Evidence map›Paper›PMID 41721817›Full record

ArticleJACC. Case reports2026

Management of Late TEVAR Migration Using a Novel Branched Endograft: First Western Experience.

Antonio Marzano, Giovanni Gagliardo di Carpinello, Francesca Palombo, Marta Ascione, Alessia Di Girolamo, Francesca Miceli, Rocco Cangiano, Claudia Bittoni, Luca di Marzo, Wassim Mansour

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

10 authors.

Antonio MarzanoVascular Surgery Unit, Department of General and Specialized Surgery and Anesthesiology, "Sapienza" University of Rome, Rome, Italy. Electronic address: antonio.marzano@uniroma1.it.
Giovanni Gagliardo di CarpinelloVascular Surgery Unit, Department of General and Specialized Surgery and Anesthesiology, "Sapienza" University of Rome, Rome, Italy.
Francesca PalomboVascular Surgery Unit, Department of General and Specialized Surgery and Anesthesiology, "Sapienza" University of Rome, Rome, Italy.
Marta AscioneVascular Surgery Unit, Department of General and Specialized Surgery and Anesthesiology, "Sapienza" University of Rome, Rome, Italy.
Alessia Di GirolamoVascular Surgery Unit, Department of General and Specialized Surgery and Anesthesiology, "Sapienza" University of Rome, Rome, Italy.
Francesca MiceliVascular Surgery Unit, Department of General and Specialized Surgery and Anesthesiology, "Sapienza" University of Rome, Rome, Italy.
Rocco CangianoVascular Surgery Unit, Department of General and Specialized Surgery and Anesthesiology, "Sapienza" University of Rome, Rome, Italy.
Claudia BittoniVascular Surgery Unit, Department of General and Specialized Surgery and Anesthesiology, "Sapienza" University of Rome, Rome, Italy.
Luca di MarzoVascular Surgery Unit, Department of General and Specialized Surgery and Anesthesiology, "Sapienza" University of Rome, Rome, Italy.
Wassim MansourVascular Surgery Unit, Department of General and Specialized Surgery and Anesthesiology, "Sapienza" University of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLate distal migration after thoracic endovascular aortic repair may lead to type Ia endoleak and represents a challenging long-term complication, particularly in patients previously treated with complex aortic reconstructions. CASE SUMMARY: A 76-year-old woman with a history of endovascular repair of a type II thoracoabdominal aortic aneurysm underwent surveillance imaging that revealed 50-mm distal migration of the proximal thoracic endovascular aortic repair with a type Ia endoleak in the setting of aortic tortuosity. Proximal relining with preservation of the left subclavian artery was performed using the new Cratos stent graft. The delivery system enabled accurate branch alignment and secure proximal sealing. Completion angiography and 1-month computed tomography angiography confirmed correct positioning, branch patency, and absence of endoleaks. DISCUSSION: This is the first reported Western implantation of the Cratos and the first use in aneurysmal disease. The case highlights technical advantages over the Castor system, particularly in tortuous anatomy. TAKE-HOME MESSAGES: Cratos may expand fully endovascular options for complex proximal thoracic relining; broader experience is needed to confirm durability.

Indexed as

Cratos stent graftTEVAR migrationthoracic endovascular aortic repair (TEVAR)zone 2 aortic arch

Identifiers

PMID41721817
PMCPMC13080827

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Registered trials

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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.