{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T15:04:20Z","timestamp":1763478260667,"version":"3.45.0"},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract Endovascular treatment of thoracoabdominal aortic aneurysms (TAAAs) is a less invasive alternative, with reduced mortality and morbidity compared to open repair. However, reports on the results of this procedure in Brazil are scarce. This article reports the first institutional experience with endovascular treatment of TAAAs using branched and fenestrated endografts. Four patients with TAAA were included in this report. The devices used were custom-made by Braile, tailored to each patient\u2019s anatomy based on computed tomography (CT) imaging. A total of 10 visceral branches were required to maintain the patency of the visceral arteries. CT follow-up was performed 2 months after the procedure. All implants were successfully completed. The fenestration\/branch interfaces were secured with covered, balloon-expandable, and self-expanding peripheral stents in 8 of the 10 target branches. The remaining 2 branches were preserved with openings and free flow. Post-procedural angiography demonstrated correct positioning of the endografts and stents in the visceral arteries, with patency maintained in 9 of the 10 target branches. Among the complications, one selective catheterization of the celiac trunk was not possible at the first attempt. However, there was no mesenteric ischemia, and a peripheral stent was successfully implanted in the celiac trunk in a second procedure. All patients had a complication-free recovery. Follow-up CT demonstrated complete aneurysm exclusion with no leaks and visceral perfusion was maintained in 7 of the 8 target branches. It was concluded that endovascular treatment of TAAA with custom-made endografts is feasible and may become a treatment of choice for patients with challenging anatomical lesions.<\/jats:p>","DOI":"10.1590\/1677-5449.202401752","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T15:00:14Z","timestamp":1763478014000},"source":"Crossref","is-referenced-by-count":0,"title":["Endovascular treatment of thoracoabdominal aortic aneurysms with custom-made endografts"],"prefix":"10.1590","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7635-9095","authenticated-orcid":false,"given":"Andr\u00e9 Rodrigo","family":"Miquelin","sequence":"first","affiliation":[{"name":"Faculdade de Medicina de S\u00e3o Jos\u00e9 do Rio Preto,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5734-1314","authenticated-orcid":false,"given":"Daniel Gustavo","family":"Miquelin","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina de S\u00e3o Jos\u00e9 do Rio Preto,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7787-4177","authenticated-orcid":false,"given":"Fernando","family":"Reis Neto","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina de S\u00e3o Jos\u00e9 do Rio Preto,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz Fernando","family":"Reis","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina de S\u00e3o Jos\u00e9 do Rio Preto,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5424-7787","authenticated-orcid":false,"given":"Jos\u00e9 Maria Pereira de","family":"Godoy","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina de S\u00e3o Jos\u00e9 do Rio Preto,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1016\/S0741-5214(03)00085-5","article-title":"Surgical treatment of intact thoracoabdominal aortic aneurysms in the United States: hospital and surgeon volume-related outcomes","volume":"37","author":"Cowan Jr JA","year":"2003","journal-title":"J Vasc Surg"},{"issue":"2","key":"ref2","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.jvs.2005.10.070","article-title":"Thirty-day mortality statistics underestimate the risk of repair of thoracoabdominal aortic aneurysms: a statewide experience","volume":"43","author":"Rigberg DA","year":"2006","journal-title":"J Vasc Surg"},{"issue":"6","key":"ref3","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1583\/13-4428R.1","article-title":"Early experience with the first commercially available off-the-shelf multibranched endograft (t-branch) in the treatment of thoracoabdominal aortic aneurysms","volume":"20","author":"Bosiers MJ","year":"2013","journal-title":"J Endovasc Ther"},{"issue":"9","key":"ref4","doi-asserted-by":"crossref","DOI":"10.1016\/j.cpcardiol.2024.102689","article-title":"Short-term outcomes of endovascular aortic aneurysm repair with the new Braile Biom\u00e9dica\u00ae total custom-made abdominal endograft: Experience from three Italian centers","volume":"49","author":"Rizza A","year":"2024","journal-title":"Curr Probl Cardiol"},{"issue":"14","key":"ref5","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.1001\/jama.2009.1426","article-title":"Outcomes following endovascular vs open repair of abdominal aortic aneurysm: a randomized trial","volume":"302","author":"Lederle FA","year":"2009","journal-title":"JAMA"},{"key":"ref6","doi-asserted-by":"crossref","DOI":"10.1590\/1677-5449.202201562","article-title":"Long-term outcomes after endovascular aortic treatment in patients with thoracic aortic diseases","volume":"22","author":"Brandi AC","year":"2023","journal-title":"J Vasc Bras"},{"issue":"3","key":"ref7","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1583\/09-2734.1","article-title":"A standardized multi-branched thoracoabdominal stent-graft for endovascular aneurysm repair","volume":"16","author":"Sweet MP","year":"2009","journal-title":"J Endovasc Ther"},{"issue":"24","key":"ref8","doi-asserted-by":"crossref","first-page":"2848","DOI":"10.1161\/CIRCULATIONAHA.110.014902","article-title":"Predictors of abdominal aortic aneurysm sac enlargement after endovascular repair","volume":"123","author":"Schanzer A","year":"2011","journal-title":"Circulation"},{"issue":"6","key":"ref9","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1016\/j.ejvs.2012.02.035","article-title":"Challenging narrow distal aorta in abdominal aortic aneurysm: endovascular repair using a reversed flared endoprosthesis","volume":"43","author":"Wyss 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aneurysms","volume":"5","author":"Talarico F","year":"2020","journal-title":"J Vasc Endovasc Ther."},{"issue":"4","key":"ref17","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/j.jvs.2005.05.063","article-title":"Repair of thoracoabdominal aortic aneurysms with fenestrated and branched endovascular stent grafts","volume":"42","author":"Anderson JL","year":"2005","journal-title":"J Vasc Surg"},{"issue":"1","key":"ref18","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1590\/S1677-54492007000100013","article-title":"Tratamento do aneurisma da aorta toracoabdominal com endopr\u00f3tese ramificada para as art\u00e9rias viscerais","volume":"6","author":"Simi A","year":"2007","journal-title":"J Vasc Bras"},{"issue":"3","key":"ref19","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/S1051-0443(07)61924-1","article-title":"Multi-branched stent-graft for type III thoracoabdominal aortic aneurysm","volume":"12","author":"Chuter 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personalizadas"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1677-54492025000100509&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T15:00:16Z","timestamp":1763478016000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1677-54492025000100509&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":21,"alternative-id":["S1677-54492025000100509"],"URL":"https:\/\/doi.org\/10.1590\/1677-5449.202401752","relation":{},"ISSN":["1677-7301","1677-5449"],"issn-type":[{"value":"1677-7301","type":"electronic"},{"value":"1677-5449","type":"print"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e20240175"}}