{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:37:08Z","timestamp":1790836628738,"version":"4.1.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"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":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The link between bovine aortic arch (BAA) and stroke after thoracic endovascular aortic repair (TEVAR) was investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The multicenter retrospective study included consecutive Stanford type B aortic dissection patients undergoing TEVAR from January 2019 to December 2023. A multivariable logistic regression was utilized to assess the correlation between BAA and early stroke, while a multivariable Cox regression was employed to evaluate the association between BAA and overall stroke. Kaplan-Meier curves were used to compare the freedom from overall stroke rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In total, 138 (14.3%) had a BAA and 825 (85.7%) had a standard aortic arch (SAA). Patients with a BAA showed a greater early stroke incidence (11 [8.0%] vs 25 [3.0%]; p=0.005). An independent association was found between BAA and early stroke (odds ratio, 2.009 [95% confidence interval (CI), 1.491-2.684]; p=0.012). During follow-up, a greater incidence of overall stroke was seen in patients with a BAA (15 [10.9%] vs 42 [5.1%]) (hazard ratio, 2.310 [95% CI, 1.889-2.950]; p=0.006). Moreover, the freedom from the overall stroke rate was notably lower in the BAA group (80.42% vs 88.74%) (log-rank p=0.0068). Furthermore, patients with type A BAA showed significantly lower freedom from overall stroke rates (79.48%) relative to those with type B BAA (82.09%) (log-rank p=0.0431), and the freedom from overall stroke rate for patients with BAA \u226560 years was markedly lower (63.35%) than that in those &lt;60 years (93.51%) (log-rank p=0.004).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>BAA was correlated with an increased risk of early and overall stroke following TEVAR, particularly among older and type A BAA patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Impact<\/jats:title>\n                    <jats:p>\n                      Individualized stroke prevention protocols and efficient neuroprotective measures should be developed for patients with BAA and adequate anticoagulation should be ensured to reduce the risk of embolism during TEVAR. This population should also ensure proper needle alignment. For instance, minimize the contact between the guide wire and the aortic arch wall. Temporal-occlusion of the carotid dynamic pulse during stent release might prevent solid fragments from entering into the craniocerebral artery. Additionally, thorough CO\n                      <jats:sub>2<\/jats:sub>\n                      or saline flushing technique can be utilized for all the stentgrafts. Furthermore, distal cerebral embolic protection devices should be conducted in patients with a BAA during TEVAR\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15266028251321284","type":"journal-article","created":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T08:52:16Z","timestamp":1741855936000},"page":"1965-1976","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Association Between Bovine Aortic Arch Anatomy and Stroke After Thoracic Endovascular Aortic Repair"],"prefix":"10.1177","volume":"33","author":[{"given":"Zeng-Rong","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, China"},{"name":"Fujian Medical University, Key Laboratory of Cardio-Thoracic Surgery, Fuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhi-Sheng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardio-Thoracic Surgery, Longyan First Hospital, Fujian Medical University, Longyan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Xing","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Nanping First Hospital, Fujian Medical University, Nanping, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Min-Cai","sequence":"additional","affiliation":[{"name":"Department of Cardiology, The First Hospital of Putian City, Putian, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhong-Yao","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, China"},{"name":"Fujian Medical University, Key Laboratory of Cardio-Thoracic Surgery, Fuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1269-4057","authenticated-orcid":false,"given":"Liang-Wan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fujian Medical University Union Hospital, Fuzhou, China"},{"name":"Fujian Medical University, Key Laboratory of Cardio-Thoracic Surgery, Fuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.11.047"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2011.12.009"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa022066"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2004.52300.x"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.06.097"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2015.02.019"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.4103\/aian.aian_710_21"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-019-02264-3"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003310"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2024.03.444"},{"key":"e_1_3_3_12_2","first-page":"152660282311877","article-title":"Incidence and prognostic associations of early postoperative stroke and death among patients undergoing inner branched thoracic endovascular repair of aortic arch pathologies: a systematic review and meta-analysis","volume":"21","author":"Gao JH","year":"2023","unstructured":"Gao JH, Guo W, Zhang HP. 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