Status of branched endovascular aortic arch repair

Annals of Cardiothoracic Surgery
Theodorus M van BakelJoost A van Herwaarden

Abstract

Multiple medical device manufacturers are developing branched endografts for thoracic endovascular aortic repair (TEVAR), to provide a minimally invasive alternative for the treatment of aortic arch pathologies in patients who are deemed unfit for open or hybrid arch repair. Different branched endografts have been introduced, with varying number, size and orientation of the branches that redirect flow to the supra-aortic arteries. We present an overview of the currently investigated devices and review their outcomes. The results of branched TEVAR are promising, yet stroke remains the predominant periprocedural concern. For now, these procedures should be limited to select expert centers where the design and deployment procedure of branched endografts can be further developed to reduce the risk of stroke.

Citations

Jan 5, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Theodorus M J van BakelC Alberto Figueroa
Aug 8, 2019·Current Opinion in Cardiology·Davide CarinoEduard Quintana
Aug 5, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Dong-Lin LiHong-Kun Zhang
Dec 12, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Theodorus M J van BakelC Alberto Figueroa
Jun 7, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Theodorus M J van BakelJoost A van Herwaarden
Feb 6, 2021·Heart·Arjune S DhanekulaChristopher R Burke
Aug 31, 2020·Journal of Vascular Surgery·Kirthi S BellamkondaCassius I Ochoa Chaar
Mar 16, 2021·Journal of Vascular Surgery Cases and Innovative Techniques·Hiromitsu TerataniHideichi Wada
Apr 2, 2021·Journal of Biomechanics·Shirly SteinlaufIdit Avrahami
Jul 29, 2021·JTCVS Techniques·Alexander A Brescia, Shinichi Fukuhara

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