{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T22:37:55Z","timestamp":1791931075533,"version":"4.3.4"},"reference-count":20,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvascsurg.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Vascular Surgery"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.jvs.2026.05.054","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T15:07:53Z","timestamp":1784732873000},"page":"1180-1186","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluating growth patterns and rupture risk to determine the repair threshold for saccular abdominal aortic aneurysms"],"prefix":"10.1016","volume":"84","author":[{"given":"Niraj","family":"Balakrishnan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Broden","family":"Bunnell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"York","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anirudh","family":"Vemulapalli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Wildenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carly","family":"Brovold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary","family":"Osborne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Beckermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5855-0150","authenticated-orcid":false,"given":"Tahlia","family":"Weis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0223-6071","authenticated-orcid":false,"given":"Indrani","family":"Sen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvs.2026.05.054_bib1","first-page":"18","article-title":"Saccular aneurysm of the abdominal aorta; report of a case of eight years' duration","volume":"55","author":"Archer","year":"1946","journal-title":"Am J Roentgenol Radium Ther"},{"key":"10.1016\/j.jvs.2026.05.054_bib2","first-page":"383","article-title":"Definitive treatment of saccular aneurysms of the aorta with excision of sac and aortic suture","volume":"96","author":"Bahnson","year":"1953","journal-title":"Surg Gynecol Obstet"},{"key":"10.1016\/j.jvs.2026.05.054_bib3","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1001\/archinte.1953.00240170052005","article-title":"Saccular aneurysms of the abdominal aorta; report of three cases and review","volume":"91","author":"Baird","year":"1953","journal-title":"AMA Arch Intern Med"},{"key":"10.1016\/j.jvs.2026.05.054_bib4","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.jvs.2012.07.002","article-title":"A modern experience with saccular aortic aneurysms","volume":"57","author":"Shang","year":"2013","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.054_bib5","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.123.032715","article-title":"Saccular and fusiform abdominal aortic aneurysms treated with endovascular repair differ in presentation and treatment threshold: analyses using a national clinical database in Japan","volume":"13","author":"Ozawa","year":"2024","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.jvs.2026.05.054_bib6","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1097\/SLA.0000000000003529","article-title":"Saccular abdominal aortic aneurysms: patient characteristics, clinical presentation, treatment, and outcomes in the Netherlands","volume":"270","author":"Karthaus","year":"2019","journal-title":"Ann Surg"},{"key":"10.1016\/j.jvs.2026.05.054_bib7","doi-asserted-by":"crossref","first-page":"309.e5-10","DOI":"10.1016\/j.avsg.2018.12.102","article-title":"Custom-made unibody conical endografts for elective endovascular repair of saccular infrarenal abdominal aortic aneurysms with narrow aortic bifurcations-novel implementation of the aortoaortic concept","volume":"59","author":"D'Oria","year":"2019","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.054_bib8","doi-asserted-by":"crossref","first-page":"138","DOI":"10.23736\/S0392-9590.21.04591-0","article-title":"A comparison of subjective clinical and objective judgement of abdominal aortic aneurysm morphology","volume":"40","author":"Hanada","year":"2021","journal-title":"Int Angiol"},{"key":"10.1016\/j.jvs.2026.05.054_bib20","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.avsg.2015.09.016","article-title":"Morphology of small abdominal aortic aneurysms should be considered before continued ultrasound surveillance","volume":"31","author":"Kristmundsson","year":"2016","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.054_bib9","first-page":"1","article-title":"Hemodynamic effects of small abdominal aortic aneurysm morphologies under resting and exercise conditions","author":"Li","year":"2025","journal-title":"Comput Methods Biomech Biomed Engin"},{"key":"10.1016\/j.jvs.2026.05.054_bib11","doi-asserted-by":"crossref","DOI":"10.1115\/1.2898830","article-title":"Mechanical stresses in abdominal aortic aneurysms: influence of diameter, asymmetry, and material anisotropy","volume":"130","author":"Rodr\u00edguez","year":"2008","journal-title":"J Biomech Eng"},{"key":"10.1016\/j.jvs.2026.05.054_bib12","doi-asserted-by":"crossref","first-page":"5698","DOI":"10.1007\/s00330-023-09488-1","article-title":"Association between aortic peak wall stress and rupture index with abdominal aortic aneurysm-related events","volume":"33","author":"Singh","year":"2023","journal-title":"Eur Radiol"},{"key":"10.1016\/j.jvs.2026.05.054_bib13","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1016\/S0741-5214(98)70227-7","article-title":"Mechanical wall stress in abdominal aortic aneurysm: influence of diameter and asymmetry","volume":"27","author":"Vorp","year":"1998","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.054_bib14","doi-asserted-by":"crossref","first-page":"e79","DOI":"10.1016\/j.jvs.2024.06.132","article-title":"Preliminary report demonstrating feasibility of utilizing AI for imaging and biomechanical study of aortic aneurysms","volume":"80","author":"Sen","year":"2024","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.054_bib15","article-title":"Artificial intelligence-based machine learning protocols enable quicker assessment of aortic biomechanics: a case study","volume":"11","author":"Gueldner","year":"2025","journal-title":"J Vasc Surg Cases Innov Tech"},{"key":"10.1016\/j.jvs.2026.05.054_bib10","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0192032","article-title":"Mechanical and geometrical determinants of wall stress in abdominal aortic aneurysms: a computational study","volume":"13","author":"Azar","year":"2018","journal-title":"PLoS One"},{"key":"10.1016\/j.jvs.2026.05.054_bib16","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1159\/000506159","article-title":"Persistence of intraluminal thrombus makes saccular aneurysm more biologically active than fusiform in an experimental rat model","volume":"57","author":"Etienne","year":"2020","journal-title":"J Vasc Res"},{"key":"10.1016\/j.jvs.2026.05.054_bib17","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1067\/mva.2002.125478","article-title":"In vivo analysis of mechanical wall stress and abdominal aortic aneurysm rupture risk","volume":"36","author":"Fillinger","year":"2002","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2026.05.054_bib18","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1177\/1526602816657086","article-title":"Local diameter, wall stress, and thrombus thickness influence the local growth of abdominal aortic aneurysms","volume":"23","author":"Martufi","year":"2016","journal-title":"J Endovasc Ther"},{"key":"10.1016\/j.jvs.2026.05.054_bib19","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1016\/j.jvs.2019.11.029","article-title":"Investigating uncommon vascular diseases using the vascular low frequency disease consortium","volume":"72","author":"Lawrence","year":"2020","journal-title":"J Vasc Surg"}],"container-title":["Journal of Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0741521426015028?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0741521426015028?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:00:25Z","timestamp":1791889225000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0741521426015028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["S0741521426015028"],"URL":"https:\/\/doi.org\/10.1016\/j.jvs.2026.05.054","relation":{},"ISSN":["0741-5214"],"issn-type":[{"value":"0741-5214","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Evaluating growth patterns and rupture risk to determine the repair threshold for saccular abdominal aortic aneurysms","name":"articletitle","label":"Article Title"},{"value":"Journal of Vascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvs.2026.05.054","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Society for Vascular Surgery. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}