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Endovascular aortic arch repair using a double-branched approach
Martin Czerny1,2, Maximilian Kreibich1,2, Julia Morlock1,2
1Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Bad Krozingen, Germany.
Indian Journal of Thoracic and Cardiovascular Surgery
|October 16, 2020
Summary
Surgical treatments for aortic arch pathologies have evolved, with refined classical, combined vascular/endovascular, and advanced endovascular techniques becoming standard. This article focuses on advanced endovascular solutions for aortic arch disease.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Endovascular Techniques
Background:
- The last 15 years have seen numerous surgical approaches for aortic arch pathologies.
- Several techniques have demonstrated lasting efficacy and are now considered standard of care.
Purpose of the Study:
- To review and highlight enduring surgical and endovascular techniques for aortic arch pathologies.
- To focus on advanced endovascular solutions, specifically double-endovascular repair.
Main Methods:
- Review of refined classical surgical approaches.
- Analysis of combined vascular and endovascular techniques (e.g., transposition/bypass).
- Detailed examination of advanced endovascular solutions (fenestrated/branched endografts).
Main Results:
- Refined classical techniques remain valuable.
- Combined vascular and endovascular approaches offer viable solutions.
- Advanced endovascular repair, including double-endovascular repair, is a key focus.
Conclusions:
- Aortic arch pathology treatment has a diverse and evolving armamentarium.
- Certain refined classical, combined, and advanced endovascular techniques are established.
- Advanced endovascular solutions represent a significant and growing area for aortic arch disease management.
