{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T03:56:12Z","timestamp":1792122972137,"version":"4.4.0"},"reference-count":9,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2014,1,13]],"date-time":"2014-01-13T00:00:00Z","timestamp":1389571200000},"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":["Vascular"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:p>We present the case of a type IV Ehlers\u2013Danlos syndrome patient with a ruptured right subclavian artery aneurysm and associated arteriovenous fistula who underwent successful endovascular repair requiring simultaneous stent graft repair of the innominate artery using a sandwich technique. A 17-year-old man with known type IV Ehlers\u2013Danlos syndrome developed right neck and shoulder swelling. CTA study demonstrated a 17\u2009\u00d7\u200913-cm ruptured subclavian artery aneurysm with an associated internal jugular vein arteriovenous fistula. In the hybrid suite, a 7\u2009mm\u2009\u00d7\u200915-cm stent graft (Viabahn, WL Gore &amp; Associates, Flagstaff, AZ) was advanced from the right brachial approach into the innominate artery. A separate wire was placed into the right carotid artery via the right femoral approach (7 Fr), and a 7\u2009mm\u2009\u00d7\u200910-cm stent graft (Viabahn) was advanced into the innominate artery. An additional 8\u2009mm\u2009\u00d7\u200910-cm stent graft (Viabahn) was placed from the right brachial approach to obtain a distal-landing zone in the axillary artery. Complex vascular anatomy, in which graft seal creation may be challenging, does not exclude endovascular approaches as the sandwich technique can be utilized as a suitable alternative to open repair.<\/jats:p>","DOI":"10.1177\/1708538113516319","type":"journal-article","created":{"date-parts":[[2014,1,13]],"date-time":"2014-01-13T23:26:12Z","timestamp":1389655572000},"page":"371-374","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Endovascular repair of a ruptured subclavian artery aneurysm in a patient with Ehlers\u2013Danlos syndrome using a sandwich technique"],"prefix":"10.1177","volume":"22","author":[{"given":"Sapan S","family":"Desai","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, University of Texas Medical School at Houston, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Codreanu","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, University of Texas Medical School at Houston, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristofer M","family":"Charlton-Ouw","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, University of Texas Medical School at Houston, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hazim","family":"Safi","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, University of Texas Medical School at Houston, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Azizzadeh","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, University of Texas Medical School at Houston, Houston, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,1,13]]},"reference":[{"key":"bibr1-1708538113516319","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-2-32"},{"key":"bibr2-1708538113516319","doi-asserted-by":"publisher","DOI":"10.1007\/s11936-006-0004-z"},{"key":"bibr3-1708538113516319","doi-asserted-by":"publisher","DOI":"10.1007\/s10016-001-0229-y"},{"key":"bibr4-1708538113516319","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200003093421001"},{"key":"bibr5-1708538113516319","unstructured":"Pepin MG and Byers PH. Ehlers-Danlos syndrome type IV, 1999 (updated May 3, 2011). In: Pagon RA, Bird TD, Dolan CR, et\u00a0al. (eds)\n                      GeneReviews\u2122 [Internet]\n                      . Seattle, WA: University of Washington, Seattle, 1993. See http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK1494\/ (last checked 12 August 2013)."},{"key":"bibr6-1708538113516319","doi-asserted-by":"publisher","DOI":"10.1007\/s100169910047"},{"key":"bibr7-1708538113516319","first-page":"163","volume":"162","author":"Bergqvist D","year":"1996","journal-title":"Eur J Surg"},{"key":"bibr8-1708538113516319","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2005.03.053"},{"key":"bibr9-1708538113516319","doi-asserted-by":"crossref","unstructured":"Lobato AC and Camacho-Lobato L. A new technique to enhance endovascular thoracoabdominal aortic aneurysm therapy\u2014the sandwich procedure.\n                      Semin Vasc Surg\n                      2012; 25: 153\u2013160.","DOI":"10.1053\/j.semvascsurg.2012.07.005"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1708538113516319","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1708538113516319","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1708538113516319","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:27:42Z","timestamp":1777706862000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1708538113516319"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,1,13]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2014,10]]}},"alternative-id":["10.1177\/1708538113516319"],"URL":"https:\/\/doi.org\/10.1177\/1708538113516319","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,1,13]]}}}