{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T20:26:12Z","timestamp":1778271972529,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,7,2]],"date-time":"2022-07-02T00:00:00Z","timestamp":1656720000000},"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":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study evaluated the feasibility and safety of zone 1 thoracic endovascular aortic repair (TEVAR) with fenestrated surgeon-modified stent-graft (SMSG) for aortic arch pathologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Between March 2016 and November 2020, 34 consecutive patients underwent zone 1 TEVAR with fenestrated SMSG for aortic arch pathologies. Outcomes included technical success, perioperative, and follow-up morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>During the study period, 34 patients were treated with zone 1 TEVAR with fenestrated SMSG. Twenty-four (70.6%) patients presented with type B aortic dissections, 9 (26.5%) patients presented with aneurysms (7 located on the lesser curvature side of aortic arch), 1 (2.9%) patient presented with type Ia endoleak after previous TEVAR owing to traumatic aortic dissection. The proximal landing zone for all patients were in zone 1, and all supra-aortic trunks were reconstructed, except for one left subclavian artery. Technical success was achieved in all cases. The 30-day estimated survival (\u00b1SE) was 90.9%\u2009\u00b1\u20095.0% [95% confidence interval (CI): 77.0%\u201397.0%]. The 30-day estimated freedom from reintervention (\u00b1SE) was 87.9%\u2009\u00b1\u20095.7% (95% CI: 73.4%\u201395.3%). At a median follow-up of 48\u2009months (range, 12\u201368\u2009months), 2 patients died, including 1 aortic-related death and 1 non-aortic-related death. One patient had reintervention 13\u2009months after the operation owing to type Ia endoleak. All supra-aortic trunks were patent. The estimated survival (\u00b1SE) during follow-up was 85.1%\u2009\u00b1\u20096.2% (95% CI: 69.9%\u201393.6%). One (2.7%) patient had stroke. The estimated freedom from reintervention (\u00b1SE) during follow-up was 84.2%\u2009\u00b1\u20096.5% (95% CI: 69.9%\u201393.5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Zone 1 TEVAR with fenestrated SMSG is an alternate option for treatment of aortic arch pathologies in experienced centers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15266028221108903","type":"journal-article","created":{"date-parts":[[2022,7,2]],"date-time":"2022-07-02T06:08:52Z","timestamp":1656742132000},"page":"62-68","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of Zone 1 Thoracic Endovascular Aortic Repair With Fenestrated Surgeon-Modified Stent-Graft for Aortic Arch Pathologies"],"prefix":"10.1177","volume":"31","author":[{"given":"Xiaoye","family":"Li","sequence":"first","affiliation":[{"name":"Division of Vascular Surgery, Department of General Surgery, Changhai Hospital, Naval Medical University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6722-2618","authenticated-orcid":false,"given":"Lei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of General Surgery, Changhai Hospital, Naval Medical University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1170-2759","authenticated-orcid":false,"given":"Chao","family":"Song","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of General Surgery, Changhai Hospital, Naval Medical University, Shanghai, 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China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenying","family":"Guo","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of General Surgery, Changhai Hospital, Naval Medical University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haiyan","family":"Li","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of General Surgery, Changhai Hospital, Naval Medical University, Shanghai, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaiping","family":"Jing","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of General Surgery, Changhai Hospital, Naval Medical University, Shanghai, 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