{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T10:58:26Z","timestamp":1773140306707,"version":"3.50.1"},"reference-count":38,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T00:00:00Z","timestamp":1727136000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005090","name":"Beijing Nova Program","doi-asserted-by":"publisher","award":["20230484308"],"award-info":[{"award-number":["20230484308"]}],"id":[{"id":"10.13039\/501100005090","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>To compare the long-term efficacy of the parallel stent graft (PSG), fenestrated stent graft (FSG), and branched stent graft (BSG) techniques to treat thoracoabdominal aortic pathologies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>In total, 291 patients with thoracic aortic aneurysm (TAA) and dissection (TAD) involving visceral arteries who underwent PSG (<jats:italic>n<\/jats:italic>\u2009=\u200985; 15 TAA and 70 TAD), FSG (<jats:italic>n<\/jats:italic>\u2009=\u2009107; 47 TAD and 60 TAA), or BSG (<jats:italic>n<\/jats:italic>\u2009=\u200999; 37 TAD and 62 TAA) were included from multiple centers from January 2015 to December 2022, and a total of 1,108 visceral aortic branches were reconstructed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average reconstruction time of each visceral aortic branch for FSG, BSG, and PSG is 27.5\u2009\u00b1\u200912.1, 23.2\u2009\u00b1\u200911.9, and 18.8\u2009\u00b1\u200911.8\u2005min, respectively (<jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.01). The free-from-endoleak rate at the last follow-up for FSG, BSG, and PSG was 86.9%, 91.9%, and 60.0%, respectively. The last follow-up patency rate for FSG, BSG, and PSG was 85.0%, 91.9%, and 94.1%, respectively. The average reconstruction price of each visceral aortic branch for FSG, BSG, and PSG was 41.40\u2009\u00b1\u20093.22 thousand RMB, 41.84\u2009\u00b1\u20093.86 thousand RMB, and 42.35\u2009\u00b1\u20094.52 thousand RMB, respectively (<jats:italic>P<\/jats:italic>\u2009=\u20090.24).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>To treat the aortic pathologies involving the visceral segment, BSG had a lower endoleak rate and higher branch patency rate when compared with the FSG and PSG techniques. The expense of BSG was comparable to the other two techniques.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fcvm.2024.1416635","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T04:30:51Z","timestamp":1727152251000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of branched, fenestrated, and parallel strategies for endovascular treatment of thoracoabdominal aortic pathologies involving visceral 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