{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T03:34:09Z","timestamp":1792640049462,"version":"4.5.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2021,5,26]],"date-time":"2021-05-26T00:00:00Z","timestamp":1621987200000},"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":[[2021,5,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>\u2002<\/jats:title>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>The critical step in total endovascular aortic arch repair is to ensure alignment of fenestrations with, and thus maintenance of flow to, supra-aortic trunks. This experimental study evaluates the feasibility and accuracy of a double-fenestrated physician-modified endovascular graft [single common large fenestration for the brachiocephalic trunk and left common carotid artery and a distal small fenestration for left subclavian artery (LSA) with a preloaded guidewire for the LSA] for total endovascular aortic arch repair.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Eight fresh human cadaveric thoracic aortas were harvested. Thoracic endografts with a physician-modified double fenestration were deployed for total endovascular aortic arch repair in a bench test model. A guidewire was preloaded through the distal fenestration for the LSA. All experiments were undertaken in a hybrid room under fluoroscopic guidance with subsequent angioscopy and open evaluation for assessment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Mean aortic diameter in zone 0 was 31.3 \u00b1 3.33\u2009mm. Mean duration for stent graft modification was 20.1 \u00b1 5.8\u2009min. Mean duration of the procedure was 24 \u00b1 8.6\u2009min. The Medtronic Valiant Captivia stent graft was used in 6 and the Cook Alpha Zenith thoracic stent graft in 2 cases. LSA catheterization was technically successful with supra-aortic trunk patency in 100% of cases.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The use of a double-fenestrated stent graft with a preloaded guidewire appears to be a useful technical addition to facilitate easy and correct alignment of stent graft fenestrations with supra-aortic trunk origins.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivab023","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T16:56:07Z","timestamp":1610643367000},"page":"942-949","source":"Crossref","is-referenced-by-count":11,"title":["Endovascular aortic arch repair with a pre-cannulated double-fenestrated physician-modified stent graft: a benchtop experiment"],"prefix":"10.1093","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9502-2808","authenticated-orcid":false,"given":"Youcef","family":"Lounes","sequence":"first","affiliation":[{"name":"Department of Vascular and Thoracic Surgery, Arnaud de Villeneuve Hospital, Montpellier, France"},{"name":"Arnaud de Villeneuve Hospital, INSERM U1046, UM1, CHRU of Montpellier, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucien","family":"Chassin-Trubert","sequence":"additional","affiliation":[{"name":"Department of Vascular and Thoracic Surgery, Arnaud de Villeneuve Hospital, Montpellier, France"},{"name":"Arnaud de Villeneuve Hospital, INSERM U1046, UM1, CHRU of Montpellier, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Gandet","sequence":"additional","affiliation":[{"name":"Department of Cardio-Vascular Surgery, Arnaud de Villeneuve Hospital, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baris Ata","family":"Ozdemir","sequence":"additional","affiliation":[{"name":"Department of Vascular and Thoracic Surgery, Arnaud de Villeneuve Hospital, Montpellier, France"},{"name":"Arnaud de Villeneuve Hospital, INSERM U1046, UM1, CHRU of Montpellier, Montpellier, France"},{"name":"Arnaud de Villeneuve Hospital, University of Bristol, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1147-7181","authenticated-orcid":false,"given":"Antoine","family":"Peyron","sequence":"additional","affiliation":[{"name":"Legal Department, Lapeyronie Hospital, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariama","family":"Akodad","sequence":"additional","affiliation":[{"name":"Cardiology Department, Montpellier University Hospital, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Alric","sequence":"additional","affiliation":[{"name":"Department of Vascular and Thoracic Surgery, Arnaud de Villeneuve Hospital, Montpellier, France"},{"name":"Arnaud de Villeneuve Hospital, INSERM U1046, UM1, CHRU of Montpellier, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludovic","family":"Canaud","sequence":"additional","affiliation":[{"name":"Department of Vascular and Thoracic Surgery, Arnaud de Villeneuve Hospital, Montpellier, France"},{"name":"Arnaud de Villeneuve Hospital, INSERM U1046, UM1, CHRU of Montpellier, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,5,26]]},"reference":[{"key":"2022031517061654200_ivab023-B1","first-page":"686","article-title":"Branched and fenestrated options to treat aortic arch 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