{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:04:27Z","timestamp":1740171867416,"version":"3.37.3"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"vor","delay-in-days":153,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aorta (Stamford)"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Current treatments of aortic aneurysm include surgical or endovascular, respectively, anatomical or functional, substitution of the aneurysm tract; however, with these methods, perfusion of at least some collateral branches cannot be fully restored, leading to the risk of paraplegia. We present a novel endovascular \u201cnet\u201d prosthesis to strengthen the aortic wall while preserving perfusion of collateral branches. This consists of a polyester mesh \u201cnet\u201d-layered conduit in a variable cylindrical shape, which is personalized based on patient computed tomography scan images, and is defined by circular crossing spirals of a thin nitinol wire. The prosthetic conduit, shrunk by compressing the nitinol spirals, can be inserted into the vascular lumen and expanded in situ. Then, the insertion control device can be fully removed. Thus, the, \u201cnet\u201d prosthesis, positioned inside the aorta in stable contact with the intimal wall for 2 to 5 months, is colonized by neointima and spontaneously moved deeper into the aortic wall in contact with the media, thus being ideally able to stabilize aortic diameter without interference with collateral branch blood perfusion. This new, (ideally) paraplegia-free procedure is aimed at curing the aortic wall structural defect, thus arresting the aneurysm from further progression. This contrasts with current treatments, indicated by aneurysm dimensions for their implied complication risk, which are actually for prophylaxis of impending rupture or dissection rather than fortification of the natural aorta. Moreover, this new approach can be used alongside open surgical procedures (personalized external aortic root support) as well as a frozen \u201cnet\u201d elephant trunk technique, for full aortic stabilization.<\/jats:p>","DOI":"10.1055\/s-0042-1748842","type":"journal-article","created":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T23:45:16Z","timestamp":1667346316000},"page":"095-103","source":"Crossref","is-referenced-by-count":0,"title":["Early Repair of Aortic Wall Structural Defect by \u201cNet\u201d Endoprosthesis to Arrest the Aneurysm without Interference with Aortic Branch Vessel Perfusion"],"prefix":"10.1055","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8494-1059","authenticated-orcid":false,"given":"Stefano","family":"Nazari","sequence":"additional","affiliation":[{"name":"Department of Research, Fondazione Alexis Carrel, Basiglio (MI), Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,11,1]]},"reference":[{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/S1010-7940(96)80150-3","article-title":"Aortic wall structural strengthening by intraluminal net prosthesis to arrest aneurysm progression and rupture. 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