{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T20:56:42Z","timestamp":1778619402187,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,2,27]],"date-time":"2022-02-27T00:00:00Z","timestamp":1645920000000},"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":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe mid-term outcomes of the use of EndoAnchors as an adjunct for arch and thoracic endovascular aortic repair (TEVAR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective multicentre series from nine centres using the Heli-FX EndoAnchor System (Medtronic Inc, Minneapolis, USA) at TEVAR over May 2014\u2013May 2019 is presented. The study is registered at\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/ClinicalTrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      with number NCT04100499. The primary outcome was freedom from Type I endoleak at EndoAnchors deployments; secondary outcomes included evaluation of aortic wall penetration (AWP) at first computed tomography scan, EndoAnchor-related issues and mortality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>54\u00a0high-risk patients (35\u00a0males\/19\u00a0females, age 73 \u00b1 11\u00a0years) with arch, thoracic and thoracoabdominal aneurysmal disease (3 chronic post-dissection and one patch pseudoaneurysm), with a mean neck length 19.7 \u00b1 6.6\u00a0mm that were treated with multiple hybrid and endovascular techniques were included. A total of 329 EndoAnchors were used with a mean of 6.1 \u00b1 2.5 per patient. Overall adequate AWP was 86%, whereas arch (Ishimaru\u2019s zones 0\u20132) deployments achieved 80.6% when compared to 87.3% in descending thoracic aorta (dTA); although there was no statistical significance. Freedom from type I endoleaks was 88% at 2\u00a0year follow-up, due to 4 type IA endoleaks, two of them successfully treated, one with conservative treatment due to complexity of repair and remaining patient died 1\u00a0year later due to endograft infection. There were reported five EndoAnchor-related issues; four losses and one renal stent-graft was crushed due to catheter deflection solved with balloon reinflation. None of the losses had clinical significance. Overall mortality is described for 7 (9.5%) patients, one of them aneurysm-related.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The adjunctive use of EndoAnchors in TEVAR and complex TEVAR procedures achieved acceptable outcomes at midterm in a high-risk series with hostile seal zones. Still, they should be still judiciously used as there is lack of data to suggest a more liberal use; therefore, the landing zone should not be compromised in favour of their use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381221076320","type":"journal-article","created":{"date-parts":[[2022,2,27]],"date-time":"2022-02-27T09:28:31Z","timestamp":1645954111000},"page":"455-462","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Mid-term outcomes of the use of endoanchors during thoracic endovascular aortic repair in multicentre analysis"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6282-1099","authenticated-orcid":false,"given":"Andr\u00e9s","family":"Reyes Valdivia","sequence":"first","affiliation":[{"name":"Ram\u00f3n y Cajal\u00b4s University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ross","family":"Milner","sequence":"additional","affiliation":[{"name":"University of Chicago Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Heijmen","sequence":"additional","affiliation":[{"name":"St Antonius Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicente","family":"Riambau","sequence":"additional","affiliation":[{"name":"Hospital Clinic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Herv\u00e9","family":"Rousseau","sequence":"additional","affiliation":[{"name":"CHU de Toulouse"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Tinelli","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario Gemelli IRCCS-Universit\u00e0 Cattolica del Sacro Cuore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Drosos","family":"Kotelis","sequence":"additional","affiliation":[{"name":"University Hospital RWTH Aachen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad A","family":"Zanabili Al-Sibbai","sequence":"additional","affiliation":[{"name":"Hospital Universitario Central de Asturias"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6862-2709","authenticated-orcid":false,"given":"Georgios","family":"Pitoulias","sequence":"additional","affiliation":[{"name":"Aristotle University of Thessaloniki - Faculty of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio Gandarias","family":"Z\u00fa\u00f1iga","sequence":"additional","affiliation":[{"name":"Ram\u00f3n y Cajal\u00b4s University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hector W L","family":"de Beaufort","sequence":"additional","affiliation":[{"name":"St Antonius Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4876-4873","authenticated-orcid":false,"given":"Doukas","family":"Panagiotis","sequence":"additional","affiliation":[{"name":"University Hospital RWTH Aachen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0452-0682","authenticated-orcid":false,"given":"Arindam","family":"Chaudhuri","sequence":"additional","affiliation":[{"name":"Bedfordshire, Milton Keynes Vascular Centre"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,2,27]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.06.094"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.05.076"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.113.000463"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2016.06.005"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.23736\/S0021-9509.21.11894-4"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1526602820987808"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2021.04.027"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1526602819890107"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.11.063"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/1526602820953406"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1117\/17085381211019611"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1526602820938058"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/15266028211007469"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.12.117"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815574685"},{"issue":"6","key":"e_1_3_3_17_2","first-page":"738","article-title":"Predictors of inadequate endoanchors aortic wall penetration for the endosutured therapy in hostile neck patients","volume":"61","author":"Reyes Valdivia A","year":"2020","unstructured":"Reyes Valdivia A, Duque Santos \u00c1, Pitoulias GA, et al. Predictors of inadequate endoanchors aortic wall penetration for the endosutured therapy in hostile neck patients. J Cardiovascular Surgery 2020; 61(6): 738\u2013744.","journal-title":"J Cardiovascular Surgery"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/1526602819857586"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1055\/a-0746-3679"},{"issue":"5","key":"e_1_3_3_20_2","first-page":"716","article-title":"The use of endoanchors to rescue complicated TEVAR procedures","volume":"57","author":"Ongstad SB","year":"2016","unstructured":"Ongstad SB, Miller DF, Panneton JM. The use of endoanchors to rescue complicated TEVAR procedures. J Cardiovascular Surgery 2016; 57(5): 716\u2013729.","journal-title":"J Cardiovascular Surgery"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.01.039"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/1526602820907564"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivy345"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezaa115"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/1526602820963865"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/1526602815626560"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2019.06.030"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1583\/12-4125.1"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2019.05.006"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2020.05.074"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2020.02.008"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.11.048"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381221076320","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17085381221076320","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381221076320","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:36:29Z","timestamp":1777707389000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17085381221076320"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,27]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1177\/17085381221076320"],"URL":"https:\/\/doi.org\/10.1177\/17085381221076320","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,27]]}}}