{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:15:48Z","timestamp":1777936548083,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"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":["Vasc Med"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>\n                    The present review introduces the term \u2018infective native visceral artery aneurysm (INVAA)\u2019 and provides a systematic review of the literature on this topic. The terms \u2018mycotic\u2019 and \u2018infected\u2019 have been replaced by the term \u2018infective native\u2019 to more accurately describe aneurysms of this type. A systematic search of MEDLINE, Embase, Google Scholar, and Scopus databases was performed to identify articles reporting on INVAAs to April 2024. Inclusion criteria encompassed studies describing \u2018mycotic\u2019 or \u2018infected\u2019 primary visceral aneurysms, excluding patients with concurrent aneurysms in the aorta. The search yielded 356 articles, with 161 meeting the inclusion criteria, covering 175 patients. The median age was 48 years (IQR: 33\u201360 years), predominantly men (n = 127, 72.6%). INVAA was most frequently reported in the superior mesenteric artery (37.5%,\n                    <jats:italic>n<\/jats:italic>\n                    = 65), followed by the hepatic (22.9%,\n                    <jats:italic>n<\/jats:italic>\n                    = 40) and splenic arteries (14.3%,\n                    <jats:italic>n<\/jats:italic>\n                    = 25). Endocarditis was the predominant etiology in 67.4% (n = 118) of cases. Gram-positive pathogens were identified in 58.8% (n = 103) of cases. Treatment modalities included open surgery (49.7%,\n                    <jats:italic>n<\/jats:italic>\n                    = 87), endovascular interventions (37.7%,\n                    <jats:italic>n<\/jats:italic>\n                    = 66), and medical management (12.0%,\n                    <jats:italic>n<\/jats:italic>\n                    = 21). The overall proportion of patients who died was 13.7% (n = 24). In multivariable modeling, cerebral aneurysms (OR: 4.0, 95% CI 1.17, 12.8;\n                    <jats:italic>p<\/jats:italic>\n                    = 0.02), gastrointestinal bleed (OR: 5.79, 95% CI 1.86, 17.6;\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.01), and chronic kidney disease (OR: 16.0, 95% CI 2.3, 136;\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.01) were associated with increased odds of death. The optimal treatment for INVAA remains undefined, highlighting the need for standardization of reporting and prospective registries to enhance the understanding and management of this complex disease.\n                  <\/jats:p>","DOI":"10.1177\/1358863x251326537","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T08:11:28Z","timestamp":1745223088000},"page":"510-521","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Infective native visceral artery aneurysm (INVAA): A systematic review of etiology, treatment, and outcomes"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5101-1541","authenticated-orcid":false,"given":"Mauricio","family":"Gonzalez-Urquijo","sequence":"first","affiliation":[{"name":"Tecnologico de Monterrey, School of Medicine and Health Sciences, Monterrey, Mexico"},{"name":"Departamento de Cirug\u00eda Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo","family":"Salgado-Garza","sequence":"additional","affiliation":[{"name":"Department of Surgery, Oregon Health &amp; Science University, Portland, OR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ariana Marie","family":"Martin","sequence":"additional","affiliation":[{"name":"Tecnologico de Monterrey, School of Medicine and Health Sciences, Monterrey, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos C","family":"van den Berg","sequence":"additional","affiliation":[{"name":"Inselspital, Universit\u00e4tsspital Bern, Universit\u00e4tsinstitut f\u00fcr Diagnostische, Interventionelle und P\u00e4diatrische Radiologie, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose Francisco","family":"Vargas","sequence":"additional","affiliation":[{"name":"Departamento de Cirug\u00eda Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2135-4559","authenticated-orcid":false,"given":"Leopoldo","family":"Marine","sequence":"additional","affiliation":[{"name":"Departamento de Cirug\u00eda Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3406-4769","authenticated-orcid":false,"given":"Francisco","family":"Valdes","sequence":"additional","affiliation":[{"name":"Departamento de Cirug\u00eda Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8548-6833","authenticated-orcid":false,"given":"Mario Alejandro","family":"Fabiani","sequence":"additional","affiliation":[{"name":"Tecnologico de Monterrey, School of Medicine and Health Sciences, Monterrey, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,21]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.23736\/S0392-9590.19.04194-4"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.10.049"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.tvir.2014.12.003"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2013.03.025"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.01.039"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.1262.467"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2019.11.008"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2021.07.240"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.02.024"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.10.071"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/1538574415627868"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2006.02.004"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2022.11.024"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2019.05.004"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.01.031"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1923.00110160074005"},{"key":"e_1_3_2_18_2","first-page":"332","article-title":"Mycotic aneurysm of the superior mesenteric artery as a complication of subacute bacterial endocarditis","volume":"50","author":"Laufer ST","year":"1944","unstructured":"Laufer ST, Smith RP. 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