{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T09:15:13Z","timestamp":1790414113872,"version":"4.1.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,9,17]],"date-time":"2020-09-17T00:00:00Z","timestamp":1600300800000},"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":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the long-term results associated with the Zenith Alpha thoracic stent-graft, which was designed to address challenging access vessel anatomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted of 44 consecutive patients (mean age 72.5\u00b18.3 years; 25 men) treated in a single center between August 2010 and October 2014 with a minimum follow-up of 5 years in survivors. The Zenith Alpha thoracic stent-graft was used to treat thoracic aortic aneurysms (n=37), thoracoabdominal aortic aneurysm (n=5), or penetrating aortic ulcer (n=2). Ten patients (23%) were American Society of Anesthesiologists class IV, and 9 (20%) had nonelective procedures. Access vessel anatomy was demanding (mean minimum diameter 5.4 mm, tortuosity index 1.3). The primary endpoint at 5 years was ongoing clinical success (freedom from aneurysm-\/procedure-related death, secondary intervention, type I or III endoleak, infection, thrombosis, aneurysm expansion, rupture, or conversion). Secondary endpoints were freedom from all-cause mortality, device migration, stent fractures, fabric erosions, endoleaks, neurological events, and access vessel complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The ongoing clinical success was 84% (37 of 44 patients) owing to 4 aneurysm-related deaths (9%), 3 type I or III endoleaks (1 in a deceased patient), and 1 aneurysm expansion without detectable endoleak. There were 3 access vessel complications (7%), and no postoperative neurological events. Migration was observed in 2 cases (5%). There were no stent fractures or fabric tears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite the alterations in stent-graft design and material to reduce profile, the Zenith Alpha thoracic stent-graft showed favorable long-term results even in multimorbid patients with demanding iliac anatomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1526602820952416","type":"journal-article","created":{"date-parts":[[2020,9,18]],"date-time":"2020-09-18T02:29:56Z","timestamp":1600396196000},"page":"56-62","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Long-term Results of Thoracic Endovascular Aortic Repair Using a Low-Profile Stent-Graft"],"prefix":"10.1177","volume":"28","author":[{"given":"Efthymios","family":"Beropoulis","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, St Franziskus Hospital M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4028-4947","authenticated-orcid":false,"given":"Stefano","family":"Fazzini","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, St Franziskus Hospital M\u00fcnster, Germany"},{"name":"Vascular Surgery, La Sapienza University of Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Austermann","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, St Franziskus Hospital M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7513-5063","authenticated-orcid":false,"given":"Giovanni B.","family":"Torsello","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, St Franziskus Hospital M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Damerau","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, St Franziskus Hospital M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9938-2947","authenticated-orcid":false,"given":"Giovanni Federico","family":"Torsello","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, St Franziskus Hospital M\u00fcnster, Germany"},{"name":"Department of Diagnostic and Interventional Radiology and Nuclear Medicine, Charit\u00e9 Campus Virchow-Klinikum, Charit\u00e9 University Medicine Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,9,17]]},"reference":[{"key":"bibr1-1526602820952416","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.11.047"},{"key":"bibr2-1526602820952416","first-page":"311","volume":"57","author":"Lejay A","year":"2016","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"bibr3-1526602820952416","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.12.024"},{"key":"bibr4-1526602820952416","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.12.064"},{"key":"bibr5-1526602820952416","first-page":"153","volume":"53","author":"Torsello GF","year":"2012","journal-title":"J Cardiovasc Surg 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