{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T22:47:51Z","timestamp":1777848471620,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T00:00:00Z","timestamp":1665360000000},"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":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To analyze sac evolution patterns in matched patients with hostile neck anatomy (HNA) treated with standard endovascular aneurysm repair (sEVAR) and endosutured aneurysm repair (ESAR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Observational retrospective study using prospectively collected data between June 2010 and December 2019. ESAR group data were extracted from the primary arm of the PERU registry with an assigned identifier (NCT04100499) at 8 centers and those from the sEVAR came from 4 centers. Suitability for inclusion required: no proximal endograft adjuncts (besides EndoAnchor use), \u226415 mm neck length and minimum of 12-months follow-up imaging. Bubble-shaped neck (noncylindrical short neck with discontinuous seal) aspect was analyzed. Both groups were analyzed using propensity score matching (PSM) for aortic neck length, width, angulation, and device fixation type. Main outcome assessed was sac evolution patterns (sac expansion and regression were defined as &gt;5mm increase or decrease, of the maximum sac diameter respectively; all AAAs within this \u00b15 mm range in diameter change were considered stable) and secondary outcomes were type-Ia endoleaks; other endoleaks and mortality. A power analysis calculation &gt;80% was confirmed for sac regression evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After exclusions, PSM resulted in 96 ESAR and 96 sEVAR patients. Mean imaging follow-up (months) was 44.4\u00b121.3 versus 43.0\u00b119.6 (p=0.643), respectively. The overall number of patients achieving sac regression was higher in the ESAR group ( n=57, 59.4% vs n=31, 32.3%; p&lt;0.001) and the cumulative sac regression achieved at 5 years was 65% versus 38% (p=0.003) in favor of the ESAR group. There were no statistically significant differences in type-Ia endoleak and\/or other endoleaks. Univariate analysis for sac regression patients in the sEVAR and ESAR group individually showed the bubble-shape neck as a predictor of sac regression failure. There were no statistical differences in overall and aneurysm-related mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Endosutured aneurysm repair provided improved rates of sac regression for patients with AAA and HNA when compared with sEVAR at midterm and up to 5 years, despite similar rates of type-Ia endoleaks, and the need to consider some important limitations. The presence of bubble-shaped neck was a predictor of sac regression failure for both groups equally.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Impact<\/jats:title>\n                    <jats:p>The use of EndoAnchors aids and improves EVAR treatment in hostile neck anatomies by an increased rate of sac regression when compared to EVAR treatment alone in up to 5 year analysis. Moreover, a trend to reduced number of type Ia endoleaks is also achieved, although not significant in the present study. This data, adds to current and growing evidence on the usefulness of EndoAnchors for AAA endovascular treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15266028221127839","type":"journal-article","created":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T09:44:03Z","timestamp":1665395043000},"page":"438-449","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["The Effect of EndoAnchors on Aneurysm Sac Regression for Patients Treated With Infrarenal Endovascular Repair With Hostile Neck Anatomies: A Propensity Scored Analysis"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6282-1099","authenticated-orcid":false,"given":"Andr\u00e9s","family":"Reyes Valdivia","sequence":"first","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Ram\u00f3n y Cajal\u2019s University Hospital, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyriakos","family":"Oikonomou","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Medical Centre Regensburg, Regensburg, Germany"},{"name":"Department of Vascular and Endovascular Surgery, Cardiovascular Surgery Clinic, University Hospital Frankfurt and Johann Wolfgang Goethe University Frankfurt, Frankfurt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ross","family":"Milner","sequence":"additional","affiliation":[{"name":"Section of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Chicago Medicine, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4926-5213","authenticated-orcid":false,"given":"Piotr","family":"Kasprzak","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Medical Centre Regensburg, Regensburg, Germany"}],"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 Surgery, Rijnstate, Arnhem, The Netherlands"},{"name":"Multi-Modality Medical Imaging Group, TechMed Centre, University of Twente, Enschede, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6862-2709","authenticated-orcid":false,"given":"Georgios","family":"Pitoulias","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, 2nd Department of Surgery, Faculty of Medicine, \u201cG. Gennimatas\u201d Thessaloniki General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni B.","family":"Torsello","sequence":"additional","affiliation":[{"name":"Institute for Vascular Research, St. Franziskus Hospital, M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Pfister","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Hospital Regensburg, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Paul P. M.","family":"de Vries","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery, University Medical Centre Groningen, Groningen, The Netherlands"},{"name":"Department of Vascular Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0452-0682","authenticated-orcid":false,"given":"Arindam","family":"Chaudhuri","sequence":"additional","affiliation":[{"name":"Bedfordshire\u2013Milton Keynes Vascular Center, Bedfordshire Hospitals NHS Foundation Trust, Bedford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,10,10]]},"reference":[{"key":"bibr1-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2021.03.034"},{"key":"bibr2-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1177\/15266028211049342"},{"key":"bibr3-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.09.020"},{"key":"bibr4-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2020.04.038"},{"key":"bibr5-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.12.010"},{"key":"bibr6-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.09.050"},{"key":"bibr7-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.08.247"},{"key":"bibr8-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1177\/15266028211047940"},{"key":"bibr9-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2020.11.019"},{"key":"bibr10-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.12.014"},{"key":"bibr11-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1177\/1526602819876266"},{"key":"bibr12-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2017.01.007"},{"key":"bibr13-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.10.059"},{"key":"bibr14-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.12.117"},{"key":"bibr15-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1177\/1708538121992596"},{"key":"bibr16-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.08.076"},{"key":"bibr17-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.04.050"},{"key":"bibr18-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1007\/BF03169164"},{"key":"bibr19-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.11.048"},{"key":"bibr20-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1177\/1526602819857586"},{"key":"bibr21-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1177\/1526602821989344"},{"key":"bibr22-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-019-06282-w"},{"key":"bibr23-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1177\/15266028211037986"},{"key":"bibr24-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1177\/15266028211037986"},{"key":"bibr25-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.02.018"},{"key":"bibr26-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2021.03.034"},{"key":"bibr27-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1177\/1526602820962484"},{"key":"bibr28-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1177\/1526602820937432"},{"key":"bibr29-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.06.075"},{"key":"bibr30-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.12.131"},{"key":"bibr31-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2020.02.011"},{"key":"bibr32-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.01.038"},{"key":"bibr33-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1177\/15266028211030539"},{"key":"bibr34-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1177\/15266028221081079"},{"key":"bibr35-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.03.440"},{"key":"bibr36-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2020.08.018"},{"key":"bibr37-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2020.02.008"},{"key":"bibr38-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvssci.2021.06.001"},{"key":"bibr39-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.09.044"},{"key":"bibr40-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2021.11.071"},{"key":"bibr41-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2021.03.020"},{"key":"bibr42-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1177\/1708538120958837"},{"key":"bibr43-15266028221127839","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2021.04.005"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15266028221127839","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15266028221127839","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15266028221127839","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:35:03Z","timestamp":1777498503000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15266028221127839"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,10]]},"references-count":43,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1177\/15266028221127839"],"URL":"https:\/\/doi.org\/10.1177\/15266028221127839","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,10]]}}}