{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T20:11:21Z","timestamp":1792267881085,"version":"4.4.0"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>The aim of the study was to investigate the outcomes of branched endovascular arch repair (b-TEVAR) with a custom-made double- or triple-branched arch endograft in patients with distal anastomotic aneurysms after open repair of the ascending aorta or proximal arch replacement.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Retrospective analysis was conducted of all consecutive patients with anastomotic aneurysms after open surgical repair involving the ascending aorta and\/or aortic arch treated with b-TEVAR. All patients were treated with a custom-made double or triple inner-branched arch endograft. Study end points were technical success, 30-day and follow-up mortality\/morbidity and re-interventions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Between 2018 and 2022, 10 patients were treated with custom-made double- or triple-branched thoracic endovascular aortic repair due to anastomotic aneurysms after open ascending aorta and\/or proximal aortic arch replacement. Eight patients received a triple and 2 a double arch-branched endograft. Eight cases were performed electively and 2 urgently for contained rupture. Technical success was achieved in 9 cases (90%). All elective patients survived. Two patients treated due to contained ruptures expired. Within 30 postoperative days, 1 transient ischaemic attack occurred. No early endograft-related re-interventions were necessary. The median follow-up was 20\u2009months. One patient died 2 months after discharge due to sepsis caused by pneumonia. No further deaths or endograft-related re-interventions were observed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Endovascular aortic arch repair with double or triple inner-branched arch endograft for anastomotic aneurysms after open ascending and\/or proximal arch replacement is technically feasible and a promising alternative in a patient cohort unfit for surgery.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezad345","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T17:27:01Z","timestamp":1698427621000},"source":"Crossref","is-referenced-by-count":8,"title":["Endovascular arch repair of anastomotic aneurysm and pseudoaneurysm in patients after open repair of the ascending aorta and aortic arch: a case series"],"prefix":"10.1093","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8360-5488","authenticated-orcid":false,"given":"Daniel","family":"Becker","sequence":"first","affiliation":[{"name":"University Aortic Center Munich, LMU University Hospital , Munich, Germany"},{"name":"Department of Vascular Surgery, LMU University Hospital , Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0013-7870","authenticated-orcid":false,"given":"Jan","family":"Stana","sequence":"additional","affiliation":[{"name":"University Aortic Center Munich, LMU University Hospital , Munich, Germany"},{"name":"Department of Vascular Surgery, LMU University Hospital , Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6445-0575","authenticated-orcid":false,"given":"Carlota F","family":"Prendes","sequence":"additional","affiliation":[{"name":"University Aortic Center Munich, LMU University Hospital , Munich, Germany"},{"name":"Department of Vascular Surgery, LMU University Hospital , Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos","family":"Konstantinou","sequence":"additional","affiliation":[{"name":"University Aortic Center Munich, LMU University Hospital , Munich, Germany"},{"name":"Department of Vascular Surgery, LMU University Hospital , Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tugce","family":"\u00d6z","sequence":"additional","affiliation":[{"name":"University Aortic Center Munich, LMU University Hospital , Munich, Germany"},{"name":"Department of Vascular Surgery, LMU University Hospital , Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2903-2490","authenticated-orcid":false,"given":"Maximilian","family":"Pichlmaier","sequence":"additional","affiliation":[{"name":"University Aortic Center Munich, LMU University Hospital , Munich, Germany"},{"name":"Department of Cardiac Surgery, LMU University Hospital , Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1880-152X","authenticated-orcid":false,"given":"Sven","family":"Peterss","sequence":"additional","affiliation":[{"name":"University Aortic Center Munich, LMU University Hospital , Munich, Germany"},{"name":"Department of Cardiac Surgery, LMU University Hospital , Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6313-7595","authenticated-orcid":false,"given":"Nikolaos","family":"Tsilimparis","sequence":"additional","affiliation":[{"name":"University Aortic Center Munich, LMU University Hospital , Munich, Germany"},{"name":"Department of Vascular Surgery, LMU University Hospital , Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,10,27]]},"reference":[{"key":"2023110616314594400_ezad345-B1","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.jtcvs.2011.08.052","article-title":"Late reoperations after repaired acute type A aortic dissection","volume":"144","author":"Kobuch","year":"2012","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2023110616314594400_ezad345-B2","doi-asserted-by":"crossref","first-page":"1955","DOI":"10.1016\/j.athoracsur.2007.07.017","article-title":"Fate of the residual distal and proximal aorta after acute type A dissection repair using a contemporary surgical reconstruction algorithm","volume":"84","author":"Geirsson","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"2023110616314594400_ezad345-B3","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.athoracsur.2007.03.084","article-title":"Aortic enlargement and late reoperation after repair of acute type A aortic dissection","volume":"84","author":"Zierer","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"2023110616314594400_ezad345-B4","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/j.athoracsur.2011.10.059","article-title":"Reoperation after surgical correction of acute type A aortic dissection: risk factor analysis","volume":"93","author":"Concistre","year":"2012","journal-title":"Ann Thorac Surg"},{"key":"2023110616314594400_ezad345-B5","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.jvs.2012.12.078","article-title":"Mortality and reoperations in survivors operated on for acute type A aortic dissection and implications for catheter-based or hybrid interventions","volume":"58","author":"Olsson","year":"2013","journal-title":"J Vasc Surg"},{"key":"2023110616314594400_ezad345-B6","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1093\/icvts\/ivv036","article-title":"Aortic arch surgery after previous type A dissection repair: results up to 5 years","volume":"21","author":"Bajona","year":"2015","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2023110616314594400_ezad345-B7","first-page":"197","article-title":"Current and future perspectives in the repair of aneurysms involving the aortic arch","volume":"56","author":"Maurel","year":"2015","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"2023110616314594400_ezad345-B8","first-page":"67","article-title":"Total endovascular repair of the aortic arch","author":"Haulon","year":"2014","journal-title":"Endovasc Today"},{"key":"2023110616314594400_ezad345-B9","doi-asserted-by":"crossref","first-page":"1709","DOI":"10.1016\/j.jtcvs.2014.02.072","article-title":"Global experience with an inner branched arch endograft","volume":"148","author":"Haulon","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2023110616314594400_ezad345-B10","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1016\/j.ejvs.2015.12.002","article-title":"Editor\u2019s choice\u2013subsequent results for arch aneurysm repair with inner branched endografts","volume":"51","author":"Spear","year":"2016","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2023110616314594400_ezad345-B11","first-page":"559","article-title":"Total endovascular arch repair is the procedure of the future","volume":"59","author":"Spanos","year":"2018","journal-title":"Part I. J Cardiovasc Surg (Torino)"},{"key":"2023110616314594400_ezad345-B12","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1016\/j.jvs.2018.07.076","article-title":"Single-center experience with an inner branched arch endograft","volume":"69","author":"Tsilimparis","year":"2019","journal-title":"J Vasc Surg"},{"key":"2023110616314594400_ezad345-B13","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.ejvs.2018.09.016","article-title":"Editor's choice - current options and recommendations for the treatment of thoracic aortic pathologies involving the aortic arch: an expert consensus document of the European Association for Cardio-Thoracic Surgery (EACTS) & the European Society for Vascular Surgery (ESVS)","volume":"57","author":"Czerny","year":"2019","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2023110616314594400_ezad345-B14","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1093\/ejcts\/ezy133","article-title":"Branched endografts in the aortic arch following open repair for DeBakey Type I aortic dissection","volume":"54","author":"Tsilimparis","year":"2018","journal-title":"Eur J Cardiothorac Surg"},{"key":"2023110616314594400_ezad345-B15","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1016\/j.ejvs.2022.02.006","article-title":"First experience with the Munich Valsalva Implantation Technique (MuVIT) for cardiac output reduction during standard and complex thoracic endovascular aortic repair","volume":"63","author":"Stana","year":"2022","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2023110616314594400_ezad345-B16","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1177\/1526602820925443","article-title":"Technical aspects of branched thoracic arch graft implantation for aortic arch pathologies","volume":"27","author":"Spanos","year":"2020","journal-title":"J Endovasc Ther"},{"key":"2023110616314594400_ezad345-B17","doi-asserted-by":"crossref","DOI":"10.1177\/15266028231169169","article-title":"Transaxillary branch-to-branch-to-branch carotid catheterization technique for triple-branch arch repair","author":"Prendes","year":"2023","journal-title":"J Endovasc Ther"},{"key":"2023110616314594400_ezad345-B18","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1177\/15266028211002506","article-title":"Passing a mechanical aortic valve with a short tip dilator to facilitate aortic arch endovascular branched repair","volume":"28","author":"Konstantinou","year":"2021","journal-title":"J Endovasc Ther"},{"key":"2023110616314594400_ezad345-B19","doi-asserted-by":"crossref","first-page":"1799","DOI":"10.1016\/j.athoracsur.2018.09.020","article-title":"Emergency use of branched thoracic endovascular repair in the treatment of aortic arch pathologies","volume":"107","author":"Law","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"2023110616314594400_ezad345-B20","doi-asserted-by":"crossref","first-page":"2028","DOI":"10.1016\/j.athoracsur.2016.05.012","article-title":"Inner-branched endografts for the treatment of aortic arch aneurysms after open ascending aortic replacement for type A dissection","volume":"102","author":"Milne","year":"2016","journal-title":"Ann Thorac Surg"},{"key":"2023110616314594400_ezad345-B21","doi-asserted-by":"crossref","first-page":"101195","DOI":"10.1016\/j.jvscit.2023.101195","article-title":"\u201cIn vitro\u201d evaluation of the optimal degree of oversizing of thoracic endografts in prosthetic landing areas: pilot study","volume":"9","author":"Prendes","year":"2023","journal-title":"J Vasc Surg Cases Innov Tech"},{"key":"2023110616314594400_ezad345-B22","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1016\/j.ejvs.2015.10.012","article-title":"Early experience of endovascular repair of post-dissection aneurysms involving the thoraco-abdominal aorta and the arch","volume":"51","author":"Spear","year":"2016","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2023110616314594400_ezad345-B23","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.1016\/j.jvs.2014.08.062","article-title":"Endovascular treatment of thoracic aortic aneurysms with a short proximal landing zone using scalloped endografts","volume":"60","author":"Alsafi","year":"2014","journal-title":"J Vasc Surg"},{"key":"2023110616314594400_ezad345-B24","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.ejvs.2018.12.010","article-title":"Cervical debranching in the endovascular era: a single centre experience","volume":"58","author":"Konstantinou","year":"2019","journal-title":"Eur J Vasc Endovasc Surg"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/advance-article-pdf\/doi\/10.1093\/ejcts\/ezad345\/52632314\/ezad345.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/64\/4\/ezad345\/52726829\/ezad345.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/64\/4\/ezad345\/52726829\/ezad345.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,6]],"date-time":"2023-11-06T16:32:04Z","timestamp":1699288324000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/doi\/10.1093\/ejcts\/ezad345\/7331037"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,1]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,10,4]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezad345","relation":{},"ISSN":["1873-734X"],"issn-type":[{"value":"1873-734X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,10,1]]},"published":{"date-parts":[[2023,10,1]]},"article-number":"ezad345"}}