{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T08:19:46Z","timestamp":1791274786442,"version":"4.1.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,5,29]],"date-time":"2019-05-29T00:00:00Z","timestamp":1559088000000},"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":[[2019,8]]},"abstract":"<jats:p>Purpose: To investigate the endovascular treatment of ascending aortic pathologies of high-risk patients unsuitable for open repair. Materials and Methods: From 2010 to 2017, 24 patients (mean age 70\u00b115 years, range 29\u201390; 18 men) were treated at a single center for various pathologies of the ascending aorta, including acute or chronic type A aortic dissections (n=16), pseudoaneurysms (n=6), fixation of a dislocated percutaneous aortic valve (n=2), and miscellaneous indications (n=3). The patients were selected following an interdisciplinary case evaluation, attended by cardiologists and cardiac and vascular surgeons. The Zenith Ascend TAA Endovascular Graft was implanted; simultaneous procedures were performed in 13 patients. Of the total 27 Ascend TEVAR procedures (24 primary and 3 reinterventions), 17 were performed urgently and 10 electively. The primary outcome measure was 30-day survival. The secondary outcomes were cardiovascular complications, midterm survival, and reintervention rate. Results: Clinical success was achieved in all but 1 case. The 30-day survival was 79% (19\/24); of the 5 deaths only 1 was directly related to the endograft implanted. In the 30-day postoperative period, there was 1 myocardial infarction, 2 major strokes, a mycotic pseudoaneurysm, a case of Ascend TEVAR\u2013induced high-grade aortic insufficiency, and a minor stroke; 1 patient developed paraplegia after concurrent implantation of a 4-branched abdominal stent-graft. Two patients had a reintervention within 30 days for the pseudoaneurysm and the aortic insufficiency, respectively. During a mean follow-up of 11 months (0\u201335 months), there was 1 late death (cancer) and 1 additional reintervention at 10 months for a late type Ia endoleak (12.5% reintervention rate). Conclusion: Endovascular repair of ascending aortic pathologies with stent-grafts is a feasible treatment option with acceptable early and midterm outcomes in high-risk patients unsuitable for open surgery. The complexity of Ascend TEVAR might justify higher reintervention rates.<\/jats:p>","DOI":"10.1177\/1526602819852083","type":"journal-article","created":{"date-parts":[[2019,5,29]],"date-time":"2019-05-29T07:25:10Z","timestamp":1559114710000},"page":"439-445","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":41,"title":["Endovascular Repair of Ascending Aortic Pathologies With Tubular Endografts: A Single-Center Experience"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6313-7595","authenticated-orcid":false,"given":"Nikolaos","family":"Tsilimparis","sequence":"first","affiliation":[{"name":"Department of Vascular Medicine, German Aortic Center, University Heart Center, Hamburg, Germany"},{"name":"Department of Vascular Surgery, Ludwig-Maximilians-University Hospital Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Drewitz","sequence":"additional","affiliation":[{"name":"Department of Vascular Medicine, German Aortic Center, University Heart Center, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Detter","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, German Aortic Center, University Heart Center, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2891-777X","authenticated-orcid":false,"given":"Konstantinos","family":"Spanos","sequence":"additional","affiliation":[{"name":"Department of Vascular Medicine, German Aortic Center, University Heart Center, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yskert","family":"von Kodolitsch","sequence":"additional","affiliation":[{"name":"Department of Cardiology, German Aortic Center, University Heart Center, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0460-1589","authenticated-orcid":false,"given":"Fiona","family":"Rohlffs","sequence":"additional","affiliation":[{"name":"Department of Vascular Medicine, German Aortic Center, University Heart Center, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herrmann","family":"Reichenspurner","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, German Aortic Center, University Heart Center, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. Sebastian","family":"Debus","sequence":"additional","affiliation":[{"name":"Department of Vascular Medicine, German Aortic Center, University Heart Center, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tilo","family":"K\u00f6lbel","sequence":"additional","affiliation":[{"name":"Department of Vascular Medicine, German Aortic Center, University Heart Center, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,5,29]]},"reference":[{"key":"bibr1-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2016.09.044"},{"key":"bibr2-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.07.063"},{"key":"bibr3-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivt155"},{"key":"bibr4-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.12.048"},{"key":"bibr5-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2012.11.012"},{"key":"bibr6-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.11.007"},{"key":"bibr7-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.7.897"},{"key":"bibr8-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.06.099"},{"key":"bibr9-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.06.116"},{"key":"bibr10-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1583\/09-2787.1"},{"key":"bibr11-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezy001"},{"key":"bibr12-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182902cca"},{"key":"bibr13-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)02005-3"},{"key":"bibr14-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezx308"},{"key":"bibr15-1526602819852083","first-page":"373","volume":"54","author":"Jaussaud N","year":"2013","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"bibr16-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.12.027"},{"key":"bibr17-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2016.10.054"},{"key":"bibr18-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.08.095"},{"key":"bibr19-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.08.031"},{"key":"bibr20-1526602819852083","doi-asserted-by":"publisher","DOI":"10.1177\/1526602816680089"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602819852083","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1526602819852083","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602819852083","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:33:05Z","timestamp":1777498385000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1526602819852083"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,29]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1177\/1526602819852083"],"URL":"https:\/\/doi.org\/10.1177\/1526602819852083","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,29]]}}}