{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T15:08:39Z","timestamp":1788448119962,"version":"build-2803163510"},"reference-count":45,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:00:00Z","timestamp":1733961600000},"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":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Published reports demonstrate that the use of Castor stent-graft is a promising treatment of aortic pathologies with the need to land in zone 2. However, there is a lack of publications on the medium-term results of Castor in the European population. This research evaluates the mid-term results of the Castor stent-graft in several Polish centers for the treatment of aortic pathologies and enriches the current knowledge of Castor stent-grafts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods:<\/jats:title>\n                    <jats:p>Twenty-one patients from 5 polish vascular surgery centers in subacute phase of type B aortic dissection (TBAD) with at least 1 classic risk factor of aneurysmatic degeneration, thoracic aortic aneurysms (TAAs) exceeding 5.5 cm, subacute phase of intramural hematomas (IMHs) and penetrating aortic ulcerations (PAUs) with at least 1 indication to endovascular treatment. Structure of the aortic arch and factors of aneurysmal degeneration for TBAD were highlighted. Early complications, long-term complications, and reinterventions after Castor device implantation are reported in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty (95.24%) patients survived, of which a technical success involving implantation of the Castor device in the correct location with a patent branch for the left subclavian artery, and no endoleaks were noted in 19 (90.48%) patients. After the procedure, there were 2 (9.52%) cases of type I endoleak (in which technical success was not achieved) and 2 (9.52%) cases of bird beak. In addition, 1 case of access site hematoma, 1 case of pseudoaneurysm, and 1 case of access iliac artery rupture requiring implantation of a Viabahn device were observed. During the follow-up period (mean 14 months; range = 1-40 months), 1 patient required reintervention due to type I endoleak and 1 patient due to left subclavian artery (LSA) branch thrombosis. Two patients required subsequent branched endovascular aortic repair procedure due to unfavorable remodeling and fast aneurysm formation in visceral aorta, regardless of Castor results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The Castor device is an easy-to-use stent-graft with good medium-term results. It is an excellent option in cases requiring LSA revascularization during TEVAR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Impact<\/jats:title>\n                    <jats:p>In this study, we investigate the medium-term results of the Castor stent graft in patients with type B aortic dissection, thoracic aortic aneurysm, intramural hematoma and penetrating aortic ulceration. The medium-term results of treatment with the Castor device are not yet well studied. Currently, there are only a small number of publications on the safety, complications and success of Castor device implantation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15266028241304307","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T07:16:39Z","timestamp":1733987799000},"page":"1419-1429","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Initial Multicenter Experience With the New Castor Arch Branched Device in Europe: A Middle-term Results Study"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4539-7342","authenticated-orcid":false,"given":"Micha\u0142","family":"\u017bo\u0142nierczuk","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, General Surgery and Angiology, Pomeranian Medical University, Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3365-1822","authenticated-orcid":false,"given":"Pawe\u0142","family":"Rynio","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, General Surgery and Angiology, Pomeranian Medical University, Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Rybicka","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0058-8081","authenticated-orcid":false,"given":"Jerzy","family":"G\u0142owi\u0144ski","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery and Transplantation, Medical University of Bialystok, Bialystok, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Artur","family":"Milnerowicz","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Transplantology and Liver Surgery, Fourth Military Clinical Hospital With Polyclinic, Wroclaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kornel","family":"Pormanczuk","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Transplantology and Liver Surgery, Fourth Military Clinical Hospital With Polyclinic, Wroclaw, Poland"},{"name":"Department of Preclinical Sciences, Pharmacology and Medical Diagnostics, Faculty of Medicine, University of Science and Technology, Wroclaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrzej","family":"Kostka","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Hospital in Krakow, Krakow, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grzegorz","family":"Oszkinis","sequence":"additional","affiliation":[{"name":"Department of General and Vascular Surgery, University of Opole, Opole, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0653-1879","authenticated-orcid":false,"given":"Jacek","family":"Hobot","sequence":"additional","affiliation":[{"name":"Department of General and Vascular Surgery, University of Opole, Opole, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Gutowski","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, General Surgery and Angiology, Pomeranian Medical University, Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arkadiusz","family":"Kazimierczak","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, General Surgery and Angiology, Pomeranian Medical University, Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,12]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.21037\/jovs.2018.03.16"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1666972"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2022.09.041"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2019.07.08"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.34172\/jcvtr.2021.15"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2021.09.037"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.09.001"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.217.2.r00oc16544"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-27588-7"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.07.022"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2019.03.060"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2020.03.10"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.1031068"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/jch.14752"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.03.410"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.06.205"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvscit.2023.101363"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2022.08.003"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2022.05.014"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.07.078"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2020.08.022"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.33963\/KP.a2022.0093"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.1052094"},{"key":"e_1_3_2_25_2","unstructured":"Lu Q Li X Antonello M et al Real-world use of the CastorTM Branched Aortic Stent Graft System for treatment of TBAD. Endovasc Today. 2021;11. https:\/\/ppm.pum.edu.pl\/info\/article\/PUMaff7a40ab7154d10b2693cb4c3c679a5\/Publikacja%2B%25E2%2580%2593%2BReal-world%2Buse%2Bof%2Bthe%2BCastor%25E2%2584%25A2%2BBranched%2BAortic%2BStent%2BGraft%2BSystem%2Bfor%2Btreatment%2Bof%2BTBAD%2B%25E2%2580%2593%2BPomorski%2BUniwersytet%2BMedyczny%2Bw%2BSzczecinie?r=publication&ps=20&tab=&lang=pl. Accessed December 4 2023."},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2007.03.064"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa063232"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.090266"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.07.037"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.05.076"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.04.018"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815614557"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S222948"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2018.08.081"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10237-012-0450-3"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.matdes.2021.110144"},{"issue":"4","key":"e_1_3_2_37_2","first-page":"858","article-title":"Should intentional endovascular stent-graft coverage of the left subclavian artery be preceded by prophylactic revascularisation?","volume":"40","author":"Weigang E","year":"2011","unstructured":"Weigang E, Parker JA, Czerny M, et al Should intentional endovascular stent-graft coverage of the left subclavian artery be preceded by prophylactic revascularisation? Eur J Cardiothorac Surg. 2011;40(4):858\u2013868.","journal-title":"Eur J Cardiothorac Surg"},{"key":"e_1_3_2_38_2","article-title":"Optimization of the proximal sealing in thoracic endovascular aortic repair (TEVAR)","volume":"7","author":"Squizzato F","year":"2023","unstructured":"Squizzato F, Spertino A, Grego F, et al Optimization of the proximal sealing in thoracic endovascular aortic repair (TEVAR). Vessel Plus. 2023;7:2\u201310.","journal-title":"Vessel Plus"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.02.040"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.04.027"},{"key":"e_1_3_2_41_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.995173"},{"key":"e_1_3_2_42_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jimed.2023.04.002"},{"key":"e_1_3_2_43_2","doi-asserted-by":"publisher","DOI":"10.1177\/15266028241234500"},{"key":"e_1_3_2_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2016.06.005"},{"key":"e_1_3_2_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2020.02.025"},{"key":"e_1_3_2_46_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58030372"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15266028241304307","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15266028241304307","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15266028241304307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T10:11:03Z","timestamp":1778235063000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15266028241304307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,12]]},"references-count":45,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/15266028241304307"],"URL":"https:\/\/doi.org\/10.1177\/15266028241304307","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,12]]}}}