Endovascular total arch replacement techniques and early results

Annals of Cardiothoracic Surgery
Vladimir MakaloskiTilo Kölbel

Abstract

During the last 20 years, a clear shift has been observed towards thoracic endovascular aortic repair for different aortic pathologies. However, total endovascular repair of the aortic arch remains technically demanding. Simultaneous perfusion of all supra-aortic arteries without longer cerebral ischemia time, whilst trying to avoid cerebral embolization, labels endovascular aortic arch repair with highest level of technical difficulty and surgical expertise. The aim of this article is to present an overview of the current technical options for endovascular aortic arch repair and their early results. Currently, early results are reported from four endovascular arch replacement techniques: hybrid repair, total endovascular approach, chimney grafts and in-situ fenestration. The early results of these different arch replacement techniques are promising, especially the total arch replacement with custom-made fenestrated or branched stent-grafts. Long-term results are unknown, and larger series results and comparative studies are needed to determine safety and efficacy.

Citations

Aug 8, 2019·Current Opinion in Cardiology·Davide CarinoEduard Quintana
Jun 27, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Naoki FujimuraMasaaki Kato
Nov 12, 2019·Vascular and Endovascular Surgery·Vishal N ShahKonstadinos A Plestis
Sep 24, 2020·The Journal of Cardiovascular Surgery·Vincenzo VentoMauro Gargiulo
Mar 6, 2021·Interactive Cardiovascular and Thoracic Surgery·Till Joscha DemalChristian Detter
May 18, 2021·Surgical Technology International·Luca Di MarcoDavide Pacini
Jun 25, 2021·Angiologii︠a︡ i sosudistai︠a︡ khirurgii︠a︡ = Angiology and vascular surgery·P B BondarenkoO V Fionik
Dec 8, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Konstantinos SpanosTilo Kölbel
Dec 30, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Thomas GandetTilo Kölbel

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