{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T03:22:27Z","timestamp":1780543347379,"version":"3.54.1"},"reference-count":10,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,8,17]],"date-time":"2020-08-17T00:00:00Z","timestamp":1597622400000},"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":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To report a technique of creating mini-cuff-augmented fenestrations in endografts for use in endovascular aneurysm repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Circular fenestrations are made in Dacron thoracic (Valiant Captivia, Medtronic) or tapered iliac limb (Endurant, Medtronic) endografts using thermal cautery and the edges are strengthened with radio-opaque wire sutured on with 6\u20130 polypropylene. Straight thin-wall expanded polytetrafluoroethylene vascular graft of the same diameter as the fenestration is affixed to its edge with nonlocking 5\u20130 polypropylene suture, everted, trimmed, balloon-dilated to its nominal diameter and prevented from invaginating by relaxed external stay sutures. Mini-cuff-augmented fenestrations are often pre-cannulated with looped or externalized nitinol guidewires to facilitate catheter crossing. Successful use of mini-cuff-augmented fenestrations is illustrated in a symptomatic patient with Crawford extent-3 thoracoabdominal aortic and bilateral common iliac artery aneurysm undergoing endovascular repair. Seven mini-cuff-augmented fenestrations were created to preserve flow into five visceral arteries (celiac, superior mesenteric, left and dual right renal; all arising from the aneurysm) and both internal iliac arteries (arising at the aneurysm edge).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Effective sealing was achieved immediately at all mini-cuff-augmented fenestrations. At 6-month follow-up there were no endoleaks, all fenestration stents were patent and undistorted, and the aneurysm sac size had decreased.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Mini-cuff-augmented fenestrations accomplish effective fenestration sealing, despite being in aneurysmal zones, while preserving the advantages of fenestrations over cuffed branches.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1708538120949324","type":"journal-article","created":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T02:03:44Z","timestamp":1597716224000},"page":"163-170","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Endografts with mini-cuff-augmented fenestrations for endovascular repair of thoracoabdominal aortic and common iliac artery aneurysms"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7078-9532","authenticated-orcid":false,"given":"George","family":"Joseph","sequence":"first","affiliation":[{"name":"Department of Cardiology, Christian Medical College, Vellore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"Kota","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Christian Medical College, Vellore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viji Samuel","family":"Thomson","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Christian Medical College, Vellore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harsha Teja","family":"Perla","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Christian Medical College, Vellore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shyamkumar N","family":"Keshava","sequence":"additional","affiliation":[{"name":"Department of Radiology, Christian Medical College, Vellore, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,8,17]]},"reference":[{"key":"bibr1-1708538120949324","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.10.095"},{"key":"bibr2-1708538120949324","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.05.036"},{"key":"bibr3-1708538120949324","doi-asserted-by":"publisher","DOI":"10.1177\/1531003508320491"},{"key":"bibr4-1708538120949324","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.06.023"},{"key":"bibr5-1708538120949324","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.10.087"},{"key":"bibr6-1708538120949324","doi-asserted-by":"publisher","DOI":"10.1583\/13-4304MR.1"},{"key":"bibr7-1708538120949324","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2019.02.044"},{"key":"bibr8-1708538120949324","doi-asserted-by":"publisher","DOI":"10.1177\/1538574418815273"},{"key":"bibr9-1708538120949324","doi-asserted-by":"publisher","DOI":"10.1583\/JEVT-12-4038R.1"},{"key":"bibr10-1708538120949324","doi-asserted-by":"publisher","DOI":"10.4070\/kcj.2016.46.3.412"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1708538120949324","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1708538120949324","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1708538120949324","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:33:38Z","timestamp":1777707218000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1708538120949324"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,17]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1177\/1708538120949324"],"URL":"https:\/\/doi.org\/10.1177\/1708538120949324","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,17]]}}}