Evidence map›Paper›PMID 39157578›Full record

ArticleJournal of vascular surgery cases and innovative techniques2024

Physician-modified endograft for symptomatic zone 2 penetrating ulcer of the aortic arch without bridging stenting of the left subclavian artery for vertebral preservation.

Pierfrancesco Antonio Annuvolo, Ottavia Borghese, Tommaso Donati, Giovanni Tinelli, Yamume Tshomba

Abstract readCase Reports
In one paragraph

Article in Journal of vascular surgery cases and innovative techniques, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pierfrancesco Antonio AnnuvoloUnit of Vascular Surgery, Fondazione Policlinico Universitario A. Gemelli I.R.C.C.S., Rome, Italy.
Ottavia BorgheseUnit of Vascular Surgery, Fondazione Policlinico Universitario A. Gemelli I.R.C.C.S., Rome, Italy.
Tommaso DonatiUnit of Vascular Surgery, Fondazione Policlinico Universitario A. Gemelli I.R.C.C.S., Rome, Italy.
Giovanni TinelliUnit of Vascular Surgery, Fondazione Policlinico Universitario A. Gemelli I.R.C.C.S., Rome, Italy.
Yamume TshombaUnit of Vascular Surgery, Fondazione Policlinico Universitario A. Gemelli I.R.C.C.S., Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the case of a 65-year-old male patient who was deemed unfit for open surgery and underwent zone 0 endovascular repair with a physician-modified fenestrated endograft for a symptomatic penetrating ulcer. A thoracic stent graft was modified creating a large fenestration for the innominate artery and the left common carotid artery, and a second small fenestration for the left subclavian artery and the left vertebral artery, which had a common origin. No bridging stent was used for the left subclavian artery to avoid coverage of the left vertebral artery. The postoperative course was uneventful, and no leaks nor other complications were detected on postoperative computed tomography angiography. Although long-term durability needs to be better assessed, our experience suggests that physician-modified fenestrated endografts are a feasible option for the emergent treatment of aortic arch lesions in unfit patients and provide satisfactory results in the short term.

Indexed as

Endovascular repairFenestrationHomemade endograftPhysician-modified stent graftSurgeon-modified stent graft

Identifiers

PMID39157578
PMCPMC11327933

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.