{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T04:34:07Z","timestamp":1791866047874,"version":"4.3.4"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,12,13]],"date-time":"2020-12-13T00:00:00Z","timestamp":1607817600000},"content-version":"vor","delay-in-days":0,"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":[[2021,4,19]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Our goal was to evaluate the outcomes of fenestrated thoracic endovascular aortic repair of thoracic aortic lesions involving the distal aortic arch using single physician-modified stent grafts.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>This single-centre, retrospective study included 58 consecutive patients (mean age, 57\u2009\u00b1\u200914\u2009years; 11 women) who underwent fenestrated thoracic endovascular aortic repair for thoracic aortic pathologies involving the distal aortic arch using single physician-modified stent grafts between November 2015 and December 2018. Indications included complicated acute type B dissection or intramural haematoma with an unfavourable proximal landing zone (n\u2009=\u200949), type Ia endoleak subsequent to thoracic endovascular aortic repair due to acute type B dissection (n\u2009=\u20091) and distal arch degenerative aneurysms &amp;lt;15\u2009mm from the left subclavian artery (n\u2009=\u20098).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The technical success rate was 94.8%. The 30-day mortality was 1.7%, and the perioperative ischaemic stroke rate was 1.7%. The incidence of perioperative complications was 10.3%. At a mean follow-up of 26.3\u2009months (range, 7\u201344), all target vessels were patent. All-cause mortality was 5.2%. Estimated 1-, 2- and 3-year survival was 98.3 \u00b1 1.7%, 96.4 \u00b1 2.5% and 93.2 \u00b1 3.9%, respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSION<\/jats:title>\n                  <jats:p>The single fenestrated stent graft technique is feasible and effective for endovascular repair of thoracic aortic pathologies involving the distal aortic arch.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivaa295","type":"journal-article","created":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T12:23:54Z","timestamp":1606998234000},"page":"560-565","source":"Crossref","is-referenced-by-count":7,"title":["Outcomes of single physician-modified fenestrated stent grafts for endovascular repair of thoracic aortic lesions involving the distal aortic arch"],"prefix":"10.1093","volume":"32","author":[{"given":"Jiechang","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiangchen","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zheng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hailun","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, General Hospital of Tianjin Medical University, Tianjin, 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