Techniques for aortic arch endovascular repair.
Hongku, Kiattisak ; Dias, Nuno LU
; Sonesson, Björn
LU
and Resch, Tim
LU
(2016)
In Journal of Cardiovascular Surgery
57(3).
p.421-436
- Abstract
- This article reviews endovascular strategies for aortic arch repair. Open repair remains the gold standard particularly for good risk patients. Endovascular treatment potentially offers a less invasive repair. Principles, technical considerations, devices and outcomes of each technique are discussed and summarized. Hybrid repair combines less invasive revascularization options, instead of arch replacement while extending stent graft into the arch. Outcomes vary with regard to extent of repair and aortic arch pathologies treated. Results of arch chimney and other parallel graft techniques perhaps make it a less preferable choice for elective cases. However, they are very appealing options for urgent or bailout situations. Fenestrated stent... (More)
- This article reviews endovascular strategies for aortic arch repair. Open repair remains the gold standard particularly for good risk patients. Endovascular treatment potentially offers a less invasive repair. Principles, technical considerations, devices and outcomes of each technique are discussed and summarized. Hybrid repair combines less invasive revascularization options, instead of arch replacement while extending stent graft into the arch. Outcomes vary with regard to extent of repair and aortic arch pathologies treated. Results of arch chimney and other parallel graft techniques perhaps make it a less preferable choice for elective cases. However, they are very appealing options for urgent or bailout situations. Fenestrated stent grafting is subjected to many technical challenges in aortic arch due to difficulties in stent graft orientation and fenestration positioning. In situ fenestration techniques emerge to avoid these problems, but durability of stent grafts after fenestration and ischemic consequences of temporary carotid arteries coverage raises some concern total arch repair using this technique. Arch branched graft is a new technology. Early outcomes did not meet the expectation; however the results have been improving after its learning curve period. Refining stent graft technologies and implantation techniques positively impact outcomes of endovascular approaches. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/8856339
- author
- Hongku, Kiattisak
; Dias, Nuno
LU
; Sonesson, Björn
LU
and Resch, Tim
LU
- organization
- publishing date
- 2016-03-04
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Cardiovascular Surgery
- volume
- 57
- issue
- 3
- pages
- 421 - 436
- publisher
- Edizioni Minerva Medica
- external identifiers
-
- pmid:26940011
- scopus:84984814957
- ISSN
- 0021-9509
- language
- English
- LU publication?
- yes
- id
- fcf376f2-4830-4589-a02d-881923836658 (old id 8856339)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/26940011?dopt=Abstract
- date added to LUP
- 2016-04-04 09:07:26
- date last changed
- 2022-03-15 17:48:34
@article{fcf376f2-4830-4589-a02d-881923836658,
abstract = {{This article reviews endovascular strategies for aortic arch repair. Open repair remains the gold standard particularly for good risk patients. Endovascular treatment potentially offers a less invasive repair. Principles, technical considerations, devices and outcomes of each technique are discussed and summarized. Hybrid repair combines less invasive revascularization options, instead of arch replacement while extending stent graft into the arch. Outcomes vary with regard to extent of repair and aortic arch pathologies treated. Results of arch chimney and other parallel graft techniques perhaps make it a less preferable choice for elective cases. However, they are very appealing options for urgent or bailout situations. Fenestrated stent grafting is subjected to many technical challenges in aortic arch due to difficulties in stent graft orientation and fenestration positioning. In situ fenestration techniques emerge to avoid these problems, but durability of stent grafts after fenestration and ischemic consequences of temporary carotid arteries coverage raises some concern total arch repair using this technique. Arch branched graft is a new technology. Early outcomes did not meet the expectation; however the results have been improving after its learning curve period. Refining stent graft technologies and implantation techniques positively impact outcomes of endovascular approaches.}},
author = {{Hongku, Kiattisak and Dias, Nuno and Sonesson, Björn and Resch, Tim}},
issn = {{0021-9509}},
language = {{eng}},
month = {{03}},
number = {{3}},
pages = {{421--436}},
publisher = {{Edizioni Minerva Medica}},
series = {{Journal of Cardiovascular Surgery}},
title = {{Techniques for aortic arch endovascular repair.}},
url = {{http://www.ncbi.nlm.nih.gov/pubmed/26940011?dopt=Abstract}},
volume = {{57}},
year = {{2016}},
}