{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T03:11:10Z","timestamp":1793502670983,"version":"4.5.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T00:00:00Z","timestamp":1685491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T00:00:00Z","timestamp":1685491200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neth Heart J"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Postsurgical thoracic aortic pseudoaneurysms (PTAPs) are a\u00a0potentially lethal complication after cardiac or aortic surgery. Surgical management can pose a\u00a0challenge with high in-hospital mortality rates. Transcatheter closure is a\u00a0less-invasive alternative treatment option for selected patients, although current experience is limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>We aimed to evaluate procedural and imaging outcomes of our first 11\u00a0cases of transcatheter PTAP closure with the use of closure devices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with a\u00a0high operative risk who underwent transcatheter PTAP closure at our centre from 2019 to 2021 were retrospectively included. Suitability was evaluated on preprocedural computed tomography (CT) scans and three-dimensional (3D) reconstructions. All procedures were performed in the catheterisation laboratory. Intraprocedural aortography and postprocedural CT scans with 3D reconstructions were used to evaluate PTAP occlusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven consecutive patients with a\u00a0high operative risk and a\u00a0history of cardiac\/aortic surgery who underwent transcatheter PTAP closure were included. PTAPs were predominantly located at the proximal or distal anastomosis of a\u00a0supracoronary ascending aortic vascular graft or Bentall prosthesis (82%). Implanted closure devices included Amplatzer Valvular Plug\u00a0III (82%), Amplatzer septal occluder (9%) and Occlutech atrial septal defect occluder (9%). No periprocedural complications occurred. After device deployment, residual flow was absent on aortography in 64% and minimal residual flow was present in 36% of patients. Subtotal or total occlusion of the PTAP on follow-up CT ranged between 45% and 73%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although subtotal or total occlusion of the PTAP was found at follow-up in only 45\u201373% of cases, transcatheter PTAP closure guided by preprocedural 3D reconstructions can offer a\u00a0valuable minimally invasive primary treatment option for patients who otherwise would face a\u00a0high-risk reoperation.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s12471-023-01784-1","type":"journal-article","created":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T06:02:40Z","timestamp":1685512960000},"page":"383-389","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Transcatheter closure of postsurgical aortic pseudoaneurysms guided by three-dimensional image reconstruction: a\u00a0single-centre experience"],"prefix":"10.1007","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1173-3192","authenticated-orcid":false,"given":"Romy R. 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