{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T01:40:43Z","timestamp":1792201243161,"version":"4.4.0"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T00:00:00Z","timestamp":1729641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Thoracic\/abdominal aortic aneurysms and aortic stenosis may be concomitant diseases requiring both transcatheter aortic valve implantation (TAVI) and endovascular aneurysm repair (T\/EVAR) in high-risk patients for surgical approaches, but temporal management is not clearly defined yet. The aim of the study was to analyse outcomes of simultaneous versus staged TAVI and T\/EVAR.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Retrospective observational multicentre study was performed on patients requiring TAVI and T\/EVAR from 2016 to 2022. Patients were divided into 2 groups: \u2018Simultaneous group\u2019 if T\/EVAR + TAVI were performed in the same procedure and \u2018Staged group\u2019 if T\/EVAR and TAVI were performed in 2 steps, but within 3\u2009months. Primary outcomes were technical success, 30-day mortality\/major adverse events and follow-up survival. Secondary outcomes were procedural metrics and length of stay.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Forty-four cases were collected; 8 (18%) had T\/EVAR and 36 (82%) had EVAR, respectively. Upon temporal determination, 25 (57%) and 19 (43%) were clustered in Simultaneous and Staged groups, respectively. In Staged group, median time between procedures was 72 (interquartile range\u2014IQR: 57\u201387) days. Preoperative and intraoperative figures were similar. There was no difference in 30-day mortality (Simultaneous: 0\/25 versus Staged: 1\/19; P = 0.43). Pulmonary events (Simultaneous: 0\/25 versus Staged: 5\/19; P = 0.01) and need of postoperative cardiac pacemaker (Simultaneous: 2\/25 versus Staged: 7\/19; P = 0.02) were more frequent in Staged patients. The overall length of stay was lower in the Simultaneous group [Simultaneous: 7 (IQR: 6\u20138) versus Staged: 19 (IQR: 15\u201323) days; P = 0.001]. The median follow-up was 25 (IQR: 8\u201342) months and estimated 3-year survival was 73% with no difference between groups (Simultaneous: 82% versus Staged: 74%; P = 0.90).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Both Simultaneous or Staged T\/EVAR and TAVI procedures are effective with satisfactory outcomes. Despite the small numbers, simultaneous repair seems to reduce length of stay and pulmonary complications, maintaining similar follow-up survival.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezae379","type":"journal-article","created":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T17:26:40Z","timestamp":1729704400000},"source":"Crossref","is-referenced-by-count":9,"title":["Simultaneous versus staged approach in transcatheter aortic valve implantation for severe stenosis and endovascular aortic repair for thoracic and abdominal aortic aneurysm"],"prefix":"10.1093","volume":"66","author":[{"given":"Enrico","family":"Gallitto","sequence":"first","affiliation":[{"name":"Vascular Surgery, University of Bologna-DIMEC , Bologna,","place":["Italy"]},{"name":"Vascular Surgery unit, IRCCS Azienda Ospedaliero-universitaria di Bologna"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5561-0688","authenticated-orcid":false,"given":"Paolo","family":"Spath","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University of Bologna-DIMEC , Bologna,","place":["Italy"]},{"name":"Vascular Surgery unit, IRCCS Azienda Ospedaliero-universitaria di Bologna"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian Luca","family":"Faggioli","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University of Bologna-DIMEC , Bologna,","place":["Italy"]},{"name":"Vascular Surgery unit, IRCCS Azienda Ospedaliero-universitaria di Bologna"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Saia","sequence":"additional","affiliation":[{"name":"Interventional Cardiology, IRCCS Azienda Ospedaliero-universitaria di Bologna"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tullio","family":"Palmerini","sequence":"additional","affiliation":[{"name":"Interventional Cardiology, IRCCS Azienda Ospedaliero-universitaria di Bologna"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Piazza","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University of Padova , Padova,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"D\u2019Oria","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University of Trieste , Trieste,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gioele","family":"Simonte","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Surgery Unit, Hospital S. 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