{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T22:35:48Z","timestamp":1793399748282,"version":"4.5.0"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2019,4,26]],"date-time":"2019-04-26T00:00:00Z","timestamp":1556236800000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Our objective was to report the outcomes of fenestrated\/branched endovascular aneurysm repair of thoraco-abdominal aortic aneurysms (TAAAs) with endografts.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Between January 2010 and April 2018, patients with TAAAs, considered at high surgical risk for open surgery and treated by Cook-Zenith fenestrated\/branched endovascular aneurysm repair, were prospectively enrolled and retrospectively analysed. The early end points were 30-day\/hospital mortality rate, spinal cord ischaemia and 30-day cardiopulmonary and nephrological morbidity. Follow-up end points were survival, patency of target visceral vessels and freedom from reinterventions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Eighty-eight patients (male: 77%; mean age: 73\u2009\u00b1\u20097\u2009years; American Society of Anesthesiologists 3\/4: 58\/42%) were enrolled. Using Crawford\u2019s classification, 43 (49%) were types I\u2013III and 45 (51%) were type IV TAAAs. The mean aneurysm diameter was 65\u2009\u00b1\u200915\u2009mm. Custom-made and off-the-shelf endografts were used in 60 (68%) and 28 (32%) cases, respectively. Five (6%) patients had a contained ruptured TAAA. The procedure was performed in multiple steps in 42 (48%) cases. There was 1 (1%) intraoperative death. Five (6%) patients suffered spinal cord ischaemia with permanent paraplegia in 3 (3%) cases. Postoperative cardiac and pulmonary complications occurred in 7 (8%) and 12 (14%) patients, respectively. Worsening of renal function (\u226530% of baseline level) was detected in 11 (13%) cases, and 2 (2%) patients required haemodialysis. The 30-day and hospital mortality rates were 5% and 8%, respectively. The mean follow-up was 36\u2009\u00b1\u200922\u2009months. Survival at 12, 24 and 36\u2009months was 89%, 75% and 70%, respectively. The patency of target visceral vessels at 12, 24 and 36\u2009months was 92%, 92% and 92%, respectively. Freedom from reinterventions at 12, 24 and 36\u2009months was 85%, 85% and 83%, respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The endovascular repair of TAAAs with fenestrated\/branched endovascular aneurysm repair is feasible and effective with acceptable technical\/clinical outcomes at early\/midterm follow-up.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezz125","type":"journal-article","created":{"date-parts":[[2019,4,13]],"date-time":"2019-04-13T15:11:48Z","timestamp":1555168308000},"page":"993-1000","source":"Crossref","is-referenced-by-count":47,"title":["Endovascular repair of thoraco-abdominal aortic aneurysms by fenestrated and branched endografts\u2020"],"prefix":"10.1093","volume":"56","author":[{"given":"Enrico","family":"Gallitto","sequence":"first","affiliation":[{"name":"Vascular Surgery, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Faggioli","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodolfo","family":"Pini","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Mascoli","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Ancetti","sequence":"additional","affiliation":[{"name":"Vascular Surgery, 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