{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:18:11Z","timestamp":1777943891610,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T00:00:00Z","timestamp":1721347200000},"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":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The main objective of this paper is to evaluate the outcomes regarding endoleaks, reinterventions, and death related to aneurysm complications in patients submitted to endovascular repair (EVAR) for abdominal aortoiliac aneurysm (AAA) using Endurant II (Medtronic) and Zenith Flex (Cook) endografts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a prospective, consecutive cohort study of patients with AAA who underwent EVAR with the use of Endurant II stent graft and Zenith Flex endograft.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 156 patients submitted to EVAR were evaluated. The perioperative mortality was 5.1%, 8 patients. The median clinical follow-up period was 760 \u00b1 80 days. There were 28 patients (17.9%) submitted to urgent repair of the aneurysm (symptomatic expansion or rupture) and 128 patients (82.1%) submitted to elective repair. There were 36 cases (23.1%) of later endoleak and most of them are Type II endoleaks (21 patients, 13.4%). There were 12 cases of Type I endoleak. Moreover, regarding limb graft occlusion (LGO), there were 9 patients (5.8%). The overall survival rate in Kaplan\u2013Meier analysis at 720 days was 84.8% in the total cohort. The freedom from reintervention rate in Kaplan\u2013Meier analysis at 720 days was 92.7% in the total cohort. The linear regression analysis for survival rates showed that chronic kidney disease (\n                      <jats:italic>p<\/jats:italic>\n                      = .03; hazard ratio (HR) = 2.82, CI = 1.07\u20134.44) was the only factor related to poorer survival rates in both univariate and multivariate analyses. The linear regression analysis showed that the presence of endoleaks (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001, HR = 6.69, CI = 2.26\u20138.48) and limb graft occlusion (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001, HR = 8.02, CI = 1.60\u20139.99) were related to reintervention in both univariate and multivariate analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this present study, supra-renal fixation endograft devices were safe and efficient in treating AAA, with satisfactory results and no renal compromise. The linear regression analysis showed that the presence of endoleaks and limb graft occlusion were related to higher reintervention rates in both univariate and multivariate analyses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381241264381","type":"journal-article","created":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T22:12:00Z","timestamp":1721427120000},"page":"770-778","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Endovascular repair for infra-renal aortic aneurysms with supra-renal fixation endoprosthesis: Results and outcomes"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7646-5208","authenticated-orcid":false,"given":"Rafael de Athayde","family":"Soares","sequence":"first","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Hospital Do Servidor P\u00fablico Estadual de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaline","family":"Amaro","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Hospital Do Servidor P\u00fablico Estadual de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Isabel","family":"Nasser","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Hospital Do Servidor P\u00fablico Estadual de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus Vin\u00edcius Martins","family":"Cury","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Hospital Do Servidor P\u00fablico Estadual de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edson Takamitsu","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Hospital Do Servidor P\u00fablico Estadual de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keityane de Lima","family":"Pedrosa","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Hospital Do Servidor P\u00fablico Estadual de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Sacilotto","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Hospital Do Servidor P\u00fablico Estadual de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,7,19]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"843","article-title":"Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled","volume":"364","author":"Greenhalgh RM","year":"2004","unstructured":"Greenhalgh RM, Brown LC, Kwong GP, et al. 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