{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:18:18Z","timestamp":1777943898423,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T00:00:00Z","timestamp":1711670400000},"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":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the long-term outcomes of standard endovascular aneurysm repair (S-EVAR) of juxtarenal abdominal aortic aneurysms (JAAAs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data of patients with JAAAs who were unsuitable for fenestrated endovascular aneurysm repair (F-EVAR) and open repair (OR) and underwent treatment from January 2015 to December 2021 were retrospectively reviewed. Computed tomography angiography and ultrasonography of the aorta were performed before discharge, at 6 and 12\u00a0months postoperatively, and annually thereafter. The main outcome measures were mortality, type Ia endoleaks, and reintervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 62 patients (mean age, 72.1 \u00b1 7.3\u00a0years) underwent S-EVAR. The mean aneurysm length and diameter and the proximal neck length and diameter were 110.4 \u00b1 30.9\u00a0mm, 57.2 \u00b1 15.9\u00a0mm, 8.09 \u00b1 0.97\u00a0mm, and 26.05 \u00b1 0.49\u00a0mm, respectively. The mean suprarenal and infrarenal aortic angles were 162.9 \u00b1 26\u00b0 and 144.1 \u00b1 31\u00b0, respectively. The mean follow-up duration was 40.6 \u00b1 23.4 months and the 5-year survival rate was 62.2%. Six (9.8%) patients experienced type Ia endoleaks, of whom three underwent endovascular repair at 12, 18, and 24\u00a0months, one underwent conversion to OR for AAA rupture at 7\u00a0days and died, two had minor endoleaks and were kept under observation, and one declined reintervention at 36\u00a0months. The 5-year freedom from reintervention rate was 84.4%. The aneurysm diameter shrank in 50 cases (81%), remained stable in 5 cases (8%), and increased in 7 cases (11.3%). A suprarenal aortic angle &lt;114\u00b0 was associated with type Ia endoleak (\n                      <jats:italic>p<\/jats:italic>\n                      = .005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In patients unsuitable for F-EVAR and OR and with a suprarenal aortic angle &gt;114\u00b0, the use of S-EVAR for JAAAs can be considered safe and effective. In this study, early and long-term postoperative outcomes demonstrated that S-EVAR achieved satisfactory results in the prevention of aneurysm rupture and associated mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381241243181","type":"journal-article","created":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T02:20:19Z","timestamp":1711765219000},"page":"245-252","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of standard EVAR for juxtarenal abdominal aortic aneurysm in patients unsuitable for fenestrated EVAR and open repair"],"prefix":"10.1177","volume":"33","author":[{"given":"Mingshan","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhen","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Gansu Provincial Hospital, Lanzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huoying","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinsong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Vascular and Plastic Surgery, Guangdong Provincial People\u2019s Hospital, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3927-8486","authenticated-orcid":false,"given":"Zuojun","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,29]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1426"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0909305"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.09.020"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.01.049"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(03)00896-6"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.10.086"},{"key":"e_1_3_3_8_2","first-page":"617","article-title":"Abdominal aortic aneurysms with short proximal neck: comparison between standard endograft and open repair","volume":"53","author":"Freyrie A","year":"2012","unstructured":"Freyrie A, Gargiulo M, Gallitto E, et al. Abdominal aortic aneurysms with short proximal neck: comparison between standard endograft and open repair. J Cardiovasc Surg 2012; 53: 617\u2013623.","journal-title":"J Cardiovasc Surg"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.01.036"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.123991"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2022.11.004"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp2108504"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1583\/06-1882.1"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.04.061"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-020-01865-4"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(96)70854-0"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1053\/ejvs.1999.0924"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.08.061"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.04.464"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2019.09.016"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs5.50178"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.23736\/S0021-9509.16.09049-2"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.12.087"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1583\/13-4372.1"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2012.08.007"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/096721090000800506"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.02.018"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.09.050"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.07.002"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381241243181","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17085381241243181","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381241243181","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:39:26Z","timestamp":1777707566000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17085381241243181"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,29]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/17085381241243181"],"URL":"https:\/\/doi.org\/10.1177\/17085381241243181","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,29]]}}}