![]() |
JOURNAL TOOLS |
Publishing options |
eTOC |
To subscribe |
Submit an article |
Recommend to your librarian |
ARTICLE TOOLS |
Publication history |
Reprints |
Permissions |
Cite this article as |
Share |


YOUR ACCOUNT
YOUR ORDERS
SHOPPING BASKET
Items: 0
Total amount: € 0,00
HOW TO ORDER
YOUR SUBSCRIPTIONS
YOUR ARTICLES
YOUR EBOOKS
COUPON
ACCESSIBILITY
REVIEW THORACIC AORTIC CHALLENGES
Italian Journal of Vascular and Endovascular Surgery 2020 March;27(1):38-51
DOI: 10.23736/S1824-4777.20.01451-5
Copyright © 2020 EDIZIONI MINERVA MEDICA
language: English
Current technology for endovascular repair of the aortic arch
Justin M. MILLIGAN, Anand DAYAMA, Hosam F. EL SAYED, Jean M. PANNETON ✉
Division of Vascular Surgery, Department of Surgery, Eastern Virginia Medical School, Norfolk, VA, USA
An open surgical repair is a gold standard for the treatment of aortic arch pathologies. It requires cardiopulmonary bypass, hypothermia, and circulatory arrest and is associated with considerable morbidity and mortality. In prohibitive surgical risk patients, the hybrid approach of supra-aortic debranching, followed by stent-graft deployment, is a valuable alternative. It avoids circulatory arrest and cardiopulmonary bypass. Total endovascular aortic arch repair has emerged as an exciting option in this critically ill patient population with acceptable risk profile but technology is still in infancy and is not available outside a few centers of excellence. The total endovascular aortic arch repair could improve the outcomes of these patients. In this comprehensive overview, we present the current management of the aortic arch pathologies including open, hybrid, and total endovascular arch replacement that includes fenestrated endovascular endograft, multibranched thoracic endografts, and physician-modified fenestration endograft as alternative options.
KEY WORDS: Endovascular procedures; Aorta, thoracic; Technology