{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T01:35:17Z","timestamp":1786325717244,"version":"build-2736575974"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"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":[[2025,6,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Endovascular arch repair is a reasonable alternative for patients at high risk for open surgery. Despite a reduction in procedural invasiveness, complications remain, particularly in elderly and urgent cases. This study aimed to evaluate our institutional experience at a high-volume aortic center.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Retrospective, single-center study of endovascular arch repair, along with subgroup analyses for urgent settings, octogenarian patients and graft design. Primary outcomes were technical success, 30-day mortality and morbidity. During follow-up, survival estimation, cumulative incidence of reintervention, endoleak and target vessels instability were evaluated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The study included 74 patients (mean age 72\u2009\u00b1\u20099\u2009years) treated, between September 2018 and April 2024, with custom-made fenestrated\/branched endograft. Technical success was achieved in 93.2% of the patients. Thirty-day mortality in elective setting was 5.4%, and 44.4% in urgent repairs. Major stroke occurred in 6.8% of patients. Urgent repairs showed higher rates of technical failure (22.2 vs 1.8% P\u2009&amp;lt;\u20090.01), 30-day mortality (44.4 vs 5.4%; P\u2009&amp;lt;\u20090.001) and major strokes compared to elective repairs (22.2 vs 1.8%; P\u2009&amp;lt;\u20090.01). Octogenarians had significantly higher 30-day mortality but no difference in major adverse events compared to younger patients (P\u2009&amp;lt;\u20090.01). Branched endografts had higher rates of type Ia endoleaks and reinterventions than fenestrated endografts. At 24\u2009months, the estimated rates were as follows: survival 79% (standard error\u2014SE 0.09), cumulative incidence of reintervention 24% (SE 0.074), endoleak 9% (SE 0.037) and target vessel instability 9% (SE 0.04).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Endovascular arch repair is feasible and yields satisfactory outcomes in high-risk populations, particularly in elective settings. Urgent and elderly patients remain challenging, underscoring the importance of careful patient selection.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezaf208","type":"journal-article","created":{"date-parts":[[2025,6,28]],"date-time":"2025-06-28T06:46:57Z","timestamp":1751093217000},"source":"Crossref","is-referenced-by-count":2,"title":["Complex endovascular arch repair using fenestrated and branched devices: a single-centre experience"],"prefix":"10.1093","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8149-7656","authenticated-orcid":false,"given":"Martina","family":"Bastianon","sequence":"first","affiliation":[{"name":"University Aortic Center Munich, LMU University Hospital , Munich,","place":["Germany"]},{"name":"Department of Vascular Surgery, LMU University Hospital , Munich,","place":["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,","place":["Germany"]},{"name":"Department of Vascular Surgery, LMU University Hospital , Munich,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos","family":"Konstantinou","sequence":"additional","affiliation":[{"name":"University Aortic Center Munich, LMU University Hospital , Munich,","place":["Germany"]},{"name":"Department of Vascular Surgery, LMU University Hospital , Munich,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Khangoli","sequence":"additional","affiliation":[{"name":"University Aortic Center Munich, LMU University Hospital , 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