title: Imaging findings, diagnosis, and clinical outcomes in patients with mycotic aneurysms: single center experience.
abstract: OBJECTIVE
  To review the presentation, imaging, clinical management, and outcomes in patients with mycotic aneurysm (MA).
  
  
  METHODS
  Fifty-five cases in 49 patients (33 men, 16 women, average age: 66.2years) were identified.
  
  
  RESULTS
  Of 49 patients, only 20% presented with the classic clinical triad of fever, elevated white count, and pain. Computed tomography was the most utilized imaging modality; focal vascular outpouching was the most frequent imaging finding (76%). There was 17% mortality rate within 6months of diagnosis despite intervention.
  
  
  CONCLUSIONS
  Clinical presentation and blood cultures can be nonspecific, highlighting the importance of imaging diagnosis of MA to expedite treatment.
authors.affiliation: Division of Vascular and Interventional Radiology, Department of Radiology, New York University Medical Center, New York, NY.
authors.forename: Amy R
authors.initials: AR
authors.lastname: Deipolyi
authors.affiliation: Massachusetts General Hospital, Harvard Medical School, Vascular and Interventional Radiology, Boston, MA.
authors.forename: Alexander
authors.initials: A
authors.lastname: Bailin
authors.affiliation: Biomaterials Innovation Research Center, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Cambridge, MA; Harvard-MIT Division of Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA; Wyss Institute for Biologically Inspired Engineering, Harvard University, Boston, MA.
authors.forename: Ali
authors.initials: A
authors.lastname: Khademhosseini
authors.affiliation: Biomaterials Innovation Research Center, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Cambridge, MA; Mayo Clinic, Division of Vascular and Interventional Radiology, Scottsdale, AZ. Electronic address: oklu.rahmi@mayo.edu.
authors.forename: Rahmi
authors.initials: R
authors.lastname: Oklu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000785:Aneurysm, Infected / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000401:mortality / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
keywords: Mycotic aneurysm; diagnosis; imaging; infection