{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T21:08:51Z","timestamp":1784063331360,"version":"3.55.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,2,18]],"date-time":"2022-02-18T00:00:00Z","timestamp":1645142400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Non-operative management of aortic graft infection is usually only considered in a palliative context. We describe the safety, efficacy, and clinical outcomes of percutaneous drainage of aortic graft infections (AGI) following either open or endovascular repair of aneurysmal disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twelve consecutive patients (11 males, 1 female, mean age 72.7 \u00b1 10.3\u00a0years, age range 52-88\u00a0years) between January 2010-July 2020 who underwent percutaneous drain insertion in either an infected aortic sac or periaortic abscess cavity following endovascular or open surgical graft repair were identified. Patient and procedural characteristics as well as clinical outcomes were determined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 12 patients who underwent percutaneous drain insertion, five (41.7%) had undergone open abdominal aneurysm repair, one (8.3%) open thoracoabdominal aneurysmal repair, and six (50%) endovascular abdominal aneurysm repairs. Drain size ranged from 10-20 French. All were inserted under ultrasound (US), computed tomography (CT), and\/or fluoroscopic guidance. Median duration of drain placement was 55.2\u00a0days (range 3-174). Five patients (41.7%) had the drain in place as a stabilizing bridge until or after definitive surgical explantation and aortic reconstruction. Seven patients (58.3%) were managed with drain placement and antibiotic therapy without surgical intervention. Six (50%) were alive at the most recent time of follow-up (median, 732\u00a0days, range 166-1650 days). Three patients (25%) died during follow-up with causes including erosion of aortic reconstruction into sigmoid colon, unrelated chronic obstructive pulmonary disease exacerbation, and severe clostridium difficile colitis and pseudomonal pneumonia (median 1244\u00a0days, range 992-1597\u00a0days). Three (25%) patients were lost to follow-up. No drain-related complications were noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Percutaneous drainage of AGI following endovascular or open aneurysm repair is a safe and viable management option either as a temporizing measure as a bridge to surgical graft explantation or as a non-surgical therapy for long term management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15385744221075136","type":"journal-article","created":{"date-parts":[[2022,2,18]],"date-time":"2022-02-18T12:34:28Z","timestamp":1645187668000},"page":"369-375","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Percutaneous Drainage for Aortic Graft Infection Post-aneurysm Repair: A Viable Option?"],"prefix":"10.1177","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4970-8152","authenticated-orcid":false,"given":"Sean A.","family":"Kennedy","sequence":"first","affiliation":[{"name":"Division of Vascular & Interventional Radiology, Joint Department of Medical Imaging, University Health Network and Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Katharine","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Division of Vascular & Interventional Radiology, Joint Department of Medical Imaging, University Health Network and Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas F.","family":"Lindsay","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Byrne","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arash","family":"Jaberi","sequence":"additional","affiliation":[{"name":"Division of Vascular & Interventional Radiology, Joint Department of Medical Imaging, University Health Network and Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wayne L.","family":"Gold","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KongTeng","family":"Tan","sequence":"additional","affiliation":[{"name":"Division of Vascular & Interventional Radiology, Joint Department of Medical Imaging, University Health Network and Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Mafeld","sequence":"additional","affiliation":[{"name":"Division of Vascular & Interventional Radiology, Joint Department of Medical Imaging, University Health Network and Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,2,18]]},"reference":[{"key":"bibr1-15385744221075136","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2019.10.016"},{"key":"bibr2-15385744221075136","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.07.001"},{"key":"bibr3-15385744221075136","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2018.02.038"},{"key":"bibr4-15385744221075136","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2013.04.021"},{"key":"bibr5-15385744221075136","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.10.108"},{"key":"bibr6-15385744221075136","doi-asserted-by":"publisher","DOI":"10.1258\/vasc.2011.oa0315"},{"key":"bibr7-15385744221075136","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.171.1.9648774"},{"key":"bibr8-15385744221075136","doi-asserted-by":"publisher","DOI":"10.31744\/einstein_journal\/2019RC4668"},{"key":"bibr9-15385744221075136","doi-asserted-by":"publisher","DOI":"10.1177\/1538574410376451"},{"key":"bibr10-15385744221075136","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2016.09.007"},{"key":"bibr11-15385744221075136","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.10.030"},{"key":"bibr12-15385744221075136","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0909305"},{"key":"bibr13-15385744221075136","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2008.10.032"},{"key":"bibr14-15385744221075136","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.04.040"},{"key":"bibr15-15385744221075136","doi-asserted-by":"publisher","DOI":"10.1007\/s100160010038"},{"key":"bibr16-15385744221075136","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-013-0571-z"}],"container-title":["Vascular and Endovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15385744221075136","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15385744221075136","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15385744221075136","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:32:44Z","timestamp":1777703564000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15385744221075136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,18]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1177\/15385744221075136"],"URL":"https:\/\/doi.org\/10.1177\/15385744221075136","relation":{},"ISSN":["1538-5744","1938-9116"],"issn-type":[{"value":"1538-5744","type":"print"},{"value":"1938-9116","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,18]]}}}