{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T01:18:50Z","timestamp":1793150330913,"version":"4.5.0"},"reference-count":13,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"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":[[2021,6]]},"abstract":"<jats:p>Purpose: To demonstrate an off-the-shelf multibranched (t-Branch) modification to allow intercostal arteries preservation during juxtarenal, pararenal, paravisceral, and extent IV thoracoabdominal aortic aneurysm repair. Technique: The t-Branch is an off-the-shelf device not customized for specific patient anatomy and may be offered for urgent endovascular repair for patients with complex aortic aneurysms. However, a concern when treating patients who do not aneurysms extending above the celiac axis is that the more proximal extension which is required with this device may render patients at high risk for spinal cord injury. We report a novel technique with t-Branch modification performing a 180\u00b0 fabric back windows at the first 2 sealing stents that allow perfusion to the intercostal arteries. Conclusion: T-Branch-PIA (preserving intercostal arteries) modification limits intercostal arteries coverage while optimizing proximal seal zone in juxtarenal, pararenal, paravisceral, and extent IV thoracoabdominal aneurysms, thereby may decrease the risk of spinal cord injury.<\/jats:p>","DOI":"10.1177\/1526602821996718","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T06:54:38Z","timestamp":1616568878000},"page":"382-387","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Stent Graft Modification to Preserve Intercostal Arteries Using Thoracoabdominal Off-the-Shelf Multibranched (t-Branch) Endograft"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1342-8033","authenticated-orcid":false,"given":"Marcelo","family":"Ferreira","sequence":"first","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, SITE Endovascular, Casa de Sa\u00fade S\u00e3o Jos\u00e9, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5641-151X","authenticated-orcid":false,"given":"Matheus","family":"Mannarino","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, SITE Endovascular, Casa de Sa\u00fade S\u00e3o Jos\u00e9, Rio de Janeiro, Brazil"},{"name":"Department of Vascular and Endovascular Surgery, Hospital Universit\u00e1rio Pedro Ernesto, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Cunha","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, SITE Endovascular, Casa de Sa\u00fade S\u00e3o Jos\u00e9, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, SITE Endovascular, Casa de Sa\u00fade S\u00e3o Jos\u00e9, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Fernando","family":"Capotorto","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, SITE Endovascular, Casa de Sa\u00fade S\u00e3o Jos\u00e9, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo S.","family":"Oderich","sequence":"additional","affiliation":[{"name":"Advanced Endovascular Aortic Program, UTHealth, McGovern Medical School, Cardiothoracic & Vascular Surgery, Memorial Hermann Texas Medical Center, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,3,24]]},"reference":[{"key":"bibr1-1526602821996718","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.08.128"},{"key":"bibr2-1526602821996718","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.09.068"},{"key":"bibr3-1526602821996718","doi-asserted-by":"publisher","DOI":"10.1002\/bjs5.50178"},{"key":"bibr4-1526602821996718","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.11.021"},{"key":"bibr5-1526602821996718","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.10.080"},{"key":"bibr6-1526602821996718","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2020.01.040"},{"key":"bibr7-1526602821996718","doi-asserted-by":"publisher","DOI":"10.1583\/09-2734.1"},{"key":"bibr8-1526602821996718","doi-asserted-by":"publisher","DOI":"10.1177\/1526602818779826"},{"key":"bibr9-1526602821996718","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.01.044"},{"key":"bibr10-1526602821996718","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.12.114"},{"key":"bibr11-1526602821996718","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.04.091"},{"key":"bibr12-1526602821996718","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.04.038"},{"key":"bibr13-1526602821996718","doi-asserted-by":"publisher","DOI":"10.1177\/1526602817709465"}],"container-title":["Journal 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