{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:41:54Z","timestamp":1777941714427,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T00:00:00Z","timestamp":1602201600000},"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":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To report mid-term results of endovascular aneurysm sealing (EVAS) of abdominal aortic aneurysms (AAA) deemed unsuitable for a standard endovascular aneurysm repair (EVAR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospectively maintained database of 42 patients with EVAR-unfavorable anatomy treated by EVAS combined with chimney grafts in case of the proximal AAA neck shorter than 5 mm was analyzed. Early outcomes included final angiographic result, intra- and early post-operative deaths, and complications. Mid-term outcomes included all-cause mortality (ACM), aneurysm-related mortality (ARM), patency of the stents, occurrence of endoleaks, serious complications and graft failures defined as the AAA growth of more than 5 mm, type I endoleak, occlusion of the stent-graft or chimney graft, aorto-duodenal fistula, or aneurysm rupture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The procedure was completed in all patients. Twenty-eight chimney grafts were implanted in 19 patients. Patients were followed for a median of 24 months (range 12-34 months). There were 2 intraoperative ruptures and 1 patient died in an early postoperative period. The cumulative ACM was 15, 21, and 36% at 12, 24, and 36 months, respectively, and the cumulative ARM was 8, 11, and 27% at 12, 24, and 36 months, respectively. Three out of 5 aneurysm-related deaths were due to a secondary aorto-duodenal fistula. The cumulative incidence of graft failure was 20, 27, and 42% at 12, 24, and 36 months, respectively. The cumulative incidence of an endoleak was 5, 9, and 23% at 12, 24, and 36 months, respectively. The graft failure increased significantly both ACM (p = .012) and ARM (p = .00003). The implantation of chimney grafts at the initial procedure increased ARM significantly (p = .008). The presence of an endoleak did not have any significant influence on ACM and ARM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients treated with EVAS for AAAs with EVAR-unfavorable anatomy, especially those with chimney grafts, exhibit a high risk of graft failure and subsequent death.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1538574420965736","type":"journal-article","created":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T05:33:31Z","timestamp":1602221611000},"page":"39-49","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Mid-Term Results of Endovascular Aneurysm Sealing in the Treatment of Abdominal Aortic Aneurysm With Unfavorable Morphology"],"prefix":"10.1177","volume":"55","author":[{"given":"\u0141ukasz","family":"Dzieciuchowicz","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery and Vascular Diseases, Institute of Medical Sciences, University of Zielona G\u00f3ra, Zielona G\u00f3ra, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0482-1351","authenticated-orcid":false,"given":"Jolanta","family":"Tomczak","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Angiology and Phlebology, Poznan University of Medical Sciences, Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewa","family":"Strauss","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Angiology and Phlebology, Poznan University of Medical Sciences, Pozna\u0144, Poland"},{"name":"Institute of Human Genetics, Polish Academy of Sciences, Pozna\u0144, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grzegorz","family":"Oszkinis","sequence":"additional","affiliation":[{"name":"Department of General and Vascular Surgery, University of Opole, Opole, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,10,9]]},"reference":[{"key":"bibr1-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)10137-X"},{"key":"bibr2-1538574420965736","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-126-6-199703150-00004"},{"key":"bibr3-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1007\/BF02015271"},{"key":"bibr4-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.12.010"},{"key":"bibr5-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-014-1038-3"},{"key":"bibr6-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2001.120037"},{"key":"bibr7-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800840210"},{"key":"bibr8-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2018.02.032"},{"key":"bibr9-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.09.024"},{"key":"bibr10-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2013.06.017"},{"key":"bibr11-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1583\/1545-1550-20.2.159"},{"key":"bibr12-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.03.031"},{"key":"bibr13-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1177\/1526602816656355"},{"key":"bibr14-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1177\/1526602816664365"},{"key":"bibr15-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.09.032"},{"key":"bibr16-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1177\/1526602818766864"},{"key":"bibr17-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1177\/1526602817731103"},{"key":"bibr18-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1177\/1526602818781353"},{"key":"bibr19-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1053\/j.tvir.2018.06.008"},{"key":"bibr20-1538574420965736","doi-asserted-by":"publisher","DOI":"10.2147\/MDER.S155300"},{"key":"bibr21-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2016.05.013"},{"key":"bibr22-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1571304"},{"key":"bibr23-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1177\/1526602816664652"},{"key":"bibr24-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.06.031"},{"key":"bibr25-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.04.482"},{"key":"bibr26-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2001.112314"},{"key":"bibr27-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1177\/153857440403800110"},{"key":"bibr28-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.04.008"},{"key":"bibr29-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.04.393"},{"key":"bibr30-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1007\/s002700010087"},{"key":"bibr31-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1007\/BF02286777"},{"key":"bibr32-1538574420965736","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.09.020"}],"container-title":["Vascular and Endovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1538574420965736","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1538574420965736","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1538574420965736","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:31:10Z","timestamp":1777703470000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1538574420965736"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,9]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1177\/1538574420965736"],"URL":"https:\/\/doi.org\/10.1177\/1538574420965736","relation":{},"ISSN":["1538-5744","1938-9116"],"issn-type":[{"value":"1538-5744","type":"print"},{"value":"1938-9116","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,9]]}}}