Evidence map›Paper›PMID 41694181›Full record

ReviewAnnals of vascular diseases2026

Physician-Modified Endografts for Complex Aortic Aneurysms in Japan: Current Status, Clinical Outcomes, and Guideline Integration.

Tsuyoshi Shibata, Yutaka Iba, Shingo Tsushima, Tomohiro Nakajima, Junji Nakazawa, Ayaka Arihara, Kenichi Kato, Shigeki Komatsu, Masato Yonemori, Kenta Yoshikawa and 4 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Annals of vascular diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

1 citing paper in PubMed.

  1. Article
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

14 authors.

Tsuyoshi ShibataDivision of Cardiovascular Surgery, Department of Surgery, Sapporo Medical University, Sapporo, Hokkaido, Japan.
Yutaka IbaDivision of Cardiovascular Surgery, Department of Surgery, Sapporo Medical University, Sapporo, Hokkaido, Japan.
Shingo TsushimaDivision of Cardiovascular Surgery, Department of Surgery, Sapporo Medical University, Sapporo, Hokkaido, Japan.
Tomohiro NakajimaDivision of Cardiovascular Surgery, Department of Surgery, Sapporo Medical University, Sapporo, Hokkaido, Japan.
Junji NakazawaDivision of Cardiovascular Surgery, Department of Surgery, Sapporo Medical University, Sapporo, Hokkaido, Japan.
Ayaka AriharaDivision of Cardiovascular Surgery, Department of Surgery, Sapporo Medical University, Sapporo, Hokkaido, Japan.
Kenichi KatoDivision of Cardiovascular Surgery, Department of Surgery, Sapporo Medical University, Sapporo, Hokkaido, Japan.
Shigeki KomatsuDivision of Cardiovascular Surgery, Department of Surgery, Sapporo Medical University, Sapporo, Hokkaido, Japan.
Masato YonemoriDivision of Cardiovascular Surgery, Department of Surgery, Sapporo Medical University, Sapporo, Hokkaido, Japan.
Kenta YoshikawaDivision of Radiology and Nuclear Medicine, Sapporo Medical University, Sapporo, Hokkaido, Japan.
Shun HayasakaDivision of Radiology and Nuclear Medicine, Sapporo Medical University, Sapporo, Hokkaido, Japan.
Hirokazu SugiuraDepartment of Rehabilitation, Sapporo City General Hospital, Sapporo, Hokkaido, Japan.
Hajime MaedaDivision of Cardiovascular Surgery, Department of Surgery, Sapporo Medical University, Sapporo, Hokkaido, Japan.
Nobuyoshi KawaharadaDivision of Cardiovascular Surgery, Department of Surgery, Sapporo Medical University, Sapporo, Hokkaido, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In Japan, the absence of commercially available fenestrated and/or branched endografts has necessitated widespread adoption of physician-modified endografts (PMEGs) for complex aortic aneurysms. This paper compares PMEG use in Western countries and Japan, summarizes multicenter outcome data, and highlights the gap between real-world practice and current Japanese aortic disease guidelines. Recent Japanese series report high technical success and acceptable mid-term outcomes, comparable to Western reports. While long-term durability remains uncertain, structured training, national registries, and standardized protocols are essential. Guideline acknowledgment of PMEGs could improve safety, consistency, and international alignment in complex endovascular therapy. Establishing structured training, national registries, and evidence-based policy recognition of PMEGs is essential to ensure safe and standardized practice in Japan.

Indexed as

aortic aneurysmcomplex aortic aneurysmendovascular aortic repairguidelineJapanphysician-modified endograft

Identifiers

PMID41694181
PMCPMC12900572

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.