{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T12:24:20Z","timestamp":1787574260032,"version":"build-2736575974"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"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"],"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Paraanastomotic aneurysm after open surgical repair (OSR) for the treatment of abdominal aortic aneurysm (AAA) is a long-term and life threatening complication. Because prior abdominal surgery often makes open reintervention technically challenging, endovascular repair (EVAR) should be considered as an alternative.\n                    <jats:bold>Case presentation:<\/jats:bold>\n                    We report a case of a proximal anastomotic paraanastomotic aneurysm treated by endovascular means using two tube stent grafts deployed in a trombone technique, with prior embolisation of lumbal arteries. Follow-up computed tomography angiography at 1\u00a0month demonstrated complete exclusion of the aneurysm with no evidence of a persistent endoleak.\n                    <jats:bold>Discussion:<\/jats:bold>\n                    This case highlights the feasibility and safety of EVAR using the trombone technique for proximal paraanastomotic aneurysms after OSR for AAA. It also underscores the role of pre-emptive lumbar artery embolisation in reducing the risk of type II endoleak and emphasizes the importance of long-term postoperative imaging surveillance to ensure durable outcomes following both open and endovascular aneurysm repair.\n                  <\/jats:p>","DOI":"10.1177\/15385744261479257","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T06:07:37Z","timestamp":1787206057000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Endovascular Repair of a Proximal Paraanastomotic Aneurysm Using the Trombone Technique after Open AAA Repair. A Case Report and Review of the Literature"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4999-7561","authenticated-orcid":false,"given":"Apostolos G.","family":"Pitoulias","sequence":"first","affiliation":[{"name":"St. Bernward Hospital"},{"name":"Aristotle University of Thessaloniki"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamran","family":"Zierke","sequence":"additional","affiliation":[{"name":"St. Bernward Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Jahr","sequence":"additional","affiliation":[{"name":"St. Bernward Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"Wilhelmi","sequence":"additional","affiliation":[{"name":"St. Bernward Hospital"},{"name":"Department for Cardiothoracic-, Transplant-, and Vascular Surgery, Hannover Medical School, Hannover, Germany"},{"name":"Implant Research and Development (NIFE)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2023.11.002"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.12.014"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2012.06.015"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815606937"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/15266028231204805"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14165626"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1155\/ijvm\/4229582"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2022.07.182"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/15266028231167998"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(92)90047-C"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(92)90256-8"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(88)90277-7"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-821X(05)80655-3"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(97)70349-5"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.119751"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/1708538115593194"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2013.09.013"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.23736\/S0021-9509.18.10145-5"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02042653"},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","DOI":"10.5114\/amsad\/190421"},{"key":"e_1_3_7_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.04.057"},{"key":"e_1_3_7_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2024.01.207"},{"key":"e_1_3_7_24_2","doi-asserted-by":"publisher","DOI":"10.5114\/amsad\/209721"},{"key":"e_1_3_7_25_2","doi-asserted-by":"publisher","DOI":"10.3390\/s22124577"},{"key":"e_1_3_7_26_2","doi-asserted-by":"publisher","DOI":"10.1583\/08-2411.1"}],"container-title":["Vascular and Endovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15385744261479257","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15385744261479257","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15385744261479257","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T11:46:17Z","timestamp":1787571977000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15385744261479257"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,19]]},"references-count":25,"alternative-id":["10.1177\/15385744261479257"],"URL":"https:\/\/doi.org\/10.1177\/15385744261479257","relation":{},"ISSN":["1538-5744","1938-9116"],"issn-type":[{"value":"1538-5744","type":"print"},{"value":"1938-9116","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,19]]},"article-number":"15385744261479257"}}