Resolution of type 1a endoleak in infected endograft using antibiotics: A case report
Bibliographic record
Abstract
Aortic endograft infections are associated with significant morbidity and mortality, and must be managed promptly. The definitive treatment is surgical explantation, however conservative approaches using percutaneous intervention have been shown to be successful in some cases. Notably, there is no documented case of an infected EVAR and subsequent endoleak that was managed solely by antibiotics. We present a case of a 91 year old male with an infected endograft and subsequent type 1a endoleak. He was not a surgical candidate, and a conservative approach to management was taken. Remarkably, after prolonged antibiotic therapy, both the infection and the type 1a endoleak resolved. This case suggests treating the primary endograft infection in nonsurgical candidates may also lead to the resolution of associated endoleaks. Further research is needed to understand the potential of antibiotics alone in similar cases.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".