{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T22:46:27Z","timestamp":1777848387957,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T00:00:00Z","timestamp":1598832000000},"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 incidence and outcomes of cerebral embolic events when using right (RUE) vs left upper extremity (LUE) access for fenestrated\/branched endovascular aneurysm repair (f\/bEVAR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A retrospective review was conducted of 290 consecutive patients enrolled in a physician-sponsored Investigational Device Exemption study to evaluate f\/bEVAR between 2013 and 2018. Of these, 270 patients (93%) had an upper extremity access with 12-F sheaths, including 205 patients (mean age 75\u00b18 years; 147 men) with LUE and 65 patients (mean age 73\u00b18 years; 42 men) with RUE access. Outcome measures were technical success, procedural metrics, major adverse events (MAEs), any stroke or transient ischemic attack (TIA), and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Technical success was higher (p=0.04) for LUE (99.6%) vs RUE access (98.4%). Patients treated via RUE access more often had extent I-III thoracoabdominal aortic aneurysms (57% vs 39%, p=0.03). Procedural metrics were similar for LUE vs RUE sides, including endovascular time (255\u00b180 vs 246\u00b183 minutes, respectively; p=0.23), fluoroscopy time (84\u00b132 vs 90\u00b135 minutes, respectively; p=0.80), and contrast volume (156\u00b157 vs 153\u00b156 mL, respectively; p=0.82). Total radiation exposure was significantly higher for LUE vs RUE access (2463\u00b11912 vs 1757\u00b11494 mGy, respectively; p=0.02). There were 2 deaths (1%) at 30 days or during hospital admission, both unrelated to access site complications. MAEs occurred in 32% of patients who had LUE and 26% of those who had RUE access (p=0.44). Five patients (2%) had embolic stroke and none had TIA. Embolic strokes were ipsilateral to the access side in 4 patients and affected the posterior circulation in 3. Two patients (1%) had hemorrhagic strokes. The incidence of stroke was 3% for LUE and 2% for RUE access (p&gt;0.99).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Fenestrated\/branched stent-graft repair was associated with low rates of cerebral embolic events and no significant difference between the right vs left upper extremity approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1526602820953511","type":"journal-article","created":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T06:42:26Z","timestamp":1598856146000},"page":"70-77","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Comparison of Cerebral Embolic Events Between Right and Left Upper Extremity Access During Fenestrated\/Branched Endovascular Aortic Repair"],"prefix":"10.1177","volume":"28","author":[{"given":"Aleem K.","family":"Mirza","sequence":"first","affiliation":[{"name":"Advanced Endovascular Aortic Research Program, Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9128-6256","authenticated-orcid":false,"given":"Emanuel R.","family":"Tenorio","sequence":"additional","affiliation":[{"name":"Advanced Aortic Research Program, University of Texas Health Science at Houston, McGovern Medical School, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulianna B.","family":"Marcondes","sequence":"additional","affiliation":[{"name":"Advanced Aortic Research Program, University of Texas Health Science at Houston, McGovern Medical School, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guilherme B. B.","family":"Lima","sequence":"additional","affiliation":[{"name":"Advanced Aortic Research Program, University of Texas Health Science at Houston, McGovern Medical School, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thanila A.","family":"Macedo","sequence":"additional","affiliation":[{"name":"Advanced Aortic Research Program, University of Texas Health Science at Houston, McGovern Medical School, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernardo C.","family":"Mendes","sequence":"additional","affiliation":[{"name":"Advanced Endovascular Aortic Research Program, Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo S.","family":"Oderich","sequence":"additional","affiliation":[{"name":"Advanced Aortic Research Program, University of Texas Health Science at Houston, McGovern Medical School, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,8,31]]},"reference":[{"key":"bibr1-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.12.111"},{"key":"bibr2-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.12.014"},{"key":"bibr3-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.09.038"},{"key":"bibr4-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.08.061"},{"key":"bibr5-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-019-02322-6"},{"key":"bibr6-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.09.042"},{"key":"bibr7-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.09.058"},{"key":"bibr8-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1177\/1526602818794965"},{"key":"bibr9-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.09.063"},{"key":"bibr10-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.05.214"},{"key":"bibr11-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.09.028"},{"key":"bibr12-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.12.114"},{"key":"bibr13-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.03.428"},{"key":"bibr14-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002960"},{"key":"bibr15-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.06.203"},{"key":"bibr16-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(06)70412-4"},{"key":"bibr17-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(10)70057-0"},{"key":"bibr18-1526602820953511","first-page":"475","volume":"40","author":"Astarci P","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"bibr19-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10718"},{"key":"bibr20-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.05.138"},{"key":"bibr21-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.08.055"},{"key":"bibr22-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.02.050"},{"key":"bibr23-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.02.032"},{"key":"bibr24-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvscit.2018.09.002"},{"key":"bibr25-1526602820953511","doi-asserted-by":"publisher","DOI":"10.1177\/1526602819871931"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602820953511","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1526602820953511","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602820953511","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:33:46Z","timestamp":1777498426000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1526602820953511"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,31]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1177\/1526602820953511"],"URL":"https:\/\/doi.org\/10.1177\/1526602820953511","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,31]]}}}