{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T22:46:48Z","timestamp":1777848408359,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T00:00:00Z","timestamp":1625011200000},"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":[[2021,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To describe the use of large-diameter balloon-expandable stent-grafts (BeGraft aortic stent-graft, Bentley InnoMed GmbH, Hechingen, Germany) in the treatment of infrarenal penetrating aortic ulcer (iPAU).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Retrospective analysis of patients undergoing endovascular treatment with the BeGraft aortic stent-graft in 8 European centers from January 2017 to October 2020. Demographics, perioperative data, and midterm outcomes were collected. Endpoints of the study were technical feasibility, early mortality, and morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 40 patients were included. The mean age was 73.9\u00b17.05 years and 63.2% were male. Indications for treatment included size and morphology (65%), presence of symptoms (29.5%), and contained ruptures (5.5%). Urgent treatment was performed in 5% of cases. Technical success was 97.5%. Median operation time was 58 minutes (19\u2013170 minutes), with 27.5% of patients having additional procedures during the main intervention (1 additional repair with a C-TAG (W.L. Gore &amp; Associates, Inc, Flagstaff, AZ, USA) thoracic endoprosthesis, 5 covered endovascular reconstruction of aortic bifurcation procedures, 3 extensions with proximal cuffs, and 2 percutaneous angioplasties of the common iliac arteries). Percutaneous femoral access was used in 72.5%, while groin cut-down was performed in 27.5%. Repair was successful with only 1 stent in 45% of cases, while 37.5% required 2 stents and nearly 17.5% required 3\/4 stent-grafts. The 30-day mortality was 0%, with a 2.5% reintervention rate (1 patient required evacuation of an intra-abdominal hematoma). Median follow-up was 13.9 months (2\u201339 months), during which no vascular-related reinterventions or deaths were reported. In 4 patients, a type II endoleak was observed. No cases of graft migration, thrombosis, or stent-fracture were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The treatment of iPAU with the BeGraft aortic stent-graft in a selective patient group is feasible with low rate of perioperative morbidity and mortality. Balloon-expandable stent-grafts offer the option to repair iPAUs with a shorter coverage of the aorta using low-profile sheath, that enables treatment in the presence of calcified access vessels and small diameter aortic bifurcations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15266028211028221","type":"journal-article","created":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T09:52:24Z","timestamp":1625046744000},"page":"871-877","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Multicenter Experience With Large Diameter Balloon-Expandable Stent-Grafts for the Treatment of Infrarenal Penetrating Aortic Ulcers"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0013-7870","authenticated-orcid":false,"given":"Jan","family":"Stana","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Ludwig-Maximilians University Hospital, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6445-0575","authenticated-orcid":false,"given":"Carlota","family":"Fernandez Prendes","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Ludwig-Maximilians University Hospital, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5205-5765","authenticated-orcid":false,"given":"Lukasz","family":"Kruszyna","sequence":"additional","affiliation":[{"name":"Department of General & Vascular Surgery, University of Medical Sciences in Poznan, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioannis Thomas","family":"Passaloglou","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Sankt Gertrauden Krankenhaus, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Antonella","family":"Ruffino","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging and Radiotherapy\u2013AOU Citt\u00e0 della Salute e della Scienza di Torino, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6282-1099","authenticated-orcid":false,"given":"Andres","family":"Reyes Valdivia","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Ram\u00f3n y Cajal\u2019s University Hospital, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose Antonio","family":"del Castro Madrazo","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyriakos","family":"Oikonomou","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Medical Center Regensburg, Regensburg, Bayern, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hon Lai","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8826-3232","authenticated-orcid":false,"given":"Vladimir","family":"Makaloski","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos","family":"Tsilimparis","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Ludwig-Maximilians University Hospital, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,6,30]]},"reference":[{"key":"bibr1-15266028211028221","volume-title":"Dissecting Aneurysms","author":"Shennan T","year":"1934"},{"key":"bibr2-15266028211028221","doi-asserted-by":"publisher","DOI":"10.1016\/S0890-5096(06)60697-3"},{"key":"bibr3-15266028211028221","doi-asserted-by":"publisher","DOI":"10.5758\/vsi.2019.35.3.152"},{"key":"bibr4-15266028211028221","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-018-2114-x"},{"key":"bibr5-15266028211028221","doi-asserted-by":"publisher","DOI":"10.1016\/s0741-5214(94)70124-5"},{"key":"bibr6-15266028211028221","first-page":"83","volume":"53","author":"Akin I","year":"2012","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"bibr7-15266028211028221","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.08.005"},{"key":"bibr8-15266028211028221","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2013.05.067"},{"key":"bibr9-15266028211028221","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2019.06.032"},{"key":"bibr10-15266028211028221","doi-asserted-by":"crossref","unstructured":"Bentley InnoMed GmbH. 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