{"id":"https://openalex.org/W18309558","doi":null,"title":"Pushing forward the limits of EVAR: new therapeutic solutions for extremely challenging AAAs using the Ovation\u00ae stent-graft.","display_name":"Pushing forward the limits of EVAR: new therapeutic solutions for extremely challenging AAAs using the Ovation\u00ae stent-graft.","publication_year":2016,"publication_date":"2016-12-01","ids":{"openalex":"https://openalex.org/W18309558","mag":"18309558","pmid":"https://pubmed.ncbi.nlm.nih.gov/25658977"},"language":"en","primary_location":{"id":"pmid:25658977","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25658977","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of cardiovascular surgery","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5072558454","display_name":"Pasqualino Sirignano","orcid":"https://orcid.org/0000-0002-1312-1915","observed_orcids":["https://orcid.org/0000-0002-1312-1915"]},"institutions":[{"id":"https://openalex.org/I2800330116","display_name":"Policlinico Umberto I","ror":"https://ror.org/011cabk38","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I2800330116"]},{"id":"https://openalex.org/I861853513","display_name":"Sapienza University of Rome","ror":"https://ror.org/02be6w209","country_code":"IT","type":"education","lineage":["https://openalex.org/I861853513"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Pasqualino Sirignano","raw_affiliation_strings":["Vascular and Endovascular Surgery Division, Department of Surgery \"Paride Stefanini\", Sapienza University of Rome, Policlinico Umberto I, Rome, Italy - pasqualino.sirignano@gmail.com"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Vascular and Endovascular Surgery Division, Department of Surgery \"Paride Stefanini\", Sapienza University of Rome, Policlinico Umberto I, Rome, Italy - pasqualino.sirignano@gmail.com","institution_ids":["https://openalex.org/I2800330116","https://openalex.org/I861853513"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018908851","display_name":"Laura Capoccia","orcid":"https://orcid.org/0000-0002-2012-9202","observed_orcids":["https://orcid.org/0000-0002-2012-9202","https://orcid.org/0009-0001-4172-1117"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Laura Capoccia","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044141341","display_name":"Danilo Menna","orcid":"https://orcid.org/0000-0002-4226-7665","observed_orcids":["https://orcid.org/0000-0002-4226-7665"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Danilo Menna","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077534545","display_name":"Wassim Mansour","orcid":"https://orcid.org/0000-0002-7774-8178","observed_orcids":["https://orcid.org/0000-0002-7774-8178"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Wassim Mansour","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5048602368","display_name":"Francesco Speziale","orcid":"https://orcid.org/0000-0001-8106-2083","observed_orcids":["https://orcid.org/0000-0001-8106-2083"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Francesco Speziale","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.7347,"has_fulltext":false,"cited_by_count":17,"citation_normalized_percentile":{"value":0.88733143,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"57","issue":"6","first_page":"839","last_page":"845"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10983","display_name":"Aortic aneurysm repair treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10983","display_name":"Aortic aneurysm repair treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10420","display_name":"Intracranial Aneurysms: Treatment and Complications","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/endovascular-aneurysm-repair","display_name":"endovascular aneurysm repair","score":0.9929999709129333},{"id":"https://openalex.org/keywords/abdominal-aortic-aneurysm","display_name":"abdominal aortic aneurysm","score":0.9950000047683716},{"id":"https://openalex.org/keywords/iliac-artery-access","display_name":"iliac artery access","score":0.6579999923706055},{"id":"https://openalex.org/keywords/reintervention","display_name":"reintervention","score":0.5180000066757202}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9779382944107056},{"id":"https://openalex.org/C2776543907","wikidata":"https://www.wikidata.org/wiki/Q5376563","display_name":"Endovascular aneurysm repair","level":4,"score":0.6918908357620239},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6250790357589722},{"id":"https://openalex.org/C2778583881","wikidata":"https://www.wikidata.org/wiki/Q1325542","display_name":"Stent","level":2,"score":0.5779790282249451},{"id":"https://openalex.org/C185250623","wikidata":"https://www.wikidata.org/wiki/Q2301683","display_name":"Tortuosity","level":3,"score":0.5750837922096252},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5395445227622986},{"id":"https://openalex.org/C2776098176","wikidata":"https://www.wikidata.org/wiki/Q189389","display_name":"Aneurysm","level":2,"score":0.5347662568092346},{"id":"https://openalex.org/C2780868729","wikidata":"https://www.wikidata.org/wiki/Q261327","display_name":"Thrombosis","level":2,"score":0.4676715135574341},{"id":"https://openalex.org/C2779993416","wikidata":"https://www.wikidata.org/wiki/Q2256736","display_name":"Abdominal aortic aneurysm","level":3,"score":0.43783265352249146},{"id":"https://openalex.org/C2777323849","wikidata":"https://www.wikidata.org/wiki/Q616003","display_name":"Aortic aneurysm","level":3,"score":0.4121185839176178},{"id":"https://openalex.org/C6648577","wikidata":"https://www.wikidata.org/wiki/Q622669","display_name":"Porosity","level":2,"score":0.0},{"id":"https://openalex.org/C187320778","wikidata":"https://www.wikidata.org/wiki/Q1349130","display_name":"Geotechnical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000072226","descriptor_name":"Computed Tomography Angiography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001027","descriptor_name":"Aortography","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D001807","descriptor_name":"Blood Vessel Prosthesis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D011474","descriptor_name":"Prosthesis Design","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012384","descriptor_name":"Rome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015607","descriptor_name":"Stents","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017544","descriptor_name":"Aortic Aneurysm, Abdominal","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":false},{"descriptor_ui":"D017544","descriptor_name":"Aortic Aneurysm, Abdominal","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D019917","descriptor_name":"Blood Vessel Prosthesis Implantation","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D019917","descriptor_name":"Blood Vessel Prosthesis Implantation","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D057510","descriptor_name":"Endovascular Procedures","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D057510","descriptor_name":"Endovascular Procedures","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D061330","descriptor_name":"Multidetector Computed Tomography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"pmid:25658977","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25658977","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of cardiovascular surgery","raw_type":"Journal Article"},{"id":"pmh:oai:iris.uniroma1.it:11573/763311","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/11573/763311","pdf_url":null,"source":{"id":"https://openalex.org/S4377196107","display_name":"IRIS Research product catalog (Sapienza University of Rome)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"info:eu-repo/semantics/article"},{"id":"mag:18309558","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25658977","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9922999739646912}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4414867172","https://openalex.org/W3013069860","https://openalex.org/W2969534431","https://openalex.org/W2732837270","https://openalex.org/W2418247968","https://openalex.org/W2048617463","https://openalex.org/W4289175143","https://openalex.org/W2067556358","https://openalex.org/W2972480910","https://openalex.org/W7007710401"],"abstract_inverted_index":{"BACKGROUND:":[0],"Extreme":[1],"complex":[2,36,83],"aortic":[3,18,37,103],"anatomies":[4,84],"still":[5],"represent":[6],"the":[7,96,126,227,260],"major":[8],"limit":[9],"of":[10,22,29,80,98,128,234,262],"endovascular":[11],"aneurysms":[12],"repair":[13],"(EVAR)":[14],"for":[15,72,265],"infrarenal":[16],"abdominal":[17],"aneurysm":[19,133],"(AAA).":[20],"Aim":[21],"this":[23],"study":[24,43],"was":[25,44,154,163,169,180],"to":[26,253],"evaluate":[27],"results":[28],"EVAR":[30,87],"with":[31,62,273],"Ovation\u00ae":[32,256],"stent-graft":[33,257],"in":[34,171,182,217,226,271],"extremely":[35,82],"anatomies.":[38],"METHODS:":[39],"A":[40],"single":[41],"center":[42],"retrospectively":[45],"conducted":[46],"on":[47,95,202,209],"a":[48,166,176,231,279],"prospectively":[49],"compiled":[50],"computerized":[51],"database":[52],"between":[53],"July":[54,57],"2012":[55],"and":[56,111,117,120,132,139,175,206,212,249],"2014.":[58],"Twenty-one":[59],"elective":[60],"patients":[61,68,149,159,173,184,196,272],"atherosclerotic":[63],"AAA":[64],"were":[65,69,93,123,144,150,215,224],"included.":[66],"All":[67,148],"judged":[70],"unfit":[71],"or":[73],"refused":[74],"an":[75,242],"open":[76],"approach.":[77],"In":[78,157],"all":[79,218],"them,":[81],"features":[85],"contraindicated":[86],"by":[88],"common":[89],"endografts.":[90],"Patients'":[91],"outcomes":[92],"evaluated":[94],"basis":[97],"anatomical":[99],"features:":[100],"challenging":[101,112,274],"proximal":[102],"neck":[104,161,168,178],"(non-cylindrical,":[105],"short,":[106],"severely":[107],"angulated,":[108],"enlarged,":[109],"thrombosed)":[110],"iliac":[113,192,204,243],"artery":[114],"accesses":[115],"(angulated":[116],"narrowed).":[118],"Technical":[119,211],"clinical":[121,213],"successes":[122,214],"defined":[124],"as":[125],"absence":[127],"intraoperative":[129],"surgical":[130],"conversion":[131],"related":[134],"mortality,":[135],"respectively.":[136],"Reintervention,":[137],"morbidity":[138],"mortality":[140],"rates":[141],"during":[142],"follow-up":[143,233,281],"also":[145],"recorded.":[146],"RESULTS:":[147],"male;":[151],"mean":[152,232],"age":[153],"75.6\u00b17.2":[155],"years.":[156],"14":[158],"(66.7%)":[160],"length":[162],"<10":[164],"mm,":[165],"non-cylindrical":[167],"present":[170,228],"15":[172],"(71.4%)":[174],"severe":[177,198],"thrombosis":[179],"registered":[181],"13":[183],"(61.9%).":[185],"Only":[186],"1":[187],"patient":[188,240],"(4.8%)":[189],"had":[190,197],"no":[191],"tortuosity,":[193],"9":[194],"(42.8%)":[195],"tortuosity":[199],"at":[200],"least":[201],"one":[203,239],"access":[205],"7":[207],"(33.3%)":[208],"both.":[210],"achieved":[216],"cases.":[219],"Neither":[220],"death":[221],"nor":[222],"reinterventions":[223],"observed":[225],"series.":[229],"At":[230],"9\u00b15":[235],"(3-27)":[236],"months,":[237],"only":[238],"presented":[241],"leg":[244],"occlusion.":[245],"CONCLUSIONS:":[246],"Our":[247],"limited":[248],"preliminary":[250],"experience":[251],"seems":[252],"show":[254],"that":[255],"may":[258],"widen":[259],"range":[261],"AAAs":[263],"suitable":[264],"standard":[266],"EVAR.":[267],"Early":[268],"results,":[269],"even":[270],"anatomies,":[275],"are":[276],"encouraging":[277],"but":[278],"longer":[280],"is":[282],"mandatory.":[283]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}