{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:25:08Z","timestamp":1772166308885,"version":"3.50.1"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Project of Hainan Province Clinical Medical Center","award":["46000021T000000006682"],"award-info":[{"award-number":["46000021T000000006682"]}]},{"name":"Hainan Provincial Natural Science Foundation of China","award":["823MS136"],"award-info":[{"award-number":["823MS136"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Total endovascular technique with fenestrated endovascular graft might be hampered for the late dilatation of proximal landing zone, which may cause endografts migration. We describe a successful urgent hybrid procedure for extent III thoracoabdominal aortic aneurysm with aortic intramural hematoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 55-year-old female with thoracoabdominal aortic aneurysm was considered at high surgical risk and unfit for open repair due to multiple comorbidities. Therefore, a hybrid procedure of surgeon-modified fenestrated endovascular graft combined with thoracoscope-assisted Transaortic epicardial fixation of endograft was finally chosen and performed in the endovascular operating room. A 3-port technique was performed through a left video-assisted thoracoscopic approach. After the first tampering stent-graft was deployed, a double-needle suture was penetrated both the aortic wall and stent-graft to fixate it in the proximal descending aorta. Then the second endograft, which had been fenestrated on table, was introduced and oriented extracorporeally by rotating superior mesenteric artery and left renal artery fenestration radiopaque markers and deployed with perfect apposition between the fenestrations and target visceral artery. Each vessel was sequentially stented using Viabahn self-expandable stent to finish target vessel stenting. An Ankura cuff stent was deployed in the distal abdominal aortic artery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Surgeon-modified fenestrated endovascular graft combined with thoracoscope-assisted fixation may be an innovative and viable alternative for selected high-risk patients with extent III thoracoabdominal aortic aneurysm. A longer follow-up is needed to ascertain the success of this approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13019-024-02686-y","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T09:01:48Z","timestamp":1712739708000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgeon-modified fenestrated endovascular grafts and thoracoscope-assisted fixation for treatment of thoraco-abdominal aortic aneurysms"],"prefix":"10.1186","volume":"19","author":[{"given":"Hong","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weifan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,4,10]]},"reference":[{"key":"2686_CR1","doi-asserted-by":"publisher","first-page":"1323","DOI":"10.1016\/j.jtcvs.2015.12.050","volume":"151","author":"JS Coselli","year":"2016","unstructured":"Coselli JS, LeMaire SA, Preventza O, de la Crus KI, Cooley DA, Price MD, et al. Outcomes of 3309 thoracoabdominal aortic aneurysm repairs. J Thorac Cardiovasc Surg. 2016;151:1323\u201338.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"6","key":"2686_CR2","doi-asserted-by":"publisher","first-page":"775","DOI":"10.1016\/j.ejvs.2015.12.014","volume":"51","author":"E Verhoeven","year":"2016","unstructured":"Verhoeven E, Katsargyris A, Oikonomou K, Kouvelos G, Renner H, Ritter W. Fenestrated endovascular aortic aneurysm repair as a first line treatment option to treat short necked, juxtarenal, and suprarenal aneurysms. Eur J Vasc Endovasc Surg. 2016;51(6):775\u201381.","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2686_CR3","doi-asserted-by":"publisher","first-page":"825e32","DOI":"10.1177\/1526602817729673","volume":"24","author":"N Tsilimparis","year":"2017","unstructured":"Tsilimparis N, Heidemann F, Rohlffs F, Diener H, Wipper S, Debus ES, et al. Outcome of surgeon-modified fenestrated\/branched stent-grafts for symptomatic complex aortic pathologies or contained rupture. J Endovasc Ther. 2017;24:825e32.","journal-title":"J Endovasc Ther"},{"key":"2686_CR4","doi-asserted-by":"publisher","first-page":"98e109","DOI":"10.1177\/1526602815611887","volume":"23","author":"GS Georgiadis","year":"2016","unstructured":"Georgiadis GS, van Herwaarden JA, Antoniou GA, Hazenberg CEVB, Giannoukas AD, Lazarides MK, et al. Systematic review of off-the-shelf or physician-modified fenestrated and branched endografts. J Endovasc Ther. 2016;23:98e109.","journal-title":"J Endovasc Ther"},{"issue":"1","key":"2686_CR5","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1016\/j.jvs.2008.05.002","volume":"48","author":"JF Dowdall","year":"2008","unstructured":"Dowdall JF, Greenberg RK, West K, et al. Separation of Components in Fenestrated and Branched Endovascular Grafting-Branch Protection or a Potentially New Mode of Failure? J Vasc Surg. 2008;48(1):249\u2013249.","journal-title":"J Vasc Surg"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02686-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-02686-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02686-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T09:04:41Z","timestamp":1712739881000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-02686-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,10]]},"references-count":5,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2686"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-02686-y","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-3300634\/v1","asserted-by":"object"}]},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,10]]},"assertion":[{"value":"27 August 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 April 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study protocol and publication of data was approved by the Ethics Committee of our hospital (No. [2022]196). The patient provided informed written consent for the publication of the study data and were advised of the procedural risks and options as well as the off-label use of the devices.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"199"}}