{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:08:58Z","timestamp":1790381338454,"version":"4.1.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2017,9,6]],"date-time":"2017-09-06T00:00:00Z","timestamp":1504656000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p>Purpose: To analyze the outcome of surgeon-modified fenestrated and branched stent-grafts (sm-FBSG) in high-risk patients with symptomatic complex aortic pathology or contained rupture. Methods: A single-center retrospective analysis was conducted of 21 consecutive patients (mean age 70 years, range 58\u201387; 16 men) treated with a sm-FBSG from April 2014 to September 2016. The indications included 11 thoracoabdominal and 10 pararenal aortic pathologies, which presented as symptomatic in 8 and as contained rupture in 13 patients. The mean aneurysm diameter was 7.4\u00b12.3 cm. Results: Technical success was 100%. From 1 to 4 (mean 3) renovisceral branch vessels were targeted with fenestrations. The mean length of in-hospital stay was 19 days (range 1\u201378). There was 1 death within 30 days and 2 further in-hospital deaths. Two patients suffered permanent spinal cord injury, 2 developed respiratory failure, and 2 had renal failure requiring temporary or permanent dialysis. No myocardial infarction, stroke, or bowel ischemia occurred. Six early endoleaks (3 type II and 3 minor type III) were detected. Mean follow-up was 11.2 months (range 2\u201333) in 17 patients. One late aneurysm-related death occurred. All 13 follow-up imaging studies showed patent target renovisceral vessels, with 1 type I and 2 type II endoleaks. Conclusion: Sm-FBSG can be utilized for urgent treatment of complex abdominal and thoracoabdominal aortic pathologies in high-risk patients with anatomy unsuitable for commercially available stent-grafts.<\/jats:p>","DOI":"10.1177\/1526602817729673","type":"journal-article","created":{"date-parts":[[2017,9,6]],"date-time":"2017-09-06T09:11:39Z","timestamp":1504689099000},"page":"825-832","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":66,"title":["Outcome of Surgeon-Modified Fenestrated\/Branched Stent-Grafts for Symptomatic Complex Aortic Pathologies or Contained Rupture"],"prefix":"10.1177","volume":"24","author":[{"given":"Nikolaos","family":"Tsilimparis","sequence":"first","affiliation":[{"name":"German Aortic Center Hamburg, Department of Vascular Medicine, University Heart Center of Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franziska","family":"Heidemann","sequence":"additional","affiliation":[{"name":"German Aortic Center Hamburg, Department of Vascular Medicine, University Heart Center of Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Rohlffs","sequence":"additional","affiliation":[{"name":"German Aortic Center Hamburg, Department of Vascular Medicine, University Heart Center of Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger","family":"Diener","sequence":"additional","affiliation":[{"name":"German Aortic Center Hamburg, Department of Vascular Medicine, University Heart Center of Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Wipper","sequence":"additional","affiliation":[{"name":"German Aortic Center Hamburg, Department of Vascular Medicine, University Heart Center of Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. 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