Related Experiment Video
Updated: Feb 27, 2026
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
1.1K
Endovascular Treatment Options for the Aortic Arch
Akiko Tanaka1, Anthony Estrera1
1Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth) and Memorial Hermann Hospital, 6400 Fannin Street, Suite #2850, Houston, TX 77030, USA.
Cardiology Clinics
|July 8, 2017
Summary
Endovascular aortic repair offers new options for aortic arch abnormalities, especially for high-risk patients. Custom branched endografts show promise, but availability for urgent cases is limited pending commercial devices.
Area of Science:
- Cardiovascular Surgery
- Medical Device Technology
Background:
- Endovascular aortic repair (EVAR) has significantly advanced in treating aortic arch abnormalities over the past 20 years.
- EVAR provides alternatives for patients unsuitable for traditional open surgical repair.
Purpose of the Study:
- To review the current state and future directions of endovascular aortic repair for aortic arch abnormalities.
- To highlight the advantages and limitations of branched endografts in this context.
Main Methods:
- Review of recent studies and clinical data on endovascular aortic repair for aortic arch pathologies.
- Analysis of device-specific challenges, particularly the custom manufacturing time for branched endografts.
Main Results:
- Branched endografts demonstrate promising outcomes for complex aortic arch repairs.
- A significant drawback is the extended preparation time for custom grafts, impacting emergent or urgent scenarios.
Conclusions:
- Tailoring devices and techniques to individual patient anatomy and abnormality extent is crucial for successful EVAR.
- The forthcoming introduction of commercially available devices is expected to address current limitations regarding graft availability.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
387
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
387
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
433
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
433
01:10The Arch of Aorta
2.1K
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
2.1K
01:25Aortic Regurgitation III: Medical Management
512
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
512
01:27Peripheral Artery Disease III: Interprofessional Care
433
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
433
01:30Aneurysm I: Introduction
542
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
542