{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T20:16:39Z","timestamp":1779912999325,"version":"3.53.1"},"reference-count":12,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T00:00:00Z","timestamp":1709769600000},"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":[[2025,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Repairing thoracic aortic aneurysms with endovascular aortic repair (TEVAR) is a safe and minimally invasive method with low morbidity and short postoperative recovery. We developed a novel method to treat descending thoracic aortic aneurysms using a mini-thoracotomy approach in complex patients with difficult access.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 56-year-old male patient presented with a 3-day history of chest pain. His past surgical history included infrarenal aortic ligation and right axillobifemoral bypass. Thoracic computed tomography angiography (CTA) revealed a saccular aortic aneurysmal dilatation at zone 2 measuring 4.4 \u00d7 4\u00a0cm. Owing to his surgical history, vascular access through the femoral and iliac arteries or abdominal aorta was impossible. We developed a new technique using a left posterolateral mini-thoracotomy approach to gain vascular access and perform TEVAR, avoiding the need for an open thoracotomy repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and Conclusions<\/jats:title>\n                    <jats:p>Thoracic CTA performed before discharge revealed complete aneurysmal exclusion and no endoleaks. Postoperative follow-up CTA (6\u00a0months and annually thereafter) revealed no aneurysm formation or aortic restenosis. The femoral artery, followed by the iliac artery, is the traditional access route for TEVAR. Left posterolateral mini-thoracotomy may be required as an alternative access in complex patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381241238041","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T18:01:45Z","timestamp":1709834505000},"page":"127-131","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Thoracic endovascular repair of descending thoracic aorta aneurysm using thoracic stent graft in a challenging complex patient: An innovative access technique during an emergency using a mini-thoracotomy approach"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1868-0265","authenticated-orcid":false,"given":"Abdulmajeed","family":"Altoijry","sequence":"first","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,3,7]]},"reference":[{"key":"bibr1-17085381241238041","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.04.062"},{"key":"bibr2-17085381241238041","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.12.136"},{"key":"bibr3-17085381241238041","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.04.008"},{"key":"bibr4-17085381241238041","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.01.071"},{"key":"bibr5-17085381241238041","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2016.07.037"},{"key":"bibr6-17085381241238041","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.09.012"},{"key":"bibr7-17085381241238041","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.1476"},{"key":"bibr8-17085381241238041","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.01.010"},{"key":"bibr9-17085381241238041","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.05.099"},{"key":"bibr10-17085381241238041","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.07.104"},{"key":"bibr11-17085381241238041","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.10.103"},{"key":"bibr12-17085381241238041","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.05.076"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381241238041","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17085381241238041","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381241238041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:39:14Z","timestamp":1777707554000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17085381241238041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,7]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1177\/17085381241238041"],"URL":"https:\/\/doi.org\/10.1177\/17085381241238041","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,7]]}}}