{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T18:11:06Z","timestamp":1773425466735,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,8,28]],"date-time":"2022-08-28T00:00:00Z","timestamp":1661644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To report our experience applying endovascular stent graft repair to treat ascending aortic diseases in high\u2010risk patients and to evaluate the safety and feasibility of this approach. Patients with comorbid conditions or older age are not suitable for open procedures but may be considered suitable for ascending endovascular repair. Eleven high\u2010risk patients received zone 0 thoracic endovascular aortic repair from September 2014 to May 2020. All patients were followed up until death or December 2021. Primary outcomes were in\u2010hospital and long\u2010term all\u2010cause mortality as well as in\u2010hospital and long\u2010term aorta\u2010related mortality. The mean follow\u2010up duration of all patients was 35.78 months. The cohort comprised of three pathology subgroups: penetrating atherosclerotic ulcer (PAU) (<jats:italic>n<\/jats:italic>\u2009=6), acute dissection (AD) (<jats:italic>n<\/jats:italic>\u2009=\u20093), and chronic dissecting aneurysm (CDA) (<jats:italic>n<\/jats:italic>\u2009=\u20092). The in\u2010hospital all\u2010cause mortality rates were 0%, 33.33% and 0% for PAU, AD, and CDA groups, respectively. Long\u2010term all\u2010cause mortality were 33.33%, 33.33%, and 50% for PAU, AD, and CDA groups, respectively. There was only one in\u2010hospital death related to acute aortic dissection, and no long\u2010term aorta\u2010related deaths occurred during the study period. During the follow\u2010up time, the majority of patients had good remodeling of ascending aorta, slow progression in cases with endoleak, and no aorta\u2010related mortality. Ascending endovascular aortic repair appears to be a safe and feasible procedure for emergent aortic repair in carefully selected patients with prohibitive surgical risk who are not candidates for open procedures.<\/jats:p>","DOI":"10.1002\/ccd.30356","type":"journal-article","created":{"date-parts":[[2022,8,28]],"date-time":"2022-08-28T18:28:10Z","timestamp":1661711290000},"page":"787-794","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Zone 0 thoracic endovascular aortic repair in high risk patients: A retrospective case series"],"prefix":"10.1002","volume":"100","author":[{"given":"Yu\u2010Tong","family":"Yen","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery Shin Kong Wu Ho\u2010Su Memorial Hospital  Taipei City 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