{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T14:16:53Z","timestamp":1786457813928,"version":"build-2736575974"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2021,2,6]],"date-time":"2021-02-06T00:00:00Z","timestamp":1612569600000},"content-version":"vor","delay-in-days":1396,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010479","name":"Cook Medical","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010479","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,6,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Fenestrated endovascular aneurysm repair (FEVAR) is increasingly being used for juxtarenal aortic aneurysms. The aim of this study was to review long-term results and assess the importance of changing stent-graft design on outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This was a retrospective review of all patients who underwent FEVAR within a single unit over 12 years (February 2003 to December 2015). Kaplan\u2013Meier analysis of survival, and freedom from target vessel loss, aneurysm expansion, graft-related endoleak and secondary intervention was performed. Comparison between outcomes of less complex grafts (fewer than 3 fenestrations) and more complex grafts (3 or 4 fenestrations) was undertaken.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Some 173 patients underwent FEVAR; median age was 76 (i.q.r. 70\u201379) years and 90\u00b72 per cent were men. Median aneurysm diameter was 63 (59\u201371) mm and median follow-up was 34 (16\u201350) months. The adjusted primary technical operative success rate was 95\u00b74 per cent. The in-hospital mortality rate was 5\u00b72 per cent; there was no known aneurysm-related death during follow-up. Median survival was 7\u00b71 (95 per cent c.i. 5\u00b72 to 8\u00b71) years and overall survival was 60\u00b71 per cent (104 of 173). There was a trend towards an increasing number of fenestrations in the graft design over time. In-hospital mortality appeared higher when more complex stent-grafts were used (8 versus 2 per cent for stent-grafts with 3\u20134 versus fewer than 3 fenestrations; P = 0\u00b7059). Graft-related endoleaks were more common following deployment of stent-grafts with three or four fenestrations (12 of 90 versus 6 of 83; P &amp;lt; 0\u00b7001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Fenestrated endovascular aneurysm repair for juxtarenal aneurysm is associated with few aneurysm-related deaths in the long term. Significant numbers of secondary interventions are required, but the majority of these can be performed using an endovascular approach.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.10524","type":"journal-article","created":{"date-parts":[[2017,4,12]],"date-time":"2017-04-12T09:03:04Z","timestamp":1491987784000},"page":"1020-1027","source":"Crossref","is-referenced-by-count":86,"title":["Long-term follow-up of fenestrated endovascular repair for juxtarenal aortic aneurysm"],"prefix":"10.1093","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9701-8319","authenticated-orcid":false,"given":"I N","family":"Roy","sequence":"first","affiliation":[{"name":"Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK"},{"name":"Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A M","family":"Millen","sequence":"additional","affiliation":[{"name":"Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S M","family":"Jones","sequence":"additional","affiliation":[{"name":"Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S R","family":"Vallabhaneni","sequence":"additional","affiliation":[{"name":"Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK"},{"name":"Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J R H","family":"Scurr","sequence":"additional","affiliation":[{"name":"Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R G","family":"McWilliams","sequence":"additional","affiliation":[{"name":"Interventional Radiology, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J A","family":"Brennan","sequence":"additional","affiliation":[{"name":"Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R K","family":"Fisher","sequence":"additional","affiliation":[{"name":"Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2017,4,12]]},"reference":[{"key":"2021020617251712100_bjs10524-bib-0001","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1053\/ejvs.1999.0924","article-title":"A fenestrated covered suprarenal aortic 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