{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T21:37:49Z","timestamp":1762033069400},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2013,1,21]],"date-time":"2013-01-21T00:00:00Z","timestamp":1358726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We sought to investigate the short\u2010 and mid\u2010term results of the endovascular repair of infrarenal abdominal penetrating aortic ulcers (aPAUs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with infrarenal <jats:styled-content style=\"fixed-case\">aPAUs<\/jats:styled-content> treated by endovascular means between <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>arch 2004 and <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>une 2012 were recruited. Pre\u2010interventional imaging included computed tomography (<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>) or <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> angiography. Endoprostheses were chosen and deployed according to standard elective endovascular aneurysm repair anatomical requirements. Endpoints included 30\u2010day survival, in\u2010hospital mortality, 1\u2010year <jats:styled-content style=\"fixed-case\">PAU<\/jats:styled-content>\u2010related mortality, 1\u2010year all\u2010cause mortality, freedom from death and freedom from cumulative complication and interventions. Statistically, the Kaplan\u2013Meier method was applied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nineteen patients (18 men, median age 70 years (interquartile range, <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content> = 59\u201375)) suffering aPAUs (<jats:styled-content style=\"fixed-case\"><jats:italic>n<\/jats:italic><\/jats:styled-content> = 29, infrarenal = 25) were detected. The median co\u2010morbid severity scoring was 1.0 (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content> = 0.4\u20131.4). The median follow\u2010up period was 33 months (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content> = 8\u201351.5). Furthermore, 94.7% of patients had hypertension. Fourteen patients (73.7%) had symptoms, including four of them admitted with shock from large\u2010contained <jats:styled-content style=\"fixed-case\">PAU<\/jats:styled-content> rupture. Endoluminal stent grafting was successfully delivered in all patients. In\u2010hospital mortality was 10.5%. Two patients required secondary interventions (10.5%). The 30\u2010day survival, 1\u2010year <jats:styled-content style=\"fixed-case\">PAU<\/jats:styled-content>\u2010related mortality and 1\u2010year all\u2010cause mortality were 94.7%, 89.5% and 89.5%, respectively. Freedom from death and freedom from cumulative complications and interventions was 86.4% and 86.4%, 78.9% and 78.9%, and 67.9% and 71.2% at 12, 24 and 36 months, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Urgent and elective endovascular repair of aPAUs can be achieved with high technical success. The significant co\u2010morbid status of the treated patients is illustrated in the considerable in\u2010hospital mortality and underlines the advantage of such treatment over open surgical repair.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.12074","type":"journal-article","created":{"date-parts":[[2013,1,22]],"date-time":"2013-01-22T04:09:07Z","timestamp":1358827747000},"page":"758-763","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Endovascular therapy for penetrating ulcers of the infrarenal aorta"],"prefix":"10.1111","volume":"83","author":[{"given":"George S.","family":"Georgiadis","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery \u2018Demokritus\u2019 University of Thrace University General Hospital of Alexandroupolis  Alexandroupolis Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Trellopoulos","sequence":"additional","affiliation":[{"name":"Section of Vascular Surgery \u2018Georgios Papanikolaou\u2019 General Hospital  Thessaloniki Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George A.","family":"Antoniou","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery Manchester Royal Infirmary Central Manchester University Hospitals NHS Foundation Trust  Manchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Efstratios I.","family":"Georgakarakos","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery \u2018Demokritus\u2019 University of Thrace University General Hospital of Alexandroupolis  Alexandroupolis Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evagelos S.","family":"Nikolopoulos","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery \u2018Demokritus\u2019 University of Thrace University General Hospital of Alexandroupolis  Alexandroupolis Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitrios","family":"Pelekas","sequence":"additional","affiliation":[{"name":"Section of Vascular Surgery \u2018Georgios Papanikolaou\u2019 General Hospital  Thessaloniki Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xanthi","family":"Pitta","sequence":"additional","affiliation":[{"name":"Section of Vascular Surgery \u2018Georgios Papanikolaou\u2019 General Hospital  Thessaloniki Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miltos K.","family":"Lazarides","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery \u2018Demokritus\u2019 University of Thrace University General Hospital of Alexandroupolis  Alexandroupolis Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0890-5096(06)60697-3"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(94)70124-5"},{"key":"e_1_2_6_4_1","volume-title":"Dissecting Aneurysms","author":"Shennan T","year":"1934"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000022164.26075.5A"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1583\/10-3063.1"},{"key":"e_1_2_6_7_1","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1080\/00015458.2002.11679319","article-title":"Endovascular treatment of thoracic aortic dissection and its variants","volume":"102","author":"Nienaber CA","year":"2002","journal-title":"Acta Chir. 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