{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T05:55:59Z","timestamp":1789797359784,"version":"4.0.1"},"reference-count":17,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:00:00Z","timestamp":1761436800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:00:00Z","timestamp":1761436800000},"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":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The objective of the study is to describe a novel bifurcated in-stent in situ technique (BIS2T) for creation of a bifurcated bridging stent-graft system to target 2 vessels using a single directional branch during complex endovascular aortic aneurysm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique:<\/jats:title>\n                    <jats:p>The technique uses 3 balloon-expandable stent-grafts. The first supporting stent-graft is deployed from the directional branch into the first target vessel or aneurysm sac. A reentry catheter is used to create an in situ fenestration in the first stent-graft, which is predilatated with a 3 mm 0.014 inch angioplasty balloon. This is exchanged for a 0.035 inch 5 Fr catheter and guidewire which is used for catheterization of the second target vessel via the in situ fenestration. The docking area of the first stent-graft is predilated. The second stent-graft is deployed into the second target with &gt;1 cm overlap into the first stent-graft, followed by a matching third stent-graft in a kissing stent fashion to reinforce the bifurcation and achieve a \u201cD shape\u201d stent-graft configuration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The BIS2T was used to treat 2 patients. Neither experienced complications or endoleaks, and both had patent branches on follow-up computed tomography angiography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The BIS2T is a feasible option to incorporate 2 target vessels via a single directional branch.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Impact<\/jats:title>\n                    <jats:p>Target vessel anatomy is a frequent limitation for successful endovascular incorporation using fenestrations or directional branches during complex endovascular aortic aneurysm repair. Numerous anatomical variations such as aberrant or accessory vessels, common celio-mesenteric trunks, or extension of the aneurysm\/dissection into a target vessel may preclude successful incorporation using standard endovascular techniques. This technical note describes a novel bifurcated in-stent in situ technique (BIS2T) for the creation of a bifurcated bridging stent-graft system to target 2 vessels using a single directional branch. This approach may enable target vessel incorporation in challenging anatomical situations that might otherwise preclude endovascular treatment or require intentional artery coverage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15266028251384906","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T04:47:59Z","timestamp":1761540479000},"page":"2387-2396","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Bifurcated In-Stent in Situ Technique for Creation of a Bifurcated Bridging Stent-Graft System to 2 Target Vessels Using a Single Directional Branch: A Report of 2 Cases"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9055-2965","authenticated-orcid":false,"given":"Gustavo","family":"Paludetto","sequence":"first","affiliation":[{"name":"Hospital Santa Lucia, Brasilia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1302-1366","authenticated-orcid":false,"given":"Lethicia","family":"Mesquita","sequence":"additional","affiliation":[{"name":"Hospital Santa Lucia, Brasilia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2297-504X","authenticated-orcid":false,"given":"Bruno","family":"Pagnin Schmid","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4644-1560","authenticated-orcid":false,"given":"Lucas","family":"Ruiter Kanamori","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dora","family":"Babocs","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thanila A.","family":"Macedo","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8953-7514","authenticated-orcid":false,"given":"Gustavo S.","family":"Oderich","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,26]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.06.011"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.12.002"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/15266028221120513"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.11.047"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.06.123"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/15266028211016447"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/15266028211016430"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1583\/09-2734.1"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-7-223"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1315624"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-004-0229-z"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.11.018"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvssr.2019.03.002"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2024.04.040"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-15192-2_25"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-57260"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2021.09.031"}],"container-title":["Journal of Endovascular Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15266028251384906","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15266028251384906","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15266028251384906","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T10:14:24Z","timestamp":1789553664000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15266028251384906"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,26]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/15266028251384906"],"URL":"https:\/\/doi.org\/10.1177\/15266028251384906","relation":{},"ISSN":["1526-6028","1545-1550"],"issn-type":[{"value":"1526-6028","type":"print"},{"value":"1545-1550","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,26]]}}}