{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T15:01:48Z","timestamp":1777820508192,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T00:00:00Z","timestamp":1682640000000},"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":[[2025,2]]},"abstract":"\n Purpose:<\/jats:title>\n Newer generation abdominal endografts, including Treo (Terumo Aortic, Sunrise, Florida), have shown optimal safety and effectiveness in treating abdominal aortic aneurysms (AAAs), even with hostile anatomy over the short- and mid-term. The durability of such results, however, is still a controversial issue, due to the paucity of long-term data. Our aim is to show the long-term outcomes of endovascular aortic repair of both standard and hostile AAAs with the Treo endograft on a cohort of patients treated between 2016 and 2017.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n We analyzed the postoperative follow-up of 37 consecutive patients who have undergone endovascular aortic repair (EVAR) with the Treo Endograft between 2016 and 2017, whose baseline clinical conditions, operative data, and short-term outcomes had been published in 2018. All patients were followed up by computed tomography angiography (CTA) at 6 and 12 months and 5 years postoperatively. Primary endpoints were aortic-related mortality, type I\u2013III endoleak (EL), and reintervention rate. Secondary endpoints were the rates of type II ELs and aneurysm sac regression.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Of 37 patients, 27 had at least one criterion of anatomic hostility and 11 were performed outside the device-specific instructions for use (IFU). In the perioperative period, we observed 100% technical success, with no perioperative mortality. Over a mean follow-up of 5.5 years (66 months), 3 patients (8.1%) were lost to follow-up and 3 (8.1%) died of non-aortic causes (overall survival: 91.9%). One type IA EL of an AAA with a hostile neck (but within the IFU) and a type III EL of an AAA with standard anatomy were observed and treated by endovascular relining (overall reintervention rate: 5.5%). Four type II ELs were associated with aneurysm sac stability over time and are still under surveillance. Mean aneurysm shrinkage was 11.25\u00b18.30 mm.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The optimal results of the Treo Endograft in terms of complication and reintervention rates reported over the mid-term by the current literature (ITA-ENDOBOOT registry) are maintained on the long term, both in case of hostile and friendly aortic anatomy, with a satisfactory shrinkage rate of the aneurysm sac.<\/jats:p>\n <\/jats:sec>\n \n Clinical Impact<\/jats:title>\n The innovative characteristics of Treo and its short-term results are well-known and reported. The present case series contributes to the scientific validation of a new-generation abdominal aortic endograft over the long-term, focusing especially on its performance in treating AAAs with hostile anatomy. Its 5-years outcomes confirm the optimal results already reported over the short- and mid-term.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/15266028231170161","type":"journal-article","created":{"date-parts":[[2023,4,29]],"date-time":"2023-04-29T02:43:32Z","timestamp":1682736212000},"page":"208-213","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Five-Year Outcomes of Endovascular Aortic Repair With the TREO Abdominal Endograft"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6182-8843","authenticated-orcid":false,"given":"Enrico Maria","family":"Marone","sequence":"first","affiliation":[{"name":"Vascular Surgery, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy"},{"name":"Department of Vascular Surgery, Policlinico di Monza, Monza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Marazzi","sequence":"additional","affiliation":[{"name":"Vascular Surgery, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Brioschi","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Policlinico di Monza, Monza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9545-4897","authenticated-orcid":false,"given":"Luigi Federico","family":"Rinaldi","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Policlinico di Monza, Monza, Italy"},{"name":"Vascular Surgery, Department of Integrated Surgical and Diagnostic Sciences, University of Genoa, Genoa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,4,28]]},"reference":[{"key":"bibr1-15266028231170161","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10430"},{"key":"bibr2-15266028231170161","doi-asserted-by":"publisher","DOI":"10.1080\/17434440.2018.1419864"},{"key":"bibr3-15266028231170161","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0264327"},{"key":"bibr4-15266028231170161","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2018.08.080"},{"key":"bibr5-15266028231170161","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2019.05.049"},{"key":"bibr6-15266028231170161","doi-asserted-by":"publisher","DOI":"10.1080\/17434440.2022.2020093"},{"key":"bibr7-15266028231170161","doi-asserted-by":"publisher","DOI":"10.2217\/fca-2020-0158"},{"key":"bibr8-15266028231170161","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.10.083"},{"key":"bibr9-15266028231170161","doi-asserted-by":"publisher","DOI":"10.23736\/S0392-9590.20.04336-9"},{"key":"bibr10-15266028231170161","doi-asserted-by":"publisher","DOI":"10.1177\/1526602818803939"},{"key":"bibr11-15266028231170161","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2021.08.059"},{"key":"bibr12-15266028231170161","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11154460"},{"key":"bibr13-15266028231170161","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.01.066"},{"key":"bibr14-15266028231170161","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2019.03.048"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15266028231170161","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15266028231170161","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15266028231170161","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:31:24Z","timestamp":1777498284000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15266028231170161"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,28]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1177\/15266028231170161"],"URL":"https:\/\/doi.org\/10.1177\/15266028231170161","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,28]]}}}