{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T13:06:27Z","timestamp":1778936787436,"version":"3.51.4"},"reference-count":24,"publisher":"Hogrefe Publishing Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vasa"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>Summary: Background: Thoracic endovascular aortic repair (TEVAR) involving the left subclavian artery (Ishimaru zone 2) presents technical challenges. This multicentre study evaluates the Ankura thoracic stent graft with in-situ fenestration using a dedicated needle system (Lifetech, Shenzhen, China) for various thoracic aortic pathologies. Patients and methods: Between January 2020 and December 2025, 59 patients from three tertiary centres underwent in-situ fenestration TEVAR (if-TEVAR) for thoracoabdominal aortic pathologies. Clinical and imaging data were analysed, focusing on technical success, complications, and mid-term outcomes. Results: Demographics and comorbidities were comparable across pathologies. The SVS\/AAVS age score was higher in TAAA and PAU patients (p=.005). Dissection cases required more grafts (p=.027), larger proximal diameters (p=.022), and showed less distal oversizing in TAAA (p=.031). Differences were noted in fenestration time (p=.049), stent type (p=.032), and adjunctive procedures (p&lt;.001). Technical success was 93.2% (55\/59), with no significant variation among groups. One patient died within 30 days (2% mortality). ICU\/hospital stays and complications were similar. Conclusions: if-TEVAR with the Ankura graft in zone 2 is feasible with acceptable outcomes. Larger studies with extended follow-up are needed to confirm durability.<\/jats:p>","DOI":"10.1024\/0301-1526\/a001235","type":"journal-article","created":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T06:34:54Z","timestamp":1756967694000},"page":"127-134","source":"Crossref","is-referenced-by-count":1,"title":["Needle INsitu Fenestration Aortic repair (NINFA) \u2013 Short term results of a multicentre registry"],"prefix":"10.1024","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9725-6484","authenticated-orcid":true,"given":"Marco Virgilio","family":"Usai","sequence":"first","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, St. Franziskus Hospital M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2851-279X","authenticated-orcid":true,"given":"Imam T.P.","family":"Ritonga","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, St. 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