International Multicenter Mycotic Aneurysm Aorto-iliac Study
MAAI
Long Term Results of Aorto-iliac Mycotic Aneurysms
MAAI
Long Term Results of Aorto-iliac Mycotic Aneurysms
Sponsor study identifier
observational
40
1 country
1
Study Start
January 1, 2020
Actual (reported)Primary Completion
January 1, 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
January 1, 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
The term mycotic aneurysm (MA) is commonly used to describe all infected aneurysms. Although MAs are believed to occur uncommonly, the true incidence is difficult to determine and is probably underestimated since MAs can be asymptomatic and are diagnosed only at autopsy. In an autoptic study, mycotic aortic aneurysms (MAAs) were reported in 3.3% of all detected aneurysms. The incidence of infected aneurysms of the aorta and iliac arteries ranges from 0.6% to 1.3%. A recent literature review of the management of MAAs showed that therapeutic strategies are multiple, including open surgical repair (OSR) in the majority of cases, endovascular aortic repair (EVAR), which increased over the last decade, and medical treatment alone for patients unfit for any aortic repair in a very limited part. Following the unfavorable prognosis towards rupture and since the medical treatment alone in mycotic aneurysms has shown mortality of almost 100%, surgical treatment is generally the preferred option. Surgical treatment includes both open and endovascular surgery. The latter is less invasive than conventional surgery but does not involve resection of the infected tissue and is therefore associated with an increased risk of sepsis and prosthesis infection. The gold standard is still open surgery, including extra-anatomic reconstruction and in situ repair, with different type of vascular graft. This is a multicenter retrospective observational study. It will examine all patients undergoing surgical treatment of mycotic aortic-iliac aneurysms and in situ reconstruction at the participating centers.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
January 1, 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
January 1, 2020
Actual (reported)March 9, 2023
Actual (reported)March 21, 2023
Actual (reported)January 1, 2026
Estimated (date passed)This estimate has passed. The registry has not confirmed an actual date for this milestone.
January 1, 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Early mortality
Mortality after surgery
Mortality within 30 days after surgery
Surgical treatment of mycotic aortic-iliac aneurysms and in situ reconstruction
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
All patients undergoing surgical treatment of mycotic aortic-iliac aneurysms and in situ reconstruction at the participating centers.
Fondazione Policlinico Universitario A. Gemelli IRCCS
Roma, RM, 00167, Italy
First Submitted
March 9, 2023
First Posted
March 21, 2023
Study Start
January 1, 2020
Actual (reported)Primary Completion
January 1, 2026
Estimated (date passed)Ultrasound-Guided Resuscitation in Open Aortic Surgery
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This estimate has passed. The registry has not confirmed an actual date for this milestone.
Study Completion
January 1, 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
March 18, 2025
Record last verified: 2025-03
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Source: ClinicalTrials.gov.
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