{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:13:10Z","timestamp":1777943590478,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2016,12,14]],"date-time":"2016-12-14T00:00:00Z","timestamp":1481673600000},"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":[[2017,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>There has been a clear move towards endovascular repair of abdominal aortic aneurysms owing to better peri-operative outcomes compared with open surgical repair. However, follow-up has continued to reveal relatively high rates of endoleaks and re-interventions. Improvements in endovascular stent-grafts aim to decrease these complications. This systematic review aims to determine the early outcomes of abdominal aortic aneurysm sealing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Standard PRISMA guidelines were followed. A literature search was performed with the aim to extract any publication related to the endovascular aneurysm sealing device.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The total number of patients in this systematic review of 11 studies is 684, with a mean age of 73.2 years, and 587 (88.0%) males. The majority were undergoing elective procedures ( n\u2009=\u2009606, 91.0%), the remainder as emergencies ( n\u2009=\u200930, 4.5% as ruptures, n\u2009=\u200930, 4.5% as symptomatic). Technical success rate including emergency cases was 99.1%. Thirty-day mortality rate was 2.6% ( n\u2009=\u200917) including all cases, and 1.0% ( n\u2009=\u20096) including elective cases only. Thirty -day endoleak detection rate was 4.7% ( n\u2009=\u200931) including all cases, and 4.8% ( n\u2009=\u200929) including elective cases only. Thirty-day aneurysm-related re-intervention rate was 5.7% ( n\u2009=\u200938) including all cases, and 4.6% ( n\u2009=\u200928) including elective cases only. There was no conversion to open surgery within 30 days post-op in the elective cases. There were three delayed conversions to open surgery within 30 days and one report of stent migration causing rupture in the emergency setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This novel endovascular aneurysm-sealing device for abdominal aortic aneurysm repair has shown respectable early outcomes. Good technical success rates, in both elective and emergency settings, low rates of all-type endoleaks and low re-intervention rates have all been demonstrated. It is proving to be a safe alternative to open and endovascular aneurysm repair; however, longer term follow-up results are needed to assess the safety and effectiveness of the device in the long term.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1708538116684941","type":"journal-article","created":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T17:54:20Z","timestamp":1488822860000},"page":"423-429","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Endovascular abdominal aortic aneurysm sealing: A systematic review of early outcomes"],"prefix":"10.1177","volume":"25","author":[{"given":"Stephanie L","family":"Brown","sequence":"first","affiliation":[{"name":"Norfolk and Norwich University Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayoola","family":"Awopetu","sequence":"additional","affiliation":[{"name":"Norfolk and Norwich University Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael S","family":"Delbridge","sequence":"additional","affiliation":[{"name":"Norfolk and Norwich University Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip W","family":"Stather","sequence":"additional","affiliation":[{"name":"Norfolk and Norwich University Hospital, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,12,14]]},"reference":[{"key":"bibr1-1708538116684941","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9101"},{"key":"bibr2-1708538116684941","doi-asserted-by":"publisher","DOI":"10.1583\/13-4320MR.1"},{"key":"bibr3-1708538116684941","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815618492"},{"key":"bibr4-1708538116684941","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.03.031"},{"key":"bibr5-1708538116684941","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.09.009"},{"key":"bibr6-1708538116684941","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.03.024"},{"key":"bibr7-1708538116684941","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2011.03.007"},{"key":"bibr8-1708538116684941","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.08.019"},{"key":"bibr9-1708538116684941","first-page":"1","volume":"0","author":"Zerwes S","year":"2015","journal-title":"Vascular"},{"key":"bibr10-1708538116684941","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.07.096"},{"key":"bibr11-1708538116684941","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815582209"},{"key":"bibr12-1708538116684941","first-page":"286","volume":"48","author":"\u0136 \u012bsis K","year":"2012","journal-title":"Medicina (Kaunas)"},{"key":"bibr13-1708538116684941","doi-asserted-by":"crossref","unstructured":"England A, Torella F, Fisher R, et\u00a0al. Migration of the Nellix endoprosthesis.\n                      J Vasc Surg\n                      2016; 64: 306\u2013312.","DOI":"10.1016\/j.jvs.2016.02.053"},{"key":"bibr14-1708538116684941","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-4-1"},{"key":"bibr15-1708538116684941","unstructured":"Gossetti B, Malaj A, Alunno A, et\u00a0al. Early and mid-term outcomes of a novel endovascular aneurysm sealing (EVAS) system in patients with infrarenal abdominal aortic aneurysms.\n                      J Cardiovasc Surg (Torino).\n                      2015. Epub ahead of print. PMID: 26417934."},{"key":"bibr16-1708538116684941","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9181"},{"key":"bibr17-1708538116684941","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181fcb44a"},{"key":"bibr18-1708538116684941","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f7661"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1708538116684941","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1708538116684941","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1708538116684941","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:30:11Z","timestamp":1777707011000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1708538116684941"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12,14]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1177\/1708538116684941"],"URL":"https:\/\/doi.org\/10.1177\/1708538116684941","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12,14]]}}}