Evidence map›Paper›PMID 42466795›Full record

ArticleTurk gogus kalp damar cerrahisi dergisi2026

Endovascular treatment of thoracoabdominal aortic pathologies using 3D printer-assisted physician-modified stent-grafts.

Ahmet Kayan, Evren Özçınar, Nur Dikmen, Salih Anıl Boğa, Fatma Akça, Emre Can Çelebioğlu, Levent Yazıcıoğlu, Sadık Bilgiç

Abstract read
In one paragraph

Article in Turk gogus kalp damar cerrahisi dergisi, 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

8 authors.

Ahmet KayanDepartment of Cardiovascular Surgery, Ankara University Health Practice and Research Hospitals, Ankara, Türkiye.ORCID 0000-0002-1875-6258
Evren ÖzçınarDepartment of Cardiovascular Surgery, Ankara University Health Practice and Research Hospitals, Ankara, Türkiye.ORCID 0000-0001-6151-2147
Nur DikmenDepartment of Cardiovascular Surgery, Ankara University Health Practice and Research Hospitals, Ankara, Türkiye.ORCID 0000-0002-7515-8465
Salih Anıl BoğaClinic of Cardiovascular Surgery, High Specialization Hospital, Kırıkkale, Türkiye.ORCID 0000-0002-6657-0810
Fatma AkçaClinic of Cardiovascular Surgery, High Specialization Hospital, Kırıkkale, Türkiye.ORCID 0000-0001-5633-9933
Emre Can ÇelebioğluDepartment of Radiology, Ankara University Health Practice and Research Hospitals, Ankara, Türkiye.ORCID 0000-0002-1580-7064
Levent YazıcıoğluDepartment of Cardiovascular Surgery, Ankara University Health Practice and Research Hospitals, Ankara, Türkiye.ORCID 0000-0002-7499-2706
Sadık BilgiçDepartment of Radiology, Ankara University Health Practice and Research Hospitals, Ankara, Türkiye.ORCID 0000-0003-2039-2024

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Thoracoabdominal aortic aneurysms (TAAAs) and dissections are among the most challenging vascular diseases. Endovascular interventions have gained prominence in the treatment of these diseases in recent years. However, the frequent involvement of the visceral or supra-aortic artery ostia in the proximal or distal landing zone increases the complexity of the procedure. Therefore, several techniques have been developed to address this challenge. In this study, we present our experience with thoracic endovascular aortic repair using three-dimensional (3D) printer-assisted physician-modified stent-grafts (PMSGs) for thoracoabdominal aortic pathologies involving the left subclavian artery, celiac trunk, superior mesenteric artery, or renal arteries. Methods: Between January 2020 and January 2023, a total of 18 patients presenting with complex aortic pathologies were screened for eligibility. Four patients were excluded because of active systemic infection/mycotic etiology (n=2) or unsuitable iliofemoral access (n=2). Consequently, 14 patients (12 with TAAAs and 2 with aortic arch dissections) were treated using 3D printer-assisted PMSGs. All aortic arch dissections extended to the left subclavian artery. Results: Fourteen patients underwent surgery with 3D printing guidance. The technical success rate was 92.8%. There were no perioperative deaths. The mean age was 68.07±10.6 years. The mean procedure time was 4.27±1.23 hours, including a mean custom graft preparation time of 1.3±0.6 hours. The mean intensive care unit stay was 5.64±11.54 days, and the mean hospital stay was 13.07±10.6 days. All 14 patients were followed for 2-12 months, with a mean follow-up of 6 months. Mortality occurred in 1 patient (7.1%). Conclusion: The 3D printer-assisted PMSG technique offers significant technical advantages by improving procedural precision and simplifying the creation of fenestrations for complex aortic pathologies. Our findings suggest that this technique provides a high technical success rate and represents a safe and feasible alternative for preserving vital side branches, particularly in settings where patient-specific custom-made grafts are not readily available.

Indexed as

3D printerendovascular interventionphysician-modified fenestrated graftthoracic endovascular aortic repairThoracoabdominal aortic aneurysm

Identifiers

PMID42466795
PMCPMC13658974

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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.