Evidence map›Paper›PMID 42744813›Full record

ReviewVascular specialist international2026

Infection after Endovascular Repair of Complex Aortic and Thoracoabdominal Aneurysms with Fenestrated and Branched Devices: A Systematic Descriptive Review.

Andreas L Tsimpoukis, Christos F Pitros, Fotios O Efthymiou, Spyros I Papadoulas, John D Kakisis, Konstantinos G Moulakakis

Abstract readReview
In one paragraph

Review in Vascular specialist international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Andreas L TsimpoukisDepartment of Vascular Surgery, University Hospital of Patras, Patras, Greece.ORCID https://orcid.org/0000-0001-9437-7412
Christos F Pitros1st Department of Vascular Surgery, Attikon University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-2453-2664
Fotios O EfthymiouDepartment of Medical Physics, School of Medicine, University of Patras, Patras, Greece.ORCID https://orcid.org/0000-0003-3384-5379
Spyros I PapadoulasDepartment of Vascular Surgery, University Hospital of Patras, Patras, Greece.ORCID https://orcid.org/0000-0001-8628-2173
John D Kakisis1st Department of Vascular Surgery, Attikon University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-6914-2440
Konstantinos G Moulakakis1st Department of Vascular Surgery, Attikon University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-2269-5937

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endograft infection after fenestrated or branched endovascular aortic repair (F/BEVAR) is an uncommon yet serious complication due to the involvement of the visceral branches and the complexity of the required treatment. This systematic review aimed to descriptively synthesize reported cases of infection after F/BEVAR, with an emphasis on clinical presentation, microbiology, associated aortoenteric fistulas (AEFs), management strategies, and reported outcomes. A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, with MEDLINE, Scopus, and the Cochrane Library searched up to September 14, 2025; eligible reports included case reports and series describing F/BEVAR-related infections. Eleven studies encompassing 26 patients were identified. The weighted mean patient age was approximately 73 years, and 77% of patients were male. The weighted mean interval from repair to infection was approximately 20 months. Microbiological findings were heterogeneous, with both Gram-negative and Gram-positive organisms and several polymicrobial infections reported. AEFs were confirmed in at least 8/26 (31%) patients. Surgical explantation with reconstruction was performed in 12/26 patients (46%), conservative therapy in 12/26 (46%), and graft-preserving procedures in 2/26 (8%). The overall 30-day mortality rate was 4/26 (15%): 3/12 after graft explantation and reconstruction, 1/12 after conservative treatment, and 0/2 after graft-preserving procedures. Among the 22 patients who survived 30 days, 18 (82%) were alive at the last reported follow-up: 9/9 after graft explantation and reconstruction, 7/11 after conservative treatment, and 2/2 after graft-preserving procedures. Infection after F/BEVAR requires individualized management and has been reported to have a heterogeneous clinical presentation, microbiological findings, and treatment strategies. Given the limited evidence base, consisting primarily of case reports and small case series, these findings should be interpreted descriptively. Multicenter collaboration and standardized reporting are needed to better characterize this complication and inform future management strategies.

Indexed as

Aortic aneurysm, thoracoabdominalEndovascular aneurysm repairProsthesis-related infectionsSystematic review

Identifiers

PMID42744813
PMCPMC13578783

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.