{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:15:56Z","timestamp":1777943756399,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T00:00:00Z","timestamp":1643673600000},"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":["Vascular"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Explantation of both endovascular endovascular aneurysm repair and open aortic grafts is a procedure associated with high peri-operative risk, and the current study sought to determine the outcomes and trends over time in these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study examined data from all patients undergoing explant of an aortic graft (both open and endovascular) between January 2004 and December 2020 at a single centre. Variables analysed included comorbidities, duration to and indication for explantation, type of revascularization, in-hospital complications and mortality, duration of hospital and ICU stay, and out-patient mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 688 open and 1352 EVARs performed, 46 patients underwent 48 explants. Five were open grafts and 43 were endografts, equating to an explant rate of 0.73% of open and 3.18% EVARs. Average time to explant was 70 months, with patients presenting electively having a significantly longer duration to representation than those presenting emergently (51 vs 44 months, p=0.003). Indication for explant was endoleak in 70%, infection in 23%, and occlusion in 6%. Of the endoleaks, 61% of were Type 1, 22% Type II, 11% Type IV, and 6% Type V. On representation, 17 patients (35%) were symptomatic. Overall mortality rate was 8.3%, with a trend for higher mortality in emergent than elective presentations (11.8 vs 6.5%, p=0.55). There was no change in explant rate over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Elective aortic graft explantation is associated with low mortality, despite its complexity and patient comorbidities. Patients presenting with symptoms suffered higher mortality and a longer post-operative course, suggesting that aortic graft explantation should be considered sooner rather than later, rather than persisting with repeated endovascular management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381211068219","type":"journal-article","created":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T10:23:03Z","timestamp":1643710983000},"page":"433-440","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Aortic graft explants \u2013 A single institution analysis of incidence and outcomes"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6850-6943","authenticated-orcid":false,"given":"Timothy P","family":"Shiraev","sequence":"first","affiliation":[{"name":"Vascular Surgery, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia"},{"name":"The University of Notre Dame, Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4773-0927","authenticated-orcid":false,"given":"Madeleine","family":"de Boer","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Joseph","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacky","family":"Loa","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffi","family":"Qasabian","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Royal Prince Alfred Hospital, Camperdown, New South 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Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,2,1]]},"reference":[{"key":"bibr1-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.09.020"},{"key":"bibr2-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.02.046"},{"key":"bibr3-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0909499"},{"key":"bibr4-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1207481"},{"key":"bibr5-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31135-7"},{"key":"bibr6-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.01.037"},{"key":"bibr7-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.03.426"},{"key":"bibr8-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2013.03.009"},{"key":"bibr9-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2019.01.027"},{"key":"bibr10-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2019.10.016"},{"key":"bibr11-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1007\/s10016-004-0075-9"},{"key":"bibr12-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2013.04.021"},{"key":"bibr13-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.05.033"},{"key":"bibr14-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1186\/cc2872"},{"key":"bibr15-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2016.09.007"},{"key":"bibr16-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2017.03.002"},{"key":"bibr17-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.02.019"},{"key":"bibr18-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1583\/1545-1550-17.6.694"},{"key":"bibr19-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1583\/05-1530R.1"},{"key":"bibr20-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2020.10.033"},{"key":"bibr21-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.03.263"},{"key":"bibr22-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2005.12.011"},{"key":"bibr23-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.08.122"},{"key":"bibr24-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.01.001"},{"key":"bibr25-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2015.07.017"},{"key":"bibr26-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.02.040"},{"key":"bibr27-17085381211068219","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2018.03.037"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381211068219","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17085381211068219","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381211068219","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:36:07Z","timestamp":1777707367000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17085381211068219"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,1]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1177\/17085381211068219"],"URL":"https:\/\/doi.org\/10.1177\/17085381211068219","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,1]]}}}