{"id":"https://openalex.org/W7207534280","doi":"https://doi.org/10.1016/j.jvscit.2026.102489","title":"Mechanism-guided endograft explantation eliminates shear-mediated aortic injury in a controlled simulation study","display_name":"Mechanism-guided endograft explantation eliminates shear-mediated aortic injury in a controlled simulation study","publication_year":2026,"publication_date":"2026-09-03","ids":{"openalex":"https://openalex.org/W7207534280","doi":"https://doi.org/10.1016/j.jvscit.2026.102489","pmid":"https://pubmed.ncbi.nlm.nih.gov/42904182","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13682454"},"language":"en","primary_location":{"id":"doi:10.1016/j.jvscit.2026.102489","doi":"https://doi.org/10.1016/j.jvscit.2026.102489","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jvscit.2026.102489","pdf_url":null,"source":{"id":"https://openalex.org/S2764731433","display_name":"Journal of Vascular Surgery Cases and Innovative Techniques","issn_l":"2352-667X","issn":["2352-667X","2468-4287"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Vascular Surgery Cases, Innovations and Techniques","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.jvscit.2026.102489","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5119459768","display_name":"Zain Moin","orcid":"https://orcid.org/0009-0000-5141-5175","observed_orcids":["https://orcid.org/0009-0000-5141-5175"]},"institutions":[{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Zain Moin","raw_affiliation_strings":["Texas A&M School of Engineering Medicine, Houston, TX"],"raw_orcid":"https://orcid.org/0009-0000-5141-5175","affiliations":[{"raw_affiliation_string":"Texas A&M School of Engineering Medicine, Houston, TX","institution_ids":["https://openalex.org/I91045830"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092037189","display_name":"Alayne Morrel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alayne Morrel","raw_affiliation_strings":["Texas A&M School of Engineering Medicine, Houston, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Texas A&M School of Engineering Medicine, Houston, TX","institution_ids":["https://openalex.org/I91045830"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5084865982","display_name":"Maham Rahimi","orcid":"https://orcid.org/0000-0003-2347-9205","observed_orcids":["https://orcid.org/0000-0003-2347-9205"]},"institutions":[{"id":"https://openalex.org/I1295876152","display_name":"Houston Methodist","ror":"https://ror.org/027zt9171","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1295876152"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maham Rahimi","raw_affiliation_strings":["Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TX","institution_ids":["https://openalex.org/I1295876152"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5119459768"],"corresponding_institution_ids":["https://openalex.org/I91045830"],"apc_list":{"value":1250,"currency":"USD","value_usd":1250},"apc_paid":{"value":1250,"currency":"USD","value_usd":1250},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.65025484,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"12","issue":"6","first_page":"102489","last_page":"102489"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10983","display_name":"Aortic aneurysm repair treatments","score":0.4311999976634979,"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":0.4311999976634979,"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/T10916","display_name":"Surgical Simulation and Training","score":0.35569998621940613,"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":0.19580000638961792,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/endograft-explantation","display_name":"endograft explantation","score":0.9950000047683716},{"id":"https://openalex.org/keywords/endovascular-aneurysm-repair","display_name":"endovascular aneurysm repair","score":0.953000009059906},{"id":"https://openalex.org/keywords/intimal-injury","display_name":"intimal injury","score":0.8460000157356262},{"id":"https://openalex.org/keywords/surgical-simulation","display_name":"surgical simulation","score":0.49399998784065247},{"id":"https://openalex.org/keywords/usability","display_name":"usability","score":0.5809999704360962},{"id":"https://openalex.org/keywords/procedure-time","display_name":"procedure time","score":0.6309999823570251}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9399999976158142},{"id":"https://openalex.org/C170130773","wikidata":"https://www.wikidata.org/wiki/Q216378","display_name":"Usability","level":2,"score":0.5737000107765198},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5619000196456909},{"id":"https://openalex.org/C2778571141","wikidata":"https://www.wikidata.org/wiki/Q273318","display_name":"Syringe","level":2,"score":0.4629000127315521},{"id":"https://openalex.org/C50712719","wikidata":"https://www.wikidata.org/wiki/Q446473","display_name":"Syringe driver","level":3,"score":0.33719998598098755},{"id":"https://openalex.org/C2779980429","wikidata":"https://www.wikidata.org/wiki/Q101004","display_name":"Aorta","level":2,"score":0.3269999921321869},{"id":"https://openalex.org/C2991743468","wikidata":"https://www.wikidata.org/wiki/Q166019","display_name":"Blood loss","level":2,"score":0.2782000005245209},{"id":"https://openalex.org/C2777323849","wikidata":"https://www.wikidata.org/wiki/Q616003","display_name":"Aortic aneurysm","level":3,"score":0.2728999853134155},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.2549999952316284},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.24619999527931213}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.jvscit.2026.102489","doi":"https://doi.org/10.1016/j.jvscit.2026.102489","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jvscit.2026.102489","pdf_url":null,"source":{"id":"https://openalex.org/S2764731433","display_name":"Journal of Vascular Surgery Cases and Innovative Techniques","issn_l":"2352-667X","issn":["2352-667X","2468-4287"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Vascular Surgery Cases, Innovations and Techniques","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13682454","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13682454/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13682454/pdf/main.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Vasc Surg Cases Innov Tech","raw_type":"Text"},{"id":"pmid:42904182","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42904182","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":"Journal of vascular surgery cases and innovative techniques","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:2683c3eca8394364b96d2f61cfcaa97c","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/2683c3eca8394364b96d2f61cfcaa97c","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","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":"Journal of Vascular Surgery Cases and Innovative Techniques, Vol 12, Iss 6, Pp 102489- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.jvscit.2026.102489","doi":"https://doi.org/10.1016/j.jvscit.2026.102489","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jvscit.2026.102489","pdf_url":null,"source":{"id":"https://openalex.org/S2764731433","display_name":"Journal of Vascular Surgery Cases and Innovative Techniques","issn_l":"2352-667X","issn":["2352-667X","2468-4287"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Vascular Surgery Cases, Innovations and Techniques","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9763000011444092}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320315638","display_name":"Houston Methodist Hospital","ror":"https://ror.org/027zt9171"},{"id":"https://openalex.org/F4320333841","display_name":"Houston Methodist Research Institute","ror":null}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7207534280.pdf","grobid_xml":"https://content.openalex.org/works/W7207534280.grobid-xml"},"referenced_works_count":12,"referenced_works":["https://openalex.org/W1911391369","https://openalex.org/W1981645285","https://openalex.org/W2068757254","https://openalex.org/W2073480795","https://openalex.org/W2107899776","https://openalex.org/W2422308867","https://openalex.org/W2885323762","https://openalex.org/W2971164718","https://openalex.org/W2997830533","https://openalex.org/W4224213244","https://openalex.org/W4289653926","https://openalex.org/W4410883444"],"related_works":["https://openalex.org/W4413781157","https://openalex.org/W7214275673","https://openalex.org/W4403552306","https://openalex.org/W7163535594","https://openalex.org/W4409566843","https://openalex.org/W7118265761","https://openalex.org/W4399992164","https://openalex.org/W7212082332","https://openalex.org/W7163536182","https://openalex.org/W7118074149"],"abstract_inverted_index":{"Objective":[0],"Endograft":[1],"explantation":[2,23,51,131,161],"is":[3],"associated":[4],"with":[5,85],"high":[6],"morbidity":[7],"and":[8,29,47,58,70,119,150],"mortality,":[9],"driven":[10],"in":[11,147],"part":[12],"by":[13,81],"uncontrolled":[14],"shear-mediated":[15,96,136],"aortic":[16,42,137],"injury.":[17],"We":[18],"evaluated":[19],"whether":[20],"a":[21,35,39,54,59,129,152,156],"mechanism-based":[22,130],"device":[24,61,77],"could":[25],"reduce":[26],"this":[27,126],"injury":[28,80,138],"improve":[30],"procedural":[31,68],"performance.":[32],"Methods":[33],"In":[34,125],"controlled":[36,127],"simulation":[37],"using":[38,52],"multilayered":[40],"3D-printed":[41],"model,":[43],"25":[44],"vascular":[45],"trainees":[46],"surgeons":[48],"performed":[49],"endograft":[50],"both":[53],"conventional":[55],"syringe":[56,87],"technique":[57,88],"novel":[60],"(EndoEx).":[62],"Outcomes":[63],"included":[64],"quantitative":[65],"intimal":[66,79],"injury,":[67],"time,":[69],"validated":[71],"usability":[72,109],"metrics.":[73],"Results":[74],"The":[75],"EndoEx":[76,106],"reduced":[78,135],"approximately":[82],"90%":[83],"compared":[84],"the":[86],"(0.94%":[89],"vs":[90],"9.56%,":[91],"p<0.001),":[92],"representing":[93],"near-elimination":[94],"of":[95,115],"disruption.":[97],"Procedural":[98],"time":[99],"was":[100],"modestly":[101],"longer":[102],"(+32":[103],"seconds,":[104],"p<0.05).":[105],"demonstrated":[107],"superior":[108],"across":[110],"all":[111],"domains,":[112],"including":[113],"ease":[114],"use,":[116],"safety":[117],"perception,":[118],"overall":[120],"cognitive":[121],"load":[122],"(p<0.05).":[123],"Conclusions":[124],"simulation,":[128],"strategy":[132],"(EndoEx)":[133],"drastically":[134],"while":[139],"improving":[140],"operator":[141],"control.":[142],"These":[143],"findings":[144],"support":[145],"further":[146],"vivo":[148],"evaluation":[149],"establish":[151],"mechanistic":[153],"foundation":[154],"for":[155],"device-based":[157],"approach":[158],"to":[159],"EVAR":[160],"that":[162],"warrants":[163],"clinical":[164],"validation.":[165]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-09-04T00:00:00"}