{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T15:41:12Z","timestamp":1786290072076,"version":"build-2736575974"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Healthcare System Research Projects of Ningxia Province","award":["2024-NWZC-A001"],"award-info":[{"award-number":["2024-NWZC-A001"]}]},{"name":"Department of Science and Technology, Ningxia Province","award":["No.2022BEG03122"],"award-info":[{"award-number":["No.2022BEG03122"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Advances in Cardiovascular Disease"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Endovascular aneurysm repair (EVAR) is used to treat patients with abdominal aortic aneurysm (AAA) who have suitable anatomy, while complex AAAs often require fenestrated and branched stent grafts, necessitating further refinement of the technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the safety and efficacy of fenestrated\/branched EVAR (F\/B-EVAR) assisted by three-dimensional (3D) printing for treating complex AAA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This multicenter retrospective cohort study collected baseline data and clinical outcomes from patients treated with F\/B-EVAR between January 2012 and June 2025. The population was divided into the 3D simulation group and the conventional measurement group. The 3D simulation group underwent a simulation to assess fenestration and branch positioning strategies. Study endpoints included procedural success rate, incidence of periprocedural complications and major adverse events, as well as procedural duration and radiation dose.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean age of patients was 70.2\u2009\u00b1\u20098.8\u2009years, with 68.9% being male. Compared to the conventional measurement group, the 3D simulation group had a significantly higher procedural success rate (98.8% vs 91.6%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), shorter procedural duration ((115.2\u2009\u00b1\u200935.0) min vs (138.7\u2009\u00b1\u200943.7) min,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and lower radiation dose ((107.2\u2009\u00b1\u200943.9) mGy vs (144.5\u2009\u00b1\u200956.3) mGy,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Furthermore, although no significant differences were observed in the incidence of all-cause mortality and major cardiovascular adverse events during the 30-day follow-up between the two groups, the incidence of life-threatening major bleeding, major vascular complications, and acute kidney injury stage \u2a7e3 was significantly lower in the 3D simulation group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>F\/B-EVAR guided by 3D simulation may allow for accurate planning of fenestration and branch positioning, potentially improving procedural success rate and suggesting a potential to enhance the quality of outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17539447261457539","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T02:40:40Z","timestamp":1786070440000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Three-dimensional simulations for planning fenestrated\/branched endografts in endovascular aneurysm repair for complex abdominal aortic aneurysm: a retrospective cohort study"],"prefix":"10.1177","volume":"20","author":[{"given":"Yujing","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, General Hospital of Ningxia Medical University, Yinchuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, General Hospital of Ningxia Medical University, Yinchuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengliang","family":"Qu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, General Hospital of Ningxia Medical University, Yinchuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongxu","family":"Cai","sequence":"additional","affiliation":[{"name":"Graduate School, Ningxia Medical University, Yinchuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, General Hospital of Ningxia Medical University, Yinchuan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7543-9178","authenticated-orcid":false,"given":"Xiaodong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, General Hospital of Ningxia Medical University, No. 804, Shengli Street, Xingqing District, Yinchuan 750004, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2023.07.002"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1708538113478772"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1538574415623651"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2009.07.004"},{"issue":"2","key":"e_1_3_4_6_2","article-title":"Learning curve of fenestrated and branched endovascular aortic repair for pararenal and thoracoabdominal aneurysms","volume":"72","author":"Mirza AK","year":"2020","unstructured":"Mirza AK, Tenorio ER, K\u00e4rkk\u00e4inen JM, et al. 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