AU - Dang, Quan

AU - Statius van Eps, Randolph G.

AU - Wever, J. J.

AU - Veger, Hugo T.C.

AU - Van den Akker, L. H.

AU - Van den Akker, P. J.

AU - Akkersdijk, G. J.

AU - Akkersdijk, G. P.

AU - Akkersdijk, W. L.

AU - van Andringa de Kempenaer, M. G.

AU - Arts, C. H.

AU - Avontuur, J. A.

AU - Baal, J. G.

AU - Bakker, O. J.

AU - Balm, R.

AU - Barendregt, W. B.

AU - Bender, M. H.

AU - Bendermacher, B. L.

AU - van den Berg, M.

AU - Berger, P.

AU - Beuk, R. J.

AU - Blankensteijn, J. D.

AU - Bleker, R. J.

AU - Bockel, J. H.

AU - Bodegom, M. E.

AU - Bogt, K. E.

AU - Boll, A. P.

AU - Booster, M. H.

AU - Borger van der Burg, B. L.

AU - de Borst, G. J.

AU - Bos- van Rossum, W. T.

AU - Bosma, J.

AU - Botman, J. M.

AU - Bouwman, L. H.

AU - Breek, J. C.

AU - Brehm, V.

AU - Brinckman, M. J.

AU - van den Broek, T. H.

AU - Brom, H. L.

AU - de Bruijn, M. T.

AU - de Bruin, J. L.

AU - Brummel, P.

AU - van Brussel, J. P.

AU - Buijk, S. E.

AU - Buimer, M. G.

AU - Burger, D. H.

AU - Buscher, H. C.

AU - den Butter, G.

AU - Cancrinus, E.

AU - Castenmiller, P. H.

AU - Cazander, G.

AU - Coveliers, H. M.

AU - Cuypers, P. H.

AU - Daemen, J. H.

AU - Dawson, I.

AU - Derom, A. F.

AU - Dijkema, A. R.

AU - Diks, J.

AU - Dinkelman, M. K.

AU - Dirven, M.

AU - Dolmans, D. E.

AU - van Doorn, R. C.

AU - van Dortmont, L. M.

AU - van der Eb, M. M.

AU - Eefting, D.

AU - van Eijck, G. J.

AU - Elshof, J. W.

AU - Elsman, B. H.

AU - van der Elst, A.

AU - van Engeland, M. I.

AU - van Eps, R. G.

AU - Faber, M. J.

AU - de Fijter, W. M.

AU - Fioole, B.

AU - Fritschy, W. M.

AU - Geelkerken, R. H.

AU - van Gent, W. B.

AU - Glade, G. J.

AU - Govaert, B.

AU - Groenendijk, R. P.

AU - de Groot, H. G.

AU - van den Haak, R. F.

AU - de Haan, E. F.

AU - Hajer, G. F.

AU - Hamming, J. F.

AU - van Hattum, E. S.

AU - Hazenberg, C. E.

AU - Hedeman Joosten, P. P.

AU - Helleman, J. N.

AU - van der Hem, L. G.

AU - Hendriks, J. M.

AU - van Herwaarden, J. A.

AU - Heyligers, J. M.

AU - Hinnen, J. W.

AU - Hissink, R. J.

AU - Ho, G. H.

AU - den Hoed, P. T.

AU - Hoedt, M. T.

AU - van Hoek, F.

AU - Hoencamp, R.

AU - Hoffmann, W. H.

AU - Hoksbergen, A. W.

AU - Hollander, E. J.

AU - Huisman, L. C.

AU - Hulsebos, R. G.

AU - Huntjens, K. M.

AU - Idu, M. M.

AU - Jacobs, M. J.

AU - van der Jagt, M. F.

AU - Jansbeken, J. R.

AU - Janssen, R. J.

AU - Jiang, H. H.

AU - de Jong, S. C.

AU - Jongkind, V.

AU - Kapma, M. R.

AU - Keller, B. P.

AU - Khodadade Jahrome, A.

AU - Kievit, J. K.

AU - Klemm, P. L.

AU - Klinkert, P.

AU - Knippenberg, B.

AU - Koedam, N. A.

AU - Koelemaij, M. J.

AU - Kolkert, J. L.

AU - Koning, G. G.

AU - Koning, O. H.

AU - Krasznai, A. G.

AU - Krol, R. M.

AU - Kropman, R. H.

AU - Kruse, R. R.

AU - van der Laan, L.

AU - van der Laan, M. J.

AU - van Laanen, J. H.

AU - Lardenoye, J. H.

AU - Lawson, J. A.

AU - Legemate, D. A.

AU - Leijdekkers, V. J.

AU - Lemson, M. S.

AU - Lensvelt, M. M.

AU - Lijkwan, M. A.

AU - Lind, R. C.

AU - van der Linden, F. T.

AU - Liqui Lung, P. F.

AU - Loos, M. J.

AU - Loubert, M. C.

AU - Mahmoud, D. E.

AU - Manshanden, C. G.

AU - Mattens, E. C.

AU - Meerwaldt, R.

AU - Mees, B. M.

AU - Metz, R.

AU - Minnee, R. C.

AU - de Mol van Otterloo, J. C.

AU - Moll, F. L.

AU - Montauban van Swijndregt, Y. C.

AU - Morak, M. J.

AU - van de Mortel, R. H.

AU - Mulder, W.

AU - Nagesser, S. K.

AU - Naves, C. C.

AU - Nederhoed, J. H.

AU - Nevenzel-Putters, A. M.

AU - de Nie, A. J.

AU - Nieuwenhuis, D. H.

AU - Nieuwenhuizen, J.

AU - van Nieuwenhuizen, R. C.

AU - Nio, D.

AU - Oomen, A. P.

AU - Oranen, B. I.

AU - Oskam, J.

AU - Palamba, H. W.

AU - Peppelenbosch, A. G.

AU - van Petersen, A. S.

AU - Peterson, T. F.

AU - Petri, B. J.

AU - Pierie, M. E.

AU - Ploeg, A. J.

AU - Pol, R. A.

AU - Ponfoort, E. D.

AU - Poyck, P. P.

AU - Prent, A.

AU - ten Raa, S.

AU - Raymakers, J. T.

AU - Reichart, M.

AU - Reichmann, B. L.

AU - Reijnen, M. M.

AU - Rijbroek, A.

AU - van Rijn, M. J.

AU - de Roo, R. A.

AU - Rouwet, E. V.

AU - Rupert, C. G.

AU - Saleem, B. R.

AU - van Sambeek, M. R.

AU - Samyn, M. G.

AU - van ’t Sant, H. P.

AU - van Schaik, J.

AU - van Schaik, P. M.

AU - Scharn, D. M.

AU - Scheltinga, M. R.

AU - Schepers, A.

AU - Schlejen, P. M.

AU - Schlosser, F. J.

AU - Schol, F. P.

AU - Schouten, O.

AU - Schreinemacher, M. H.

AU - Schreve, M. A.

AU - Schurink, G. W.

AU - Sikkink, C. J.

AU - te Slaa, A.

AU - Smeets, H. J.

AU - Smeets, L.

AU - de Smet, A. A.

AU - de Smit, P.

AU - Smit, P. C.

AU - Smits, T. M.

AU - Snoeijs, M. G.

AU - Sondakh, A. O.

AU - van der Steenhoven, T. J.

AU - van Sterkenburg, S. M.

AU - Stigter, D. A.

AU - Stigter, H.

AU - Strating, R. P.

AU - Stultiëns, G. N.

AU - Sybrandy, J. E.

AU - Teijink, J. A.

AU - Telgenkamp, B. J.

AU - Testroote, M. J.

AU - The, R. M.

AU - Thijsse, W. J.

AU - Tielliu, I. F.

AU - van Tongeren, R. B.

AU - Toorop, R. J.

AU - Tordoir, J. H.

AU - Tournoij, E.

AU - Truijers, M.

AU - Türkcan, K.

AU - Tutein Nolthenius, R. P.

AU - Ünlü,

AU - Vafi, A. A.

AU - Vahl, A. C.

AU - Veen, E. J.

AU - Veger, H. T.

AU - Veldman, M. G.

AU - Verhagen, H. J.

AU - Verhoeven, B. A.

AU - Vermeulen, C. F.

AU - Vermeulen, E. G.

AU - Vierhout, B. P.

AU - Visser, M. J.

AU - van der Vliet, J. A.

AU - Vlijmen - van Keulen, C. J.

AU - Voesten, H. G.

AU - Voorhoeve, R.

AU - Vos, A. W.

AU - de Vos, B.

AU - Vos, G. A.

AU - Vriens, B. H.

AU - Vriens, P. W.

AU - de Vries, A. C.

AU - de Vries, J. P.

AU - de Vries, M.

AU - van der Waal, C.

AU - Waasdorp, E. J.

AU - Wallis de Vries, B. M.

AU - van Walraven, L. A.

AU - van Wanroij, J. L.

AU - Warlé, M. C.

AU - van Weel, V.

AU - van Well, A. M.

AU - Welten, G. M.

AU - Welten, R. J.

AU - Wever, J. J.

AU - Wiersema, A. M.

AU - Wikkeling, O. R.

AU - Willaert, W. I.

AU - Wille, J.

AU - Willems, M. C.

AU - Willigendael, E. M.

AU - Wisselink, W.

AU - Witte, M. E.

AU - Wittens, C. H.

AU - Wolf-de Jonge, I. C.

AU - Yazar, O.

AU - Zeebregts, C. J.

AU - van Zeeland, M. L.

AU - Dutch Society of Vascular Surgery, the Steering Committee of the Dutch Surgical Aneurysm Audit, and the Dutch Institute for Clinical Auditing

PY - 2020/8

Y1 - 2020/8

N2 - Objective: Mycotic aneurysms of the abdominal aorta (MAAA) can be treated by open repair (OR) or endovascular aneurysm repair (EVAR). This nationwide study provides an overview of the situation of MAAA treatment in The Netherlands in 2016. Methods: A retrospective cohort study was conducted with all centers that registered aortic abdominal aneurysms in the Dutch Surgical Aneurysm Audit in 2016. Questionnaires on 1-year outcomes were sent to all centers that treated patients with MAAA. The primary aim was to determine 30-day and 1-year mortality and morbidity of OR- and EVAR-treated patients. Morbidity was determined by the need for reoperations and the number of readmissions to the hospital. Results: Twenty-six MAAA were detected in the Dutch Surgical Aneurysm Audit database of 2016, resulting in an incidence of 0.7% of all registered abdominal aortic aneurysms. The 30-day mortality for OR and EVAR treated patients was 1 in 13 and 0 in 13, respectively. Major and minor reinterventions within 30 days were needed for two (one OR and one EVAR) and two (one OR and one EVAR) patients, respectively. Two patients (15.4%) in the OR group and one patient (7.7%) in the EVAR group were readmitted to hospital within 30 days. In total, 1-year outcomes of 23 patients were available. In the OR group, one patient (9.1%) died in the first postoperative year. There was one major reintervention (removal of endoprosthesis and spiralvein reconstruction) in the EVAR group. Two patients (18.2%) treated with OR and two (16.7%) treated with EVAR required a minor reintervention. In both groups, four patients (OR, 36.4%; EVAR, 33.3%) were readmitted to hospital within 1 year postoperatively. Conclusions: Both OR- and EVAR-treated patients show acceptable clinical outcomes after 30 days and at the 1-year follow-up. Depending on the clinical course of the patient, EVAR may be considered in the management of this disease.

AB - Objective: Mycotic aneurysms of the abdominal aorta (MAAA) can be treated by open repair (OR) or endovascular aneurysm repair (EVAR). This nationwide study provides an overview of the situation of MAAA treatment in The Netherlands in 2016. Methods: A retrospective cohort study was conducted with all centers that registered aortic abdominal aneurysms in the Dutch Surgical Aneurysm Audit in 2016. Questionnaires on 1-year outcomes were sent to all centers that treated patients with MAAA. The primary aim was to determine 30-day and 1-year mortality and morbidity of OR- and EVAR-treated patients. Morbidity was determined by the need for reoperations and the number of readmissions to the hospital. Results: Twenty-six MAAA were detected in the Dutch Surgical Aneurysm Audit database of 2016, resulting in an incidence of 0.7% of all registered abdominal aortic aneurysms. The 30-day mortality for OR and EVAR treated patients was 1 in 13 and 0 in 13, respectively. Major and minor reinterventions within 30 days were needed for two (one OR and one EVAR) and two (one OR and one EVAR) patients, respectively. Two patients (15.4%) in the OR group and one patient (7.7%) in the EVAR group were readmitted to hospital within 30 days. In total, 1-year outcomes of 23 patients were available. In the OR group, one patient (9.1%) died in the first postoperative year. There was one major reintervention (removal of endoprosthesis and spiralvein reconstruction) in the EVAR group. Two patients (18.2%) treated with OR and two (16.7%) treated with EVAR required a minor reintervention. In both groups, four patients (OR, 36.4%; EVAR, 33.3%) were readmitted to hospital within 1 year postoperatively. Conclusions: Both OR- and EVAR-treated patients show acceptable clinical outcomes after 30 days and at the 1-year follow-up. Depending on the clinical course of the patient, EVAR may be considered in the management of this disease.

KW - Abdominal aneurysm

KW - Clinical audit

KW - Endovascular aneurysm repair

KW - Infectious

KW - Mycotic

UR - http://www.scopus.com/inward/record.url?scp=85079266070&partnerID=8YFLogxK

U2 - 10.1016/j.jvs.2019.09.060

DO - 10.1016/j.jvs.2019.09.060

M3 - Article

C2 - 32061482

AN - SCOPUS:85079266070

VL - 72

SP - 531

EP - 540

JO - Journal of Vascular Surgery

JF - Journal of Vascular Surgery

SN - 0741-5214

IS - 2

ER -

Nationwide study of the treatment of mycotic abdominal aortic aneurysms comparing open and endovascular repair in The Netherlands

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