{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T01:57:59Z","timestamp":1790128679859,"version":"4.0.1"},"reference-count":31,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T00:00:00Z","timestamp":1620691200000},"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":[[2021,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To report preliminary outcomes of Viabahn Balloon-Expandable Endoprosthesis (VBX) stent-graft as bridging stent for renal arteries in fenestrated endovascular aneurysm repair (FEVAR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Between 2018 and 2019, patients undergoing FEVAR at 3 referral Italian university hospitals were prospectively collected. During the study period, VBX was the first-line choice as bridging stent for renal arteries. Procedural and anatomical data were analyzed, including renal artery (RA) configuration. A dedicated software (3Mensio, Vascular Imaging, Bilthoeven, The Netherlands) was used and RA anatomy classified as follow: upward-oriented in case of any angle &gt;30\u00b0 above the horizontal or transverse axis perpendicular to the aortic axis, downward-oriented if there was an angle &gt;30\u00b0 measured below the transverse axis and downward + upward in case of an angle &lt;30\u00b0 associated with a renal artery angulation &gt;90\u00b0. Primary endpoints were technical success, defined as complete deployment of the fenestrated endograft without target vessel (TV) loss, limb stenosis or occlusion and type I or III endoleak, and freedom from target artery instability (TAI), defined by target vessel-related death, occlusion, rupture or reintervention for stenosis, endoleak or disconnection. Secondary endpoints were target artery patency rate and freedom from reinterventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 26 elective FEVAR for juxta\/pararenal aneurysm (20), thoracoabdominal type II (3) and type IV (3) were included. Fifty-one RA were planned for revascularization. Of these, 32 were downward, 10 horizontal, 6 upward, 4 were downward + upward. Technical success was achieved in 88.5% (23\/26) of patients and 94.2% (48\/51) of the TVs. One occlusion (2.1%) occurred within 30 days in a patient with previous endovascular aortic repair and suprarenal fixation. During follow-up (median 10 months), there was 1 type IC endoleak after 6 months (2.1%) in a patient with upward plus downward arterial orientation. Freedom from TAI was 96.1% (CI = 0.89 to 1.04) at first month and 92.3% (CI = 0.82 to 1.03) at 6 months. No aneurysm-related mortality and renal insufficiency occurred during follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The use of VBX as bridging stent of RA in FEVAR is safe and feasible. Previous EVAR and tortuosity of RA may be a challenging on target vessel fate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15266028211012403","type":"journal-article","created":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T07:59:35Z","timestamp":1620719975000},"page":"575-584","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Preliminary Outcomes of Viabahn Balloon-Expandable Endoprosthesis as Bridging Stent in Renal Arteries During Fenestrated Endovascular Aortic Repair"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6284-1740","authenticated-orcid":false,"given":"Luca","family":"Mezzetto","sequence":"first","affiliation":[{"name":"Vascular Surgery, University Hospital of Verona, University of Verona School of Medicine, Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9531-1503","authenticated-orcid":false,"given":"Davide","family":"Mastrorilli","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University Hospital of Verona, University of Verona School of Medicine, Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6424-212X","authenticated-orcid":false,"given":"Nicola","family":"Leone","sequence":"additional","affiliation":[{"name":"Vascular Surgery, NOCSAE Nuovo Ospedale Civile di Baggiovara Sant\u2019Agostino Estense, Baggiovara, Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Gennai","sequence":"additional","affiliation":[{"name":"Vascular Surgery, NOCSAE Nuovo Ospedale Civile di Baggiovara Sant\u2019Agostino Estense, Baggiovara, Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Silingardi","sequence":"additional","affiliation":[{"name":"Vascular Surgery, NOCSAE Nuovo Ospedale Civile di Baggiovara Sant\u2019Agostino Estense, Baggiovara, Modena, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian Franco","family":"Veraldi","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University Hospital of Verona, University of Verona School of Medicine, Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Piazza","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Surgery, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Squizzato","sequence":"additional","affiliation":[{"name":"Vascular and Endovascular Surgery, Department of Cardiac, 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