{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:15:23Z","timestamp":1777943723703,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,6,10]],"date-time":"2021-06-10T00:00:00Z","timestamp":1623283200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Shandong Key Research and Development Program","award":["2017GSF18176"],"award-info":[{"award-number":["2017GSF18176"]}]},{"name":"Shandong Key Research and Development Program","award":["2019GSF108098"],"award-info":[{"award-number":["2019GSF108098"]}]},{"name":"Medicine and Health Science Technology Development Program of Shandong Province","award":["2017WS093"],"award-info":[{"award-number":["2017WS093"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the safety and efficacy of transbrachial and transfemoral approaches combined with visceral protection for the endovascular treatment of juxtarenal aortoiliac occlusive disease (AIOD) over an average 19-month follow-up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective analysis, all patients with juxtarenal AIOD at a single institution were reviewed from June 2015 to January 2020. Patient characteristics, angiographic results, and follow-up outcomes were retrospectively recorded. The indications for treatment were critical limb threatening ischemia in 12 patients and bilateral claudication in five patients. Percutaneous access via the left brachial artery was first obtained to recanalize the infrarenal occluded lesions. After that, femoral accesses were achieved. A 4-Fr catheter, a 4\u00a0mm balloon, or a 6-Fr 90-cm-long sheath was used to complete visceral artery protection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 17 juxtarenal AIOD patients (14 males; mean age, 63.4 \u00b1 8.1\u00a0years) underwent endovascular treatment. The technical success rate was 100%. Complete reconstruction was achieved in 15 (88.2%) patients. The infrarenal aorta was reconstructed with kissing covered stent grafts ( n = 7), kissing bare-metal stents ( n = 2), covered stent grafts ( n = 2), bare-metal stents ( n = 1), or the off-label use of iliac limb stent grafts ( n = 5). Renal embolization was found in 3 (17.6%) patients during intraoperative angiography. There was 1 (5.9%) case of distal runoff embolization after CDT and 1 (5.9%) case of left iliac artery rupture. One (5.9%) death occurred due to acute myocardial infarction 20 days after the operation. The average follow-up period was 19.3 \u00b1 16.7\u00a0months (range, 1\u201354\u00a0months) in the remaining 16 cases. The renal artery patency rate was 100%. The estimated cumulative primary patency rates were 92.3% at 12\u00a0months and 59.3% at 36\u00a0months according to the Kaplan\u2013Meier method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Transbrachial and transfemoral approaches combined with visceral protection offer a safe and effective alternative to open revascularization for the endovascular treatment of juxtarenal AIOD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381211023229","type":"journal-article","created":{"date-parts":[[2021,6,11]],"date-time":"2021-06-11T02:38:51Z","timestamp":1623379131000},"page":"509-517","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Transbrachial and transfemoral approaches combined with visceral protection for the treatment of juxtarenal aortoiliac occlusive disease: Technical issues and clinical outcomes"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3532-2520","authenticated-orcid":false,"given":"Peixian","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Ji\u2019nan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Changliang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Vascular Surgery, Zaozhuang Municipal Hospital, Zaozhuang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuejun","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Ji\u2019nan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Ji\u2019nan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dianning","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Ji\u2019nan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaxin","family":"Qi","sequence":"additional","affiliation":[{"name":"Office of Healthcare-Associated Infection Management, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Ji\u2019nan, 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