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Updated: Oct 6, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Initial experiences with physician-modified endo grafts.

Sarolta Borzsák1,2, Csongor Péter1, Ferenc Suhai1

  • 11 Semmelweis Egyetem, Általános Orvostudományi Kar, Városmajori Szív- és Érgyógyászati Klinika, Intervenciós Radiológiai Tanszék Budapest, Határőr út 18., 1122.

Orvosi Hetilap
|January 16, 2022
PubMed
Summary

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Articles linked to this work by shared authors, journal, and citation graph.

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European Society for Vascular Surgery (ESVS) 2026 Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2026
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Carotid plaque vulnerability and circle of Willis anatomy predict ipsilateral brain infarcts and long-term mortality in carotid endarterectomy patients.

GeroScience·2026
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Association Between DOAC Exposure and Lower-Extremity Arterial Calcification: A Propensity-Matched Exploratory CT Study.

Journal of clinical medicine·2026
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Open surgery appears to be the preferred treatment in patients with nutcracker syndrome: A vascular low frequency disease consortium analysis.

Journal of vascular surgery. Venous and lymphatic disorders·2026
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A Novel Surgical Software Tool to Improve the Physician-Modified Endograft Workflow.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists·2026
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The Aortic Valve Crimper Technique Reduces Reloading Time Compared With the Tourniquet Method in Physician-Modified Endograft Preparation.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists·2026

Physician-modified stent grafts offer effective solutions for complex aortic diseases in patients with unusual anatomy. These customized grafts provide a viable alternative to high-risk open surgery, especially in urgent or challenging cases.

Area of Science:

  • Vascular Surgery
  • Endovascular Interventions
  • Aortic Disease Management

Background:

  • Physician-modified endografts (PME) are utilized for aortic diseases when standard grafts are unsuitable.
  • They serve as alternatives to high-risk open surgery or for complex anatomical configurations.

Observation:

  • Three cases involving PME implantation are presented, showcasing initial clinical experiences.
  • Cases included infrarenal aortic aneurysm with diameter mismatch and common iliac artery aneurysm.
  • Management of a type I endoleak in a ruptured abdominal aortic aneurysm with unusual anatomy was also addressed.

Findings:

  • Technical success was achieved in all three cases of physician-modified stent graft implantation.
  • Customized grafts successfully addressed diameter discrepancies and complex anatomical challenges.
Keywords:
abdominal aortic aneurysmabdominalis aortaaneurysmaendoleakendovascular techniquesendovascularis technikák

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  • Specific modifications included reverse mounting of an iliac limb graft and cutting a thoracic stent graft for repositioning.

    • Implications:

    • PME implantation is an effective strategy for treating patients with unusual aortic anatomy or complex pathologies.
    • This technique expands endovascular treatment options beyond standard anatomical suitability.
    • The use of PME is recommended in high-volume aortic centers for complex endovascular aortic repairs.