{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T14:21:17Z","timestamp":1781014877977,"version":"3.54.1"},"reference-count":15,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,12,21]],"date-time":"2017-12-21T00:00:00Z","timestamp":1513814400000},"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":[[2018,2]]},"abstract":"<jats:p>Purpose: To report bailout treatment of a thoracoabdominal aortic aneurysm using a single Nellix stent and parallel stents. Case Report: A 74-year-old man with multiple comorbidities and a previous fenestrated Anaconda stent-graft for a 60-mm juxtarenal aneurysm was diagnosed with a type IV thoracoabdominal aneurysm on the 2-year computed tomography angiography (CTA) scans. The imaging showed &gt;10-mm downward migration of the proximal Anaconda stent with a massive type Ia endoleak and aneurysmal evolution of the distal descending thoracic aorta; the superior mesenteric artery (SMA) and renal artery covered stents were patent and intact. Open conversion or a second custom-made endograft was not feasible. A plan was devised to use off-the-shelf materials, including the deployment of a single Nellix stent extending from the descending thoracic aorta into the stented area of the fenestrated endograft, with parallel chimney stent-grafts into the SMA and right renal artery; the left renal artery was treated with a bare stent in a periscope configuration. Transient paraparesis was resolved with cerebrospinal fluid drainage. At 6-month CTA, ongoing aneurysm exclusion with patent SMA and renal arteries was confirmed. Conclusion: Thoracic endovascular aneurysm sealing with visceral and renal stenting seems to be a feasible bailout alternative treatment for urgent, complex cases without reconstruction options.<\/jats:p>","DOI":"10.1177\/1526602817749309","type":"journal-article","created":{"date-parts":[[2017,12,23]],"date-time":"2017-12-23T16:01:31Z","timestamp":1514044891000},"page":"62-67","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Thoracic Endovascular Aneurysm Sealing of a Complex Thoracoabdominal Aneurysm"],"prefix":"10.1177","volume":"25","author":[{"given":"Emiliano","family":"Chisci","sequence":"first","affiliation":[{"name":"Department of Surgery, Vascular and Endovascular Surgery Unit \u201cSan Giovanni di Dio\u201d Hospital, Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Bellandi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Vascular and Endovascular Surgery Unit \u201cSan Giovanni di Dio\u201d Hospital, Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Michelagnoli","sequence":"additional","affiliation":[{"name":"Department of Surgery, Vascular and Endovascular Surgery Unit \u201cSan Giovanni di Dio\u201d Hospital, Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,12,21]]},"reference":[{"key":"bibr1-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199412293312601"},{"key":"bibr2-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.11.047"},{"key":"bibr3-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.01.066"},{"key":"bibr4-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2016.10.008"},{"key":"bibr5-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.03.255"},{"key":"bibr6-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.07.080"},{"key":"bibr7-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1583\/1545-1550-20.2.159"},{"key":"bibr8-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1177\/1526602816647363"},{"key":"bibr9-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1583\/13-4372.1"},{"key":"bibr10-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1583\/JEVT-12-4023R.1"},{"key":"bibr11-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2016.05.013"},{"key":"bibr12-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1177\/1526602817730353"},{"key":"bibr13-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.10.085"},{"key":"bibr14-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.04.395"},{"key":"bibr15-1526602817749309","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.02.008"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602817749309","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1526602817749309","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602817749309","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:32:32Z","timestamp":1777498352000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1526602817749309"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,21]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1177\/1526602817749309"],"URL":"https:\/\/doi.org\/10.1177\/1526602817749309","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,21]]}}}