REVIEW   

Italian Journal of Vascular and Endovascular Surgery 2017 March;24(1):1-8

DOI: 10.23736/S1824-4777.17.01273-6

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

New developments in treatment of aortic arch repair

Marie-Elisabeth STELZMUELLER, Stephane MAHR, Marek EHRLICH, Guenther LAUFER, Dominik WIEDEMANN ✉

Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria

The repair of aortic arch pathologies is technically demanding and still associated with a considerable risk of perioperative complications. Hybrid treatment as well as complete endovascular aortic arch repair revolutionized the treatment strategies, especially for elderly and high risk patients. The purpose of this review is to give an overview on current treatment options of aortic arch pathologies. A PubMed search, was conducted with the following key words: aortic arch repair, endovascular aortic arch repair, aortic arch replacement, artery cannulation, supra-aortic vessel, elephant trunk, hybrid, brain perfusion. Hybrid procedures represent the most promising achievements in aortic arch repair. The new hybrid prosthesis are easy to implant and provide good results. The total endovascular aortic arch repair is an upcoming treatment option for old and high risk patients with satisfying perioperative outcome. Although the early results of hybrid and endovascular repair are promising, long-term data are missing, therefore a careful evaluation is inevitable for patients undergoing hybrid or endovascular repair.

KEY WORDS: Aorta, thoracic - Endovascular procedures - Perfusion