Evidence map›Paper›PMID 41496884›Full record

ArticleJournal of vascular surgery cases and innovative techniques2026

Fenestrated endovascular aortic repair for complex abdominal aortic aneurysms using in situ laser fenestrations.

Aslyn E Mattson, John C Motta, Eileen de Grandis, W Anthony Lee

Abstract read
In one paragraph

Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

4 authors.

Aslyn E MattsonDivision of Vascular Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL.
John C MottaDivision of Vascular Surgery, Boca Raton Regional Hospital at Baptist Health South Florida, Boca Raton, FL.
Eileen de GrandisDivision of Vascular Surgery, Boca Raton Regional Hospital at Baptist Health South Florida, Boca Raton, FL.
W Anthony LeeDivision of Vascular Surgery, Boca Raton Regional Hospital at Baptist Health South Florida, Boca Raton, FL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: In situ fenestration (ISF) is a technique for fenestrated endovascular aortic repair (FEVAR) that can be used for urgent repairs of abdominal aortic aneurysms (AAAs) when there is an inadequate infrarenal landing zone for use of a conventional aortic endograft. It involves deliberate endograft coverage of indispensable branch vessels with ISF of the endograft fabric followed by a bridging covered stent. The aim of this series was to review the indications, early clinical outcomes, and technical feasibility of ISF technique for FEVAR of complex AAAs. Methods: This single-center retrospective case series included all patients with complex aortic aneurysms involving visceral branch vessels requiring urgent repair who were selected for FEVAR using the ISF technique. Briefly, the minimum length of proximal landing zone was determined for each patient. The branch vessels in this segment were prestented as radiographic markers. A polyester-based endograft was fully deployed. Using a steerable sheath, fenestrations were created using a CVX-300 excimer laser and covered, balloon-expandable stents were used to restore perfusion to the target vessels. Results: From February 2023 to December 2024, 12 patients underwent ISF-FEVAR with 33 intended target vessels. Technical success per Society for Vascular Surgery reporting standards was 91% (30/33). Perioperative complications included 30-day mortality (n = 2), failure to create a fenestration (n = 1), target vessel dissection (n = 2), transient acute kidney injury (n = 1), spinal cord ischemia (n = 1), and femoral artery pseudoaneurysm (n = 1). There were one type II (n = 1) and one type IIIb endoleak at 1 month, and three secondary interventions performed during the follow-up period. There was no aneurysm growth and one patient experienced sac shrinkage. Conclusions: ISF of aortic stent grafts is a feasible and useful technique for urgent FEVAR of complex AAAs.

Indexed as

Abdominal aortic aneurysmFenestrated endovascular aortic repairLaser fenestration

Identifiers

PMID41496884
PMCPMC12767861

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