{"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":1777848387740,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T00:00:00Z","timestamp":1599696000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"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 assess the incidence of migration after endovascular aneurysm sealing (EVAS) in conjunction with chimney grafts (chEVAS) for repair of abdominal aortic aneurysms (AAAs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A retrospective, observational cohort study was conducted of 31 patients (mean age 75.7 years; 27 men) treated for juxtarenal AAA between April 2013 and December 2018 at single centers in New Zealand and the Netherlands. The majority of patients received &gt;1 chimney graft (13 single, 13 double, and 5 triple) during chEVAS. Six patients had only the first postoperative scan, so the migration analysis was based on 25 patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Median seal length assessed on the first postoperative computed tomography scan was 36.5 mm. The assisted technical success rate was 93.5% with 2 technical failures. Median time to final imaging follow-up was 17 months in 25 patients. At the latest follow-up, there were no cases of caudal migration &gt;10 mm. Freedom from caudal movement of 5 to 9 mm was estimated as 86.1% at 1 year and 73.9% at 2 years; freedom from clinically relevant migration (movement requiring reintervention) was 100% at both time intervals. However, at 3 years there were 2 cases of caudal movement of 5 to 9 mm and a type Ia endoleak warranting reintervention. No correlation between migration and aneurysm growth (p=0.851), endoleak (p=0.562), or the number of chimney grafts (p=0.728) was found. During follow-up, 2 patients (7%) had aneurysm rupture and 10 (33%) had reinterventions. Eight patients (27%) died; 2 were aneurysm-related (7%) and due to the consequences of a reintervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In the 2 years following chEVAS, there was no caudal migration &gt;10 mm, but nearly a quarter of patients had caudal movement of 5 to 9 mm. A trend was observed toward ongoing migration that required intervention at 3-year follow-up. chEVAS is technically challenging and should be considered only for patients with no viable alternative treatment option.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1526602820957279","type":"journal-article","created":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T08:09:36Z","timestamp":1599725376000},"page":"165-172","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Migration After Endovasclar Aneurysm Sealing in Conjunction With Chimney Grafts"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5562-190X","authenticated-orcid":false,"given":"Aleksandra C.","family":"Zoethout","sequence":"first","affiliation":[{"name":"Department of Interventional Radiology and Vascular Surgery, Auckland City Hospital, Auckland, New Zealand"},{"name":"Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, University of Groningen, the Netherlands"},{"name":"Department of Vascular Surgery, Rijnstate Hospital, Arnhem, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arshad","family":"Sheriff","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology and Vascular Surgery, Auckland City Hospital, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clark J.","family":"Zeebregts","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, University of Groningen, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5021-1768","authenticated-orcid":false,"given":"Michel M. P. J.","family":"Reijnen","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Rijnstate Hospital, Arnhem, the Netherlands"},{"name":"MultiModality Medical Imaging Group, TechMed Centre, University of Twente, Enschede, the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology and Vascular Surgery, Auckland City Hospital, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8170-4960","authenticated-orcid":false,"given":"Andrew","family":"Holden","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology and Vascular Surgery, Auckland City Hospital, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,10]]},"reference":[{"key":"bibr1-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16979-1"},{"key":"bibr2-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa042002"},{"key":"bibr3-1526602820957279","doi-asserted-by":"publisher","DOI":"10.3310\/hta16090"},{"key":"bibr4-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.01.078"},{"key":"bibr5-1526602820957279","first-page":"13","volume":"9","author":"Propper BW","year":"2013","journal-title":"Vasc Health Risk Manag"},{"key":"bibr6-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000157"},{"key":"bibr7-1526602820957279","first-page":"226","volume":"26","author":"van den Ham LH","year":"2015","journal-title":"Surg Technol Int"},{"key":"bibr8-1526602820957279","first-page":"60","volume":"61","author":"Karathanos C","year":"2020","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"bibr9-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1177\/1526602818755484"},{"key":"bibr10-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1177\/1526602818766864"},{"key":"bibr11-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.02.053"},{"key":"bibr12-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.09.024"},{"key":"bibr13-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.07.096"},{"key":"bibr14-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1177\/1708538115590065"},{"key":"bibr15-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.10.058"},{"key":"bibr16-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1177\/1526602818819494"},{"key":"bibr17-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1177\/1526602817731103"},{"key":"bibr18-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2016.04.001"},{"key":"bibr19-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.123763"},{"key":"bibr20-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.03.432"},{"key":"bibr21-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2017.09.016"},{"key":"bibr22-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1177\/1526602816677037"},{"key":"bibr23-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.04.482"},{"key":"bibr24-1526602820957279","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.04.420"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602820957279","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1526602820957279","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526602820957279","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:33:47Z","timestamp":1777498427000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1526602820957279"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,10]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1177\/1526602820957279"],"URL":"https:\/\/doi.org\/10.1177\/1526602820957279","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,10]]}}}