Hybrid and total endovascular repair of the aortic arch

The British Journal of Surgery
N Rudarakanchana, M P Jenkins

Abstract

Recent advances in endovascular technology have enabled minimally invasive repair of the aortic arch, with specifically designed stent-grafts. This article reviews hybrid and total endovascular repair in the management of aortic arch pathology. Studies relating to aortic arch management were identified using MEDLINE and Embase, focusing on endovascular repair. Hybrid arch repair is associated with an early mortality rate of some 12 per cent, and carries significant risk of stroke (up to 15 per cent), paraplegia (up to 6 per cent), retrograde dissection (up to 6·5 per cent) and proximal endoleak (6 per cent). Despite patients being of overall higher perioperative risk, hybrid repair has morbidity and early mortality rates comparable to those of open arch replacement. However, rates of freedom from aortic rupture or reintervention are significantly lower in the longer term, owing to the incidence of endoleak. Total endovascular arch repair may be achieved by the use of parallel stents or in situ fenestration in the emergency setting, or use of custom-made devices (scalloped, fenestrated or branched stent-grafts) in the elective setting. Reports of these relatively novel technologies suggest acceptable short-term outcomes, but lon...Continue Reading

References

May 1, 1987·Atherosclerosis·J S CampaJ T Powell
Dec 29, 1998·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·J ButhM Mersman
Apr 13, 1999·Archives of Surgery·M A CoadyJ A Elefteriades
Dec 10, 1999·Cardiology Clinics·M A CoadyJ A Elefteriades
Feb 24, 2001·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·G DorrosM Zayed
Feb 9, 2002·The Annals of Thoracic Surgery·Ryan R DaviesJohn A Elefteriades
Oct 16, 2003·Journal of Vascular Surgery·Timothy A M ChuterLouis M Messina
Dec 22, 2005·The Annals of Thoracic Surgery·Ryan R DaviesJohn A Elefteriades
Jul 24, 2007·The Annals of Thoracic Surgery·Andreas ZiererMarc R Moon
Oct 2, 2007·Journal of Vascular Surgery·Caroline D RoddMichael P Jenkins
Jan 8, 2008·The Annals of Thoracic Surgery·Lars G SvenssonUNKNOWN Society of Thoracic Surgeons Endovascular Surgery Task Force
Apr 1, 2008·The Journal of Thoracic and Cardiovascular Surgery·Shafie S FazelD Craig Miller
Oct 6, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G A AntoniouM P Jenkins
Jul 19, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J SobocinskiS Haulon
Mar 6, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C LioupisC Z Abraham
May 9, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Martin GrabenwögerUNKNOWN European Association of Percutaneous Cardiovascular Interventions (EAPCI)
Jul 14, 2012·The Journal of Thoracic and Cardiovascular Surgery·Piergiorgio CaoMarc Schepens
Sep 5, 2012·Annals of Vascular Surgery·Jian YangWei Guo
Sep 11, 2012·Journal of the American College of Cardiology·Judson B WilliamsG Chad Hughes
Nov 29, 2012·Journal of Vascular Surgery·Nicholas D AndersenG Chad Hughes
Dec 25, 2012·The Journal of Thoracic and Cardiovascular Surgery·Yutaka IbaHitoshi Ogino
Jan 22, 2013·Journal of Vascular Surgery·Ludovic CanaudPierre Alric
May 8, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Takashi AzumaKenji Yamazaki
May 24, 2013·Journal of Vascular Surgery·Wouter HogendoornBart E Muhs
Jul 25, 2013·Journal of Vascular Surgery·Carsten M BüngerChristoph A Nienaber
Jan 21, 2014·Annals of Surgery·Ludovic CanaudMatt M Thompson
Apr 2, 2014·The Journal of Thoracic and Cardiovascular Surgery·Stéphan HaulonTara Mastracci
Jul 6, 2014·Journal of Vascular Surgery·Adrian O'CallaghanYuki Kuramochi
Nov 19, 2014·The New England Journal of Medicine·Ronald V LacroUNKNOWN Pediatric Heart Network Investigators
Dec 3, 2014·Journal of Vascular Surgery·Benjamin O PattersonMatt M Thompson
Oct 21, 2015·Journal of Vascular Surgery·Eric E RoselliUNKNOWN Valiant Mona LSA Trial Investigators
Oct 23, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·I Ben AbdallahJ-M Alsac
Jan 1, 2016·The Annals of Thoracic Surgery·Jonathan SobocinskiMatthew M Thompson
Jan 23, 2016·Aorta : Official Journal of the Aortic Institute at Yale-New Haven Hospital·Vincent Riambau
Jan 26, 2016·Journal of Vascular Surgery·Fabrizio SettepaniGiuseppe Tarelli
Jan 29, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R SpearT Kölbel
Jun 22, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Guy MartinColin Bicknell
Sep 24, 2016·Interactive Cardiovascular and Thoracic Surgery·Ling MiaoZhen-Guo Wang

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Citations

May 23, 2018·The Journal of Cardiovascular Surgery·Giovanni TinelliStéphan Haulon
Jul 18, 2020·Journal of Cardiac Surgery·Luis C MarotoDaniel Pérez
Jun 27, 2020·Cardiovascular and Interventional Radiology·Muzaffar A Anwar, Mohammad Hamady
Feb 19, 2021·Seminars in Thoracic and Cardiovascular Surgery·Wael Ahmad, Oliver J Liakopoulos
Jun 21, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Yoshiaki SaitoNoboru Motomura
Jul 15, 2021·Journal of Cardiac Surgery·Metesh N Acharya, Giovanni Mariscalco
Oct 2, 2021·Frontiers in Cardiovascular Medicine·Juntao QiuCuntao Yu
Sep 8, 2021·International Journal for Numerical Methods in Biomedical Engineering·Stéphane AvrilSandra Rugonyi

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