{"id":"https://openalex.org/W7224940708","doi":"https://doi.org/10.1177/15266028261494963","title":"In Situ Fenestration\u2013Assisted TEVAR in Patients With Complex Pathology Involving the Aortic Arch","display_name":"In Situ Fenestration\u2013Assisted TEVAR in Patients With Complex Pathology Involving the Aortic Arch","publication_year":2026,"publication_date":"2026-10-29","ids":{"openalex":"https://openalex.org/W7224940708","doi":"https://doi.org/10.1177/15266028261494963","pmid":"https://pubmed.ncbi.nlm.nih.gov/42958613"},"language":"en","primary_location":{"id":"doi:10.1177/15266028261494963","doi":"https://doi.org/10.1177/15266028261494963","is_oa":false,"landing_page_url":"https://doi.org/10.1177/15266028261494963","pdf_url":null,"source":{"id":"https://openalex.org/S34108376","display_name":"Journal of Endovascular Therapy","issn_l":"1526-6028","issn":["1526-6028","1545-1550"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Endovascular Therapy","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","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/A5005598482","display_name":"Ivo Spasov Petrov","orcid":"https://orcid.org/0000-0002-9989-0730","observed_orcids":["https://orcid.org/0000-0002-9989-0730"]},"institutions":[{"id":"https://openalex.org/I4210093677","display_name":"Acibadem City Clinic","ror":"https://ror.org/00jrbwm32","country_code":"BG","type":"healthcare","lineage":["https://openalex.org/I4210093677"]}],"countries":["BG"],"is_corresponding":false,"raw_author_name":"Ivo S. Petrov","raw_affiliation_strings":["Department of Cardiology, Angiology, and Electrophysiology, Acibadem City Clinic, University Hospital Vitosha, Sofia, Bulgaria"],"raw_orcid":"https://orcid.org/0000-0002-9989-0730","affiliations":[{"raw_affiliation_string":"Department of Cardiology, Angiology, and Electrophysiology, Acibadem City Clinic, University Hospital Vitosha, Sofia, Bulgaria","institution_ids":["https://openalex.org/I4210093677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006439588","display_name":"Zoran Iovan Stankov","orcid":"https://orcid.org/0009-0004-2692-5391","observed_orcids":["https://orcid.org/0009-0004-2692-5391"]},"institutions":[{"id":"https://openalex.org/I4210093677","display_name":"Acibadem City Clinic","ror":"https://ror.org/00jrbwm32","country_code":"BG","type":"healthcare","lineage":["https://openalex.org/I4210093677"]}],"countries":["BG"],"is_corresponding":false,"raw_author_name":"Zoran I. Stankov","raw_affiliation_strings":["Department of Cardiology, Angiology, and Electrophysiology, Acibadem City Clinic, University Hospital Vitosha, Sofia, Bulgaria"],"raw_orcid":"https://orcid.org/0009-0004-2692-5391","affiliations":[{"raw_affiliation_string":"Department of Cardiology, Angiology, and Electrophysiology, Acibadem City Clinic, University Hospital Vitosha, Sofia, Bulgaria","institution_ids":["https://openalex.org/I4210093677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085686703","display_name":"Strahil Vasilev","orcid":"https://orcid.org/0000-0001-5981-1674","observed_orcids":["https://orcid.org/0000-0001-5981-1674"]},"institutions":[{"id":"https://openalex.org/I4210093677","display_name":"Acibadem City Clinic","ror":"https://ror.org/00jrbwm32","country_code":"BG","type":"healthcare","lineage":["https://openalex.org/I4210093677"]}],"countries":["BG"],"is_corresponding":true,"raw_author_name":"Strahil K. Vasilev","raw_affiliation_strings":["Department of Cardiology, Angiology, and Electrophysiology, Acibadem City Clinic, University Hospital Vitosha, Sofia, Bulgaria"],"raw_orcid":"https://orcid.org/0000-0001-5981-1674","affiliations":[{"raw_affiliation_string":"Department of Cardiology, Angiology, and Electrophysiology, Acibadem City Clinic, University Hospital Vitosha, Sofia, Bulgaria","institution_ids":["https://openalex.org/I4210093677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160207705","display_name":"Gloria I. Adam","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210093677","display_name":"Acibadem City Clinic","ror":"https://ror.org/00jrbwm32","country_code":"BG","type":"healthcare","lineage":["https://openalex.org/I4210093677"]}],"countries":["BG"],"is_corresponding":false,"raw_author_name":"Gloria I. Adam","raw_affiliation_strings":["Department of Radiology and Cardiovascular Imaging, Acibadem City Clinic, University Hospital Vitosha, Sofia, Bulgaria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology and Cardiovascular Imaging, Acibadem City Clinic, University Hospital Vitosha, Sofia, Bulgaria","institution_ids":["https://openalex.org/I4210093677"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5160236531","display_name":"Yasen S. Getzov","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210093677","display_name":"Acibadem City Clinic","ror":"https://ror.org/00jrbwm32","country_code":"BG","type":"healthcare","lineage":["https://openalex.org/I4210093677"]}],"countries":["BG"],"is_corresponding":false,"raw_author_name":"Yasen S. Getzov","raw_affiliation_strings":["Department of Anesthesiology and Reanimation, Acibadem City Clinic, University Hospital Vitosha, Sofia, Bulgaria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Reanimation, Acibadem City Clinic, University Hospital Vitosha, Sofia, Bulgaria","institution_ids":["https://openalex.org/I4210093677"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5085686703"],"corresponding_institution_ids":["https://openalex.org/I4210093677"],"apc_list":{"value":4400,"currency":"USD","value_usd":4400},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.85598529,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"15266028261494963","last_page":"15266028261494963"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.9639000296592712,"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"}},"topics":[{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.9639000296592712,"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/T10983","display_name":"Aortic aneurysm repair treatments","score":0.02969999983906746,"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/T12453","display_name":"Infectious Aortic and Vascular Conditions","score":0.0017999999690800905,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/in-situ-fenestration","display_name":"in situ fenestration","score":0.9610000252723694},{"id":"https://openalex.org/keywords/thoracic-endovascular-aortic-repair","display_name":"thoracic endovascular aortic repair","score":0.968999981880188},{"id":"https://openalex.org/keywords/aortic-arch-pathology","display_name":"aortic arch pathology","score":0.8309999704360962},{"id":"https://openalex.org/keywords/cerebral-perfusion","display_name":"cerebral perfusion","score":0.8090000152587891},{"id":"https://openalex.org/keywords/intra-aortic-balloon-pump","display_name":"intra-aortic balloon pump","score":0.6679999828338623},{"id":"https://openalex.org/keywords/endoleak","display_name":"endoleak","score":0.6940000057220459}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9800000190734863},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6722000241279602},{"id":"https://openalex.org/C2781285907","wikidata":"https://www.wikidata.org/wiki/Q616032","display_name":"Aortic arch","level":3,"score":0.5733000040054321},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.5249000191688538},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.43689998984336853},{"id":"https://openalex.org/C2776864027","wikidata":"https://www.wikidata.org/wiki/Q615993","display_name":"Thoracic aorta","level":3,"score":0.43220001459121704},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.4275999963283539},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4007999897003174},{"id":"https://openalex.org/C2777597760","wikidata":"https://www.wikidata.org/wiki/Q1049655","display_name":"Paraplegia","level":3,"score":0.39890000224113464},{"id":"https://openalex.org/C2775862295","wikidata":"https://www.wikidata.org/wiki/Q2660911","display_name":"Dissection (medical)","level":2,"score":0.38960000872612},{"id":"https://openalex.org/C132096540","wikidata":"https://www.wikidata.org/wiki/Q5359407","display_name":"Elephant trunks","level":4,"score":0.3869999945163727},{"id":"https://openalex.org/C2779723990","wikidata":"https://www.wikidata.org/wiki/Q707174","display_name":"Femoral artery","level":2,"score":0.38530001044273376},{"id":"https://openalex.org/C2779993142","wikidata":"https://www.wikidata.org/wiki/Q594660","display_name":"Aortic dissection","level":3,"score":0.3831999897956848},{"id":"https://openalex.org/C2910225729","wikidata":"https://www.wikidata.org/wiki/Q186020","display_name":"Heart bypass","level":2,"score":0.3774000108242035},{"id":"https://openalex.org/C2781072225","wikidata":"https://www.wikidata.org/wiki/Q490059","display_name":"Subclavian artery","level":2,"score":0.3772999942302704},{"id":"https://openalex.org/C154281038","wikidata":"https://www.wikidata.org/wiki/Q629232","display_name":"Cerebral perfusion pressure","level":3,"score":0.3767000138759613},{"id":"https://openalex.org/C2776098176","wikidata":"https://www.wikidata.org/wiki/Q189389","display_name":"Aneurysm","level":2,"score":0.37450000643730164},{"id":"https://openalex.org/C2779980429","wikidata":"https://www.wikidata.org/wiki/Q101004","display_name":"Aorta","level":2,"score":0.36719998717308044},{"id":"https://openalex.org/C2781012200","wikidata":"https://www.wikidata.org/wiki/Q500339","display_name":"Basilar artery","level":2,"score":0.35910001397132874},{"id":"https://openalex.org/C2777323849","wikidata":"https://www.wikidata.org/wiki/Q616003","display_name":"Aortic aneurysm","level":3,"score":0.3407000005245209},{"id":"https://openalex.org/C146957229","wikidata":"https://www.wikidata.org/wiki/Q1266915","display_name":"Perfusion","level":2,"score":0.335999995470047},{"id":"https://openalex.org/C2779915274","wikidata":"https://www.wikidata.org/wiki/Q1115882","display_name":"Extracorporeal","level":2,"score":0.33160001039505005},{"id":"https://openalex.org/C2777942826","wikidata":"https://www.wikidata.org/wiki/Q5443357","display_name":"Fenestration","level":2,"score":0.32010000944137573},{"id":"https://openalex.org/C2780663194","wikidata":"https://www.wikidata.org/wiki/Q3270170","display_name":"Descending aorta","level":3,"score":0.3125},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.31139999628067017},{"id":"https://openalex.org/C2911061479","wikidata":"https://www.wikidata.org/wiki/Q490059","display_name":"Left subclavian artery","level":4,"score":0.30320000648498535},{"id":"https://openalex.org/C2778119558","wikidata":"https://www.wikidata.org/wiki/Q4778773","display_name":"Aortography","level":3,"score":0.29580000042915344},{"id":"https://openalex.org/C2776268601","wikidata":"https://www.wikidata.org/wiki/Q968808","display_name":"Occlusion","level":2,"score":0.29319998621940613},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.289900004863739},{"id":"https://openalex.org/C2780405337","wikidata":"https://www.wikidata.org/wiki/Q516546","display_name":"Vertebral artery","level":2,"score":0.2825999855995178},{"id":"https://openalex.org/C2779389133","wikidata":"https://www.wikidata.org/wiki/Q7317033","display_name":"Retrograde perfusion","level":3,"score":0.26919999718666077},{"id":"https://openalex.org/C160022790","wikidata":"https://www.wikidata.org/wiki/Q2964004","display_name":"Cardiothoracic surgery","level":2,"score":0.26570001244544983},{"id":"https://openalex.org/C2780847584","wikidata":"https://www.wikidata.org/wiki/Q3616648","display_name":"Thoracic aortic aneurysm","level":4,"score":0.2635999917984009},{"id":"https://openalex.org/C2908550248","wikidata":"https://www.wikidata.org/wiki/Q4116448","display_name":"Tracheal Stenosis","level":3,"score":0.25859999656677246}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1177/15266028261494963","doi":"https://doi.org/10.1177/15266028261494963","is_oa":false,"landing_page_url":"https://doi.org/10.1177/15266028261494963","pdf_url":null,"source":{"id":"https://openalex.org/S34108376","display_name":"Journal of Endovascular Therapy","issn_l":"1526-6028","issn":["1526-6028","1545-1550"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Endovascular Therapy","raw_type":"journal-article"},{"id":"pmid:42958613","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42958613","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 endovascular therapy : an official journal of the International Society of Endovascular Specialists","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":19,"referenced_works":["https://openalex.org/W1775363309","https://openalex.org/W1971200085","https://openalex.org/W1972205803","https://openalex.org/W2014252481","https://openalex.org/W2129698008","https://openalex.org/W2607476367","https://openalex.org/W2896592690","https://openalex.org/W2937422208","https://openalex.org/W2965293003","https://openalex.org/W2982551301","https://openalex.org/W3016388702","https://openalex.org/W3094237346","https://openalex.org/W3165817808","https://openalex.org/W3165894707","https://openalex.org/W3215401908","https://openalex.org/W4311469358","https://openalex.org/W4361007830","https://openalex.org/W4399057404","https://openalex.org/W4404129113"],"related_works":["https://openalex.org/W4407667387","https://openalex.org/W7167514375","https://openalex.org/W2952161109","https://openalex.org/W3005070236","https://openalex.org/W4404129113","https://openalex.org/W3197888129","https://openalex.org/W4414096993","https://openalex.org/W4399057404","https://openalex.org/W3212995851","https://openalex.org/W3163671314"],"abstract_inverted_index":{"Purpose:":[0],"To":[1],"assess":[2],"the":[3,115,242,380,391],"feasibility,":[4],"safety,":[5],"and":[6,43,57,71,105,141,175,208,227,241,283,317,337,417,429],"short-term":[7,340],"clinical":[8],"outcomes":[9],"of":[10,117,124,263,276,393,438],"in":[11,35,132,137,143,162,184,399,439],"situ":[12,293,359,440],"fenestration":[13,153,169,180,294,441],"during":[14,86,295,374],"thoracic":[15,296],"endovascular":[16,297,395,451],"aortic":[17,39,249,298,322,376],"repair":[18,299,398],"(ISF-TEVAR)":[19],"employing":[20],"an":[21,92,272,301],"electrocautery-connected":[22,93,302],"guidewire":[23],"combined":[24,304,362],"with":[25,37,91,111,154,172,191,251,271,305,363],"a":[26,185,260,306,314,343,364,415,444],"novel,":[27],"pump-less,":[28],"extracorporeal":[29,62,310,367],"femoro-carotid":[30,311],"bypass":[31,64,312,369,384],"for":[32,198,205,213,320,382],"cerebral":[33,84,331,372,422,445],"perfusion":[34,85,373],"patients":[36,52,134,139,145],"complex":[38,321,375],"arch":[40,323,377,397],"pathology.":[41],"Materials":[42],"Methods:":[44],"This":[45,325,388,432],"prospective,":[46],"single-center":[47],"study":[48],"included":[49],"19":[50],"consecutive":[51],"treated":[53,289],"between":[54],"February":[55],"2024":[56],"September":[58],"2025.":[59],"A":[60,122,248],"homemade":[61],"arterio-arterial":[63],"was":[65,160,170,181,236,256,267],"constructed":[66],"using":[67,300,448],"femoral":[68],"arterial":[69],"inflow":[70],"intra-aortic":[72],"balloon":[73],"pump":[74],"(IABP)":[75],"tubing":[76],"connected":[77],"to":[78,81,114,238,245,420],"supra-aortic":[79,119,126],"sheaths":[80],"maintain":[82],"continuous":[83,330,371],"fenestration.":[87],"Fenestrations":[88],"were":[89,109,128,232,287],"performed":[90],"0.018-inch":[94],"chronic":[95],"total":[96,123],"occlusion-dedicated":[97],"guidewire.":[98],"Patients\u2019":[99],"demographics,":[100],"procedural":[101,192,335,427],"details,":[102],"perioperative":[103,224],"outcomes,":[104,341],"early":[106],"follow-up":[107,262],"data":[108],"analyzed,":[110],"stratification":[112],"according":[113],"number":[116],"fenestrated":[118],"branches.":[120],"Results:":[121],"37":[125],"branches":[127,156,280],"targeted:":[129],"3-branch":[130],"fenestrations":[131],"6":[133,138],"(31.6%),":[135,140],"2-branch":[136],"single-branch":[142],"7":[144],"(36.8%).":[146],"Technical":[147],"success,":[148],"defined":[149],"as":[150],"successful":[151],"graft":[152],"patent":[155],"on":[157],"completion":[158],"angiography,":[159],"achieved":[161],"94.5%":[163],"(35/37).":[164],"One":[165],"failed":[166],"innominate":[167],"artery":[168,179],"managed":[171],"chimney-assisted":[173],"TEVAR,":[174],"1":[176,199,234],"left":[177],"subclavian":[178],"successfully":[182,288],"completed":[183],"subsequent":[186],"procedure.":[187],"Operative":[188],"time":[189],"increased":[190],"complexity":[193],"(140":[194],"\u00b1":[195,202,210],"12":[196],"minutes":[197,204,212],"branch,":[200],"152":[201],"10":[203],"2":[206,228,284],"branches,":[207],"162":[209],"13":[211],"3":[214],"branches;":[215],"P":[216],"=":[217],".004).":[218],"No":[219],"intraprocedural":[220],"mortality":[221],"occurred.":[222],"Two":[223],"strokes":[225],"(10.5%)":[226,231,286],"in-hospital":[229],"deaths":[230],"recorded,":[233],"death":[235],"due":[237,244],"vertebrobasilar":[239],"stroke":[240],"other":[243],"retrograde":[246],"type":[247],"dissection":[250],"rupture.":[252],"Median":[253],"hospital":[254],"stay":[255],"8":[257],"days.":[258],"During":[259],"mean":[261],"9.2":[264],"months,":[265],"there":[266],"no":[268],"aorta-related":[269],"mortality,":[270],"overall":[273],"survival":[274],"rate":[275],"89.5%.":[277],"All":[278],"stented":[279],"remained":[281],"patent,":[282],"endoleaks":[285],"endovascularly.":[290],"Conclusion:":[291],"In":[292,358],"wire":[303],"temporary,":[307],"pressure":[308],"gradient-driven":[309],"is":[313],"feasible,":[315],"reproducible,":[316],"safe":[318],"technique":[319,389,433],"repair.":[324],"fully":[326,394],"percutaneous":[327,430],"approach":[328,413],"ensures":[329],"perfusion,":[332],"demonstrates":[333],"efficient":[334],"metrics,":[336],"yields":[338],"favorable":[339],"representing":[342],"practical":[344,416],"alternative":[345],"when":[346],"custom-made":[347,406],"devices":[348,407],"or":[349,385,401],"hybrid":[350],"surgical":[351,386],"procedures":[352],"are":[353,408],"not":[354],"available.":[355],"Clinical":[356],"Impact":[357],"fenestration\u2013assisted":[360],"TEVAR":[361],"temporary":[365],"pumpless":[366],"femoral\u2013carotid":[368],"enables":[370],"interventions":[378],"without":[379],"need":[381],"cardiopulmonary":[383],"debranching.":[387],"expands":[390],"feasibility":[392],"multibranch":[396],"urgent":[400],"anatomically":[402],"challenging":[403],"cases":[404],"where":[405],"unavailable.":[409],"For":[410],"clinicians,":[411],"this":[412],"offers":[414],"reproducible":[418],"strategy":[419,447],"mitigate":[421],"ischemic":[423],"risk":[424],"while":[425],"maintaining":[426],"efficiency":[428],"access.":[431],"may":[434],"facilitate":[435],"broader":[436],"adoption":[437],"by":[442],"providing":[443],"protection":[446],"readily":[449],"available":[450],"equipment.":[452]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-31T00:00:00"}
