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Indications for Aortic Arch Intervention

Talal Al-Atassi1, Ali Khoynezhad2

  • 1Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Seminars in Cardiothoracic and Vascular Anesthesia
|July 13, 2016
PubMed

Insights

Aortic arch surgery is complex, yet lacks specific guidelines. This review synthesizes limited evidence and expert opinion to clarify indications for aortic arch interventions in various pathologies.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Vascular Surgery

Background:

  • Aortic arch surgery represents a highly complex domain within cardiac surgery.
  • Current studies and clinical guidelines offer insufficient specific guidance for aortic arch interventions.
  • Indications for aortic arch intervention generally align with those for the ascending aorta.

Purpose of the Study:

  • To review and delineate the indications for aortic arch intervention across diverse aortic pathologies.
  • To consolidate existing evidence, surgical expertise, and expert consensus regarding aortic arch surgery.

Main Methods:

  • Literature review focusing on aortic arch pathologies and interventions.
  • Synthesis of available evidence, clinical guidelines, and expert opinion.
  • Analysis of indications based on specific aortic conditions.

Main Results:

  • The review highlights the scarcity of dedicated evidence for aortic arch interventions.
  • Expert opinion and surgical experience are crucial in defining indications.
  • Indications are often extrapolated from ascending aorta interventions but require specific consideration.

Conclusions:

  • There is a critical need for more research and specific guidelines for aortic arch surgery.
  • Current practice relies heavily on expert judgment due to limited evidence.
  • Standardizing indications for aortic arch intervention is essential for improving patient outcomes.

Keywords:
aortic archaortic surgerycardiac surgeryendovascularindications

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