{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T20:53:22Z","timestamp":1778619202879,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,12,4]],"date-time":"2018-12-04T00:00:00Z","timestamp":1543881600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100004374","name":"Medtronic, Inc","doi-asserted-by":"crossref","award":["This research received a restricted grant from Med"],"award-info":[{"award-number":["This research received a restricted grant from Med"]}],"id":[{"id":"10.13039\/100004374","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Endovasc Ther"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:p>Purpose: To review midterm clinical outcomes of EndoAnchor placement during or after endovascular aneurysm repair (EVAR) or chimney EVAR (ch-EVAR). Materials and Methods: A retrospective analysis was conducted of 51 consecutive patients [median age 75 years; 38 men] who underwent EVAR\/ch-EVAR with EndoAnchor placement between June 2010 and December 2016 to prevent seal failures (31, 61%) or to treat type Ia endoleak and\/or migration (20, 39%). Median aortic neck diameter was 27.7 mm and median neck length was 9.0 mm. Thirty-three (65%) had a conical neck; 48 (94%) had at least 1 hostile neck characteristic. Thirty-two (63%) patients had severe comorbidities (ASA score \u2a7eIII). Eight patients had a single ch-EVAR procedure. Baseline patient characteristics, anatomic variables, procedure details, early and late complications, reinterventions, and aneurysm-related and all-cause mortality rates were recorded. Follow-up imaging was performed with computed tomography angiography (CTA) or duplex ultrasonography. Results: Median procedure time was 100 minutes; a median of 6 EndoAnchors were implanted. There were 10 (10%) residual type Ia endoleaks at the end of the procedure; 9 had resolved by the first postoperative CTA. One residual and 2 new type Ia endoleaks were identified at the first postoperative imaging. Median follow-up for the entire cohort was 24.0 months, during which 3 new type Ia endoleaks were identified. Five of the 6 type Ia endoleaks were treated, 1 resolved spontaneously. There was 1 endograft limb occlusion without clinical consequences, 1 chimney graft occlusion without possibilities for a reintervention, 1 rupture after type IV endoleak (a Nellix device was successfully deployed within the main device), and 1 complete graft explantation for infection. There was no new-onset hemodialysis. Kaplan-Meier estimates of freedom from type Ia endoleak, proximal neck\u2013related reinterventions, and aneurysm-related mortality at 2 years were 87.3%, 92.2%, and 94.0%, respectively. Conclusion: EndoAnchors are helpful in the endovascular treatment of unfavorable proximal aortic necks, with fair midterm results.<\/jats:p>","DOI":"10.1177\/1526602818816099","type":"journal-article","created":{"date-parts":[[2018,12,5]],"date-time":"2018-12-05T00:34:21Z","timestamp":1543970061000},"page":"90-100","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Midterm Single-Center Results of Endovascular Aneurysm Repair With Additional EndoAnchors"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2565-7482","authenticated-orcid":false,"given":"Seline R.","family":"Goudeketting","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, St Antonius Hospital, Nieuwegein, the Netherlands"},{"name":"MIRA Institute of Biomedical Technology and Technical Medicine, University of Twente, Enschede, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Wille","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, St Antonius Hospital, Nieuwegein, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel A. F.","family":"van den Heuvel","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, St Antonius Hospital, Nieuwegein, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan-Albert","family":"Vos","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, St Antonius Hospital, Nieuwegein, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Paul P. M.","family":"de Vries","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Medical Centre Groningen, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,12,4]]},"reference":[{"key":"bibr1-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.07.001"},{"key":"bibr2-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2010.09.011"},{"key":"bibr3-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.09.050"},{"key":"bibr4-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.11.048"},{"key":"bibr5-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2012.09.002"},{"key":"bibr6-1526602818816099","first-page":"419","volume":"53","author":"Avci M","year":"2012","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"bibr7-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1583\/JEVT-12-4008R.1"},{"key":"bibr8-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.05.099"},{"key":"bibr9-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.04.063"},{"key":"bibr10-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1177\/1708538115590727"},{"key":"bibr11-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.08.089"},{"key":"bibr12-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2017.01.007"},{"key":"bibr13-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815574685"},{"key":"bibr14-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.10.059"},{"key":"bibr15-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26351"},{"key":"bibr16-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815621920"},{"key":"bibr17-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.12.063"},{"key":"bibr18-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.014902"},{"key":"bibr19-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.123763"},{"key":"bibr20-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2014.01.018"},{"key":"bibr21-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1583\/13-4228.1"},{"key":"bibr22-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.09.052"},{"key":"bibr23-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.12.010"},{"key":"bibr24-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1177\/1708538113516318"},{"key":"bibr25-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2010.01.004"},{"key":"bibr26-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10524"},{"key":"bibr27-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.070334"},{"key":"bibr28-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.07.080"},{"key":"bibr29-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001405"},{"key":"bibr30-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1583\/08-2531.1"},{"key":"bibr31-1526602818816099","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.01.039"},{"key":"bibr32-1526602818816099","first-page":"77","volume":"55","author":"Ahmed A","year":"2017","journal-title":"S Afr J Surg"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602818816099","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1526602818816099","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602818816099","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:32:53Z","timestamp":1777498373000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1526602818816099"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,4]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1177\/1526602818816099"],"URL":"https:\/\/doi.org\/10.1177\/1526602818816099","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,4]]}}}