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"First in Man" Total Percutaneous Aortic Arch Repair With 3-Inner-branch Endografts: A Report of Two Cases
Justine Mougin1, Ron Azogui1, Julien Guihaire2
1Vascular Surgery, Aortic Centre Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, INSERM UMR_S 999, Université Paris Saclay, France.
Annals of Surgery
|November 17, 2021
Summary
A novel, minimally invasive technique for aortic arch aneurysms was successfully used in two patients. This percutaneous approach avoids open surgery and cervical artery manipulation, offering a new option for complex cases.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Minimally Invasive Procedures
Background:
- Aortic arch aneurysms pose significant surgical challenges, with over 40% of patients deemed unfit for conventional open surgery.
- Arch-branched graft technology offers a viable alternative for patients with limited surgical options.
Observation:
- This study reports the first human implantation of a three-vessel arch branch stent graft using a completely percutaneous approach.
- The procedure eliminated the need for cervical artery exposure, mitigating associated risks.
Findings:
- Technical success was achieved in two patients with large aortic arch aneurysms.
- Both patients experienced uneventful recoveries, with no neurological deficits or access complications.
- Postoperative imaging confirmed successful aneurysm exclusion and patent supra-aortic branches.
Implications:
- This truly minimally invasive approach demonstrates the feasibility of treating complex aortic pathologies without surgical incisions.
- Further research and experience are needed to validate these promising outcomes for aortic arch aneurysm management.
