{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:26:35Z","timestamp":1792095995905,"version":"4.4.0"},"reference-count":23,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T00:00:00Z","timestamp":1696982400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Angiology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>We report a multicenter experience of open conversions (OC) for aortic endograft infections (AEI). We retrospectively analyzed all patients who underwent OC for AEI after endovascular aneurysm repair (EVAR), from 1997 to 2021 in 12 Italian centers. The endpoints were as follows: mortality (30-days, in-hospital), major postoperative complications. Follow-up data included: survival, aortic-related complications, infection persistence or reoccurrence. Fifty-eight patients (mean age: 73.8 \u00b1 6.6\u00a0years) were included. Median time from EVAR to OC was 14\u00a0months (interquartile range 7\u201345). Thirty-five patients (60.3%) were symptomatic at presentation. Aortic reconstruction was anatomic in 32 patients (55.2%), extra-anatomic in 26 (44.8%). Thirty-day mortality was 31% (18\/58). Six additional patients died after 30\u00a0days during the same hospitalization (in-hospital mortality: 41.4%). Most common post-operative complications included respiratory failure (38.6%) and renal insufficiency (35.1%). During 28.1 \u00b1 4\u00a0months follow-up, 4 aneurysm-related deaths were recorded. Infection re-occurred in 29.4% of the patients. Estimated survival was 50% at 1\u00a0year, and 30% at 5\u00a0years, and was significantly lower for patients who underwent extra-anatomic reconstructions (37 vs 61% at 1\u00a0year, 16 vs 45% at 5\u00a0years; log-rank P = .021). OC for AEI is associated with high early mortality. The poor mid-term survival is influenced by aortic complications and infection re-occurrence.<\/jats:p>","DOI":"10.1177\/00033197231206430","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T17:39:17Z","timestamp":1697045957000},"page":"85-93","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Twenty-Five Year Multicentre Experience of Explantation of Infected Abdominal Aortic Endografts"],"prefix":"10.1177","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4554-416X","authenticated-orcid":false,"given":"Paolo","family":"Perini","sequence":"first","affiliation":[{"name":"Vascular Surgery, Department of Medicine and Surgery, University of Parma, Parma, Italy"},{"name":"Vascular Surgery, Cardio-Thoracic and Vascular Department, University Hospital of Parma, Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Gargiulo","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Experimental, Diagnostic and Speciality Medicine, University of Bologna, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Silingardi","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Biomedical Sciences, University of Modena and Reggio Emilia, Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Bonardelli","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaello","family":"Bellosta","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Surgery, Poliambulanza Foundation Hospital, Brescia, 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Cesena Hospital, AUSL Romagna, Forl\u00ec-Cesena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Freyrie","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Medicine and Surgery, University of Parma, Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"On Behalf of the LOCOS-1 Investigators (Late Open COnversions and Semiconversions-1 Investigators)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9297-3296","authenticated-orcid":false,"given":"Anna","family":"Fornasari","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Medicine and Surgery, University of Parma, Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Mariani","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Medicine and Surgery, University of 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Modena and Reggio Emilia, Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Paro","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Baggi","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Attisani","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Surgery, Poliambulanza Foundation Hospital, Brescia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Pegorer","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Surgery, Poliambulanza Foundation Hospital, Brescia, 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