Aortic & peripheral vascular diseaseCohort study
Infected native aortic aneurysms: epidemiology, management, and outcomes based on a nationwide population-based study
- Retrospective cohort study
- nationwide population-based
Authors' conclusion
Surgical repair is associated with significantly more favourable post-discharge survival compared with EVAR, underscoring the importance of open repair for optimal management of INAAs.
Study context
- Population
- Hospitalisations for infected native aortic aneurysms, Taiwanese National Health Insurance Research Database, 2001–2021
- Participants
- 2,387 hospitalisations
- Exposure
- Endovascular aortic repair (EVAR) vs open repair for infected native aortic aneurysms
- Outcome
- In-hospital and post-discharge adverse events, including mortality
- Follow-up
- 1, 3, 5 and 10 years
Main finding
As reported in the abstract
EVAR vs Open repairEstimate (95% CI)
in-hospital mortality
OR 0.76(0.63–0.91)
mortality at end of follow-up
HR 1.13(1.04–1.23)
Observational data: associations, not effects.
Further findings
Cohort characteristics and trends
- Mean age (years)
- 73.8 ± 11.8
- Men
- 77.6%
- Comorbid renal insufficiency
- 53%
- Increasing trend in infected native aortic aneurysms (INAAs) over time
Original publication
Infected native aortic aneurysms: epidemiology, management, and outcomes based on a nationwide population-based study. Eur Heart J. Published 11 July 2025. doi:10.1093/eurheartj/ehaf449
Summarised from the published abstract; every number is checked against it