{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T19:36:34Z","timestamp":1790796994837,"version":"4.1.0"},"reference-count":52,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2023,7,9]],"date-time":"2023-07-09T00:00:00Z","timestamp":1688860800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"111 Project","award":["BP0719035"],"award-info":[{"award-number":["BP0719035"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Materials"],"abstract":"<jats:p>In situ fenestration of endovascular stent-grafts has become a mainstream bailout technique to treat complex emergent aneurysms while maintaining native anatomical visceral and aortic arch blood supplies. Fabric tearing from creating the in situ fenestration using balloon angioplasty may extend beyond the intended diameter over time. Further tearing may result from the physiologic pulsatile motion at the branching site. A resultant endoleak at the fenestrated sites in stent-grafts could ultimately lead to re-pressurization of the aortic sac and, eventually, rupture. In an attempt to address this challenge, plain woven fabrics were designed. They hold a specific corona surrounding a square-shaped cluster with a plain weave fabric structure, a 2\/2 twill, or a honeycomb. The corona was designed to stop potential further tearing of the fabric caused by the initial balloon angioplasty and stent or later post-implantation motion. The cluster within the corona was designed with relatively loose fabric structures (plain weave, 2\/2 twill weave, and honeycomb) to facilitate the laser fenestration. Two commercial devices, Anaconda (Vascutek, Terumo Aortic) and Zenith TX2 (Cook), were selected as controls for comparison against this new design. All the specimens were characterized by morphology, thickness, and water permeability. The results demonstrated that all specimens with a low thickness and water permeability satisfied the requirements for a stent graft material that would be low profile and resistant to endoleaks. The in situ fenestrations were performed on all fabrics utilizing an Excimer laser followed by balloon angioplasty. The fabrics were further observed by light microscopy and scanning electron microscopy. The dimension of the fenestrated apertures was smaller than the balloon\u2019s diameter. The tearing was effectively confined within the corona. The clinical acceptability of this concept deserves additional bench testing and animal experimentation.<\/jats:p>","DOI":"10.3390\/ma16144913","type":"journal-article","created":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T00:54:23Z","timestamp":1688950463000},"page":"4913","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Stent-Graft Fabrics Incorporating a Specific Corona Ready to Fenestrate"],"prefix":"10.3390","volume":"16","author":[{"given":"Jing","family":"Lin","sequence":"first","affiliation":[{"name":"Key Laboratory of Textile Science and Technology, Ministry of Education, College of Textiles, Donghua University, Shanghai 201620, China"},{"name":"Key Laboratory of Textile Industry for Biomedical Textile Materials and Technology, Donghua University, Shanghai 201620, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3836-3897","authenticated-orcid":false,"given":"Xiaoning","family":"Guan","sequence":"additional","affiliation":[{"name":"Key Laboratory of Textile Science and Technology, Ministry of Education, College of Textiles, Donghua University, Shanghai 201620, China"},{"name":"Key Laboratory of Textile Industry for Biomedical Textile Materials and Technology, Donghua University, Shanghai 201620, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Nutley","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery and Department of Diagnostic Imaging, University of Calgary, Peter Lougheed Centre, Calgary, AB T2N1N4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean M.","family":"Panneton","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VA 23501, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ze","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Universit\u00e9 Laval and Centre de Recherche du CHU de Qu\u00e9bec, Qu\u00e9bec, QC G1V 0A6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Guidoin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Universit\u00e9 Laval and Centre de Recherche du CHU de Qu\u00e9bec, Qu\u00e9bec, QC G1V 0A6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu","family":"Wang","sequence":"additional","affiliation":[{"name":"Key Laboratory of Textile Science and Technology, Ministry of Education, College of Textiles, Donghua University, Shanghai 201620, China"},{"name":"Key Laboratory of Textile Industry for Biomedical Textile Materials and Technology, Donghua University, Shanghai 201620, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1053\/j.tvir.2018.06.004","article-title":"Advanced techniques in thoracic endovascular aortic repair: Chimneys periscopes, fenestrated endografts, and branched devices","volume":"21","author":"Schenning","year":"2018","journal-title":"Tech. Vasc. Interv. Radiol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1177\/1526602820952412","article-title":"Honing the technique of in situ stent-graft fenestration","volume":"28","author":"Guidoin","year":"2021","journal-title":"J. Endovasc. Ther."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1097\/SLA.0000000000001405","article-title":"PERICLES investigators Collected world experience about the performance of snorkel\/chimney endovascular technique in the treatment of complex aortic pathologies: The PERICLES Registry","volume":"262","author":"Donas","year":"2015","journal-title":"Ann. Surg."},{"key":"ref_4","unstructured":"Le Hou\u00e9rou, T., Fabre, D., Mougin, J., Tyrell, M.R., and Haulon, S. (2023, March 17). Laser fenestration: An emergency technique in the management of complex aortic aneurysms. \u2014Endovascular Today. Available online: https:\/\/evtoday.com\/articles\/2021-mar\/laser-fenestration-an-emergency-technique-in-the-management-of-complex-aortic-aneurysms."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1177\/1526602820981980","article-title":"Optimal in situ fenestration technique with laser perforation and balloon dilation for aortic stent-grafts","volume":"28","author":"Lin","year":"2021","journal-title":"J. Endovasc. Ther."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1177\/1526602818772311","article-title":"Laser fenestration of aortic stent-grafts followed by non-compliant vs cutting balloon dilation: A scanning electron microscopy study","volume":"25","author":"Lin","year":"2018","journal-title":"J. Endovasc. Ther."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.avsg.2019.02.005","article-title":"On behalf of members of the AARCHIF registry. Multicenter analysis of endovascular aortic arch in situ stent graft fenestrations for aortic arch pathologies","volume":"59","author":"Kopp","year":"2019","journal-title":"Ann. Vasc. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/j.ejvs.2016.10.001","article-title":"A comprehensive review of in situ fenestration of aortic endografts","volume":"52","author":"Glorion","year":"2016","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.ijcard.2020.12.011","article-title":"Laser fenestration of aortic arch stent grafts for endovascular treatment of retrograde type A dissection","volume":"328","author":"Qin","year":"2021","journal-title":"Int. J. Cardiol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"459.e9","DOI":"10.1016\/j.avsg.2019.08.101","article-title":"In-situ fenestration of a PTFE thoracic aortic stent graft for delayed left subclavian artery revascularization following frozen elephant trunk repair of type A aortic dissection","volume":"63","author":"Veranyan","year":"2020","journal-title":"Ann. Vasc. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"380","DOI":"10.21037\/acs.2018.04.02","article-title":"Endovascular total arch replacement techniques and early results","volume":"7","author":"Makaluski","year":"2018","journal-title":"Ann. Cardiothorac. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1016\/j.cjca.2021.04.024","article-title":"A Novel fenestrating device: Quick fenestrater for reconstructing supra-aortic arteries in situ during thoracic endovascular aortic repair","volume":"37","author":"Bai","year":"2021","journal-title":"Can. J. Cardiol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e043599","DOI":"10.1136\/bmjopen-2020-043599","article-title":"Evaluation for the safety and effectiveness of the in situ fenestration system in TEVAR for aortic arch pathologies:protocol for a prospective, multicentre and single-arm study","volume":"11","author":"Sun","year":"2021","journal-title":"BMJ Open"},{"key":"ref_14","first-page":"2717","article-title":"Evaluation of a new imaging software for aortic endograft planning","volume":"21","author":"Tinelli","year":"2017","journal-title":"Eur. Rev. Med. Pharmacol. Sci."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1615\/JLongTermEffMedImplants.v21.i3.90","article-title":"Intra-operative fenestration of stent-grafts: A note of caution based upon preliminary in vitro observations","volume":"21","author":"Lin","year":"2011","journal-title":"J. Long Term Eff. Med. Implants"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/j.ejvs.2014.02.008","article-title":"Graft durability and fatigue after in situ fenestration of endovascular stent-grats using radiofrequency puncture and balloon dilatation","volume":"47","author":"Eadie","year":"2014","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1551","DOI":"10.1016\/j.jvir.2015.06.038","article-title":"Effects of pulsatile fatigue on in situ antegrade fenestrated polyester stant-grafts deployed in a patient specific phantom model of juxtarenal aortic aneurysm","volume":"26","author":"Ruthraulf","year":"2015","journal-title":"J. Vasc. Interv. Radiol."},{"key":"ref_18","unstructured":"(2017). Cardiovascular implants and extracorporeal systems\u2014Vascular prostheses\u2014Tubular vascular grafts and vascular patches. Standard No. ISO 7198: 2016."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1002\/jbm.820210111","article-title":"Textile arterial prostheses: Is water permeability equivalent to porosity?","volume":"21","author":"Guidoin","year":"1987","journal-title":"J. Biomed. Mater. Res."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1583\/12-4175.1","article-title":"In vitro fenestration of aortic stent-grafts: Implications of puncture methods for in situ fenestration durability","volume":"20","author":"Riga","year":"2013","journal-title":"J. Endovasc. Ther."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1016\/j.jvs.2019.07.076","article-title":"The different effect of branches and fenestrations on early and long-term visceral vessel patency in complex aortic endovascular repair","volume":"71","author":"Pini","year":"2020","journal-title":"J. Vasc. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1007\/s00270-021-02773-w","article-title":"Geometric analysis to determine kinking and shortening of bridging stents after branched endovascular aortic repair","volume":"44","author":"Finotello","year":"2021","journal-title":"Cardiovasc. Intervent. Radiol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"14","DOI":"10.5758\/vsi.210025","article-title":"Insights on bridging stent-grafts in fenestrated and branched aortic endografting","volume":"37","author":"Yoon","year":"2021","journal-title":"Vasc. Specialist Inv."},{"key":"ref_24","unstructured":"McKinsey, J.F., Kuppurathanam, S.S.V., and Waninger, M.S. (2013). Textile graft for in situ fenestration. (8597342B2), U.S. Patent."},{"key":"ref_25","unstructured":"Kuppurathanam, S., Biggs, D.P., Ivancev, K., and Harris, P. (2013). Variable weave graft with metal strand reinforcement for in situ fenestration. (8353943B2), U.S. Patent."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1016\/j.jvs.2011.03.005","article-title":"The transition from custom-made to standardized multibranched thoracoabdominal aortic stent grafts","volume":"54","author":"Chuter","year":"2011","journal-title":"J. Vasc. Surg."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/j.ejvs.2015.11.014","article-title":"Laser generated in situ fenestrations in dacron stent grafts","volume":"51","author":"Sonesson","year":"2016","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1664","DOI":"10.1016\/j.jvs.2018.09.052","article-title":"Midterm results of laser generated in situ fenestration of the left subclavian artery during thoracic endovascular aneurysm repair","volume":"69","author":"Sonesson","year":"2019","journal-title":"J. Vasc. Surg."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1177\/1526602818771973","article-title":"Initial clinical experience using the low-profile Altura endograft system with double D-shaped proximal stents for endovascular aneurysm repair","volume":"25","author":"Krievins","year":"2018","journal-title":"J. Endovasc. Ther."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.1016\/j.jvs.2016.02.021","article-title":"Endovascular repair of thoracoabdominal aortic aneurysm using the off-the-shelf multibranched T-Branch stent graft","volume":"63","author":"Mendes","year":"2016","journal-title":"J. Vasc. Surg."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1558","DOI":"10.1016\/j.jvs.2020.02.012","article-title":"Short-term outcomes of the T-Branch off-the-shelf multibranched stent graft for reintervention after previous infrarenal aortic repair","volume":"72","author":"Eleshra","year":"2020","journal-title":"J. Vasc. Surg."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.ejvs.2021.03.010","article-title":"Initial results of antegrade laser fenestrations using image fusion guidance and company manufactured stent grafts in complex aortic aneurysm repair","volume":"62","author":"Fadel","year":"2021","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/j.jvir.2021.10.006","article-title":"Percutaneous in situ microneedle puncture fenestration via the left subclavian artery for branched thoracic endovascular aortic repair","volume":"33","author":"Zeng","year":"2022","journal-title":"J. Vasc. Interv. Radiol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1177\/1526602818776623","article-title":"A new adjustable puncture device for in situ fenestration during thoracic endovascular aortic repair","volume":"25","author":"Wang","year":"2018","journal-title":"J. Endovasc. Ther."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Grima, M.J., Wanhainen, A., and Lindstr\u00f6m, D. (J. Endovasc. Ther., 2022). In situ laser fenestration technique: Bench-testing of aortic endograft to guide clinical practice, J. Endovasc. Ther., ahead of print.","DOI":"10.1177\/15266028221119315"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"195","DOI":"10.2351\/1.4745357","article-title":"Hazardous chemicals produced by laser materials processing","volume":"6","author":"Kokoba","year":"1994","journal-title":"J. Laser Appl."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.ejvs.2018.05.014","article-title":"In situ antegrade laser fenestrations during endovascular aortic repair","volume":"56","author":"Fabre","year":"2018","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e004542","DOI":"10.1161\/JAHA.116.004542","article-title":"In situ laser fenestration is a feasible method for revascularization of aortic arch during thoracic endovascular aortic repair","volume":"6","author":"Qin","year":"2017","journal-title":"J. Am. Heart Assoc."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1177\/1526602814565776","article-title":"Radiofrequency in situ fenestration for aortic arch vessels during thoracic endovascular repair","volume":"22","author":"Lindsay","year":"2015","journal-title":"J. Endovasc. Ther."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.ejvs.2021.09.028","article-title":"Midterm outcomes of an adjustable puncture device for in situ fenestration during thoracic endovascular aortic repair","volume":"63","author":"Shu","year":"2022","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/j.jvscit.2022.11.004","article-title":"Techniques of antegrade in situ laser fenestration for endovascular aortic repair of complex abdominal and thoracoabdominal sortie aneurysms","volume":"8","author":"DiBartolomeo","year":"2022","journal-title":"J. Vasc. Surg. Cases Innov. Tech."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1583\/13-4231R.1","article-title":"Antegrade in situ stent-graft fenestration for the renal artery following inadvertent coverage during EVAR","volume":"20","author":"Carpenter","year":"2013","journal-title":"J. Endovasc. Ther."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jcis.2022.04.060","article-title":"Wicking dynamics in yarns","volume":"625","author":"Fischer","year":"2022","journal-title":"J. Colloid. Interface Sci."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1007\/BF01852044","article-title":"The initial blood retention properties of arterial prostheses","volume":"186","author":"Legendre","year":"1986","journal-title":"Res. Exp. Med."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"100055","DOI":"10.1016\/j.medntd.2020.100055","article-title":"Customized and in situ fenestrated stent-grafts: A reinforced poly-E-caprolactone branch cuft designed to prevent type III endoleaks and enhance hemoclynamics","volume":"9","author":"Wang","year":"2021","journal-title":"Med. Novel Tech. Dev."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1067\/mva.2001.113980","article-title":"Histopathologie analysis of endovascular stent-grafts from patients with aortic aneurysms: Does healing occur?","volume":"33","author":"McArthur","year":"2001","journal-title":"J. Vasc. Surg."},{"key":"ref_47","first-page":"145","article-title":"Effects of compliance alteration on healing of a porous dacron prosthesis in the thoracic aorta of the dog","volume":"158","author":"Cengiz","year":"1984","journal-title":"Surg. Gynecol. Obstet."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1097\/00000658-197201000-00018","article-title":"Healing of arterial prostheses in man: Its incompletenus","volume":"175","author":"Berger","year":"1972","journal-title":"Ann. Surg."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1002\/jbm.a.31124","article-title":"Transrenal communication at a subcellular level may play a critical role in the fall-out based endothelialization of Dacron Vascular prostheses in canine","volume":"81","author":"Zhang","year":"2007","journal-title":"J. Biomed. Mater. Res. Part A"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"3781","DOI":"10.1039\/D2TB00478J","article-title":"Recent strategies for improving hemocompatibility and endothelialization of cardiovascular devices and inhibition of intimal hyperplasia","volume":"10","author":"Feng","year":"2022","journal-title":"J. Mater. Chem. B"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1002\/jbm.820270302","article-title":"The blood compatibility catastrophe","volume":"27","author":"Ratner","year":"1993","journal-title":"J. Biomed. Mater. Res."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"123","DOI":"10.3389\/fbioe.2020.00123","article-title":"Thrombogenic and inflammatory reactions to biomaterials in medical devices","volume":"8","author":"Labarreve","year":"2020","journal-title":"Front. Bioeng. Biotechnol."}],"container-title":["Materials"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1996-1944\/16\/14\/4913\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:09:32Z","timestamp":1760126972000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1996-1944\/16\/14\/4913"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,9]]},"references-count":52,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2023,7]]}},"alternative-id":["ma16144913"],"URL":"https:\/\/doi.org\/10.3390\/ma16144913","relation":{},"ISSN":["1996-1944"],"issn-type":[{"value":"1996-1944","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,9]]}}}