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Endovascular aortic arch repair using a double-branched approach

  • Review Article
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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

The last 15 years have overwhelmed the surgical community with a range of approaches in treating pathologies involving the aortic arch of which some are here to stay. The ones to stay are—in the authors’ opinion—refined classical surgical approaches such as the frozen elephant trunk technique, near-orthotopic combined vascular and endovascular approaches such as subclavian to carotid transposition/bypass and double transposition, and finally, near-orthotopic advanced endovascular solutions such as the double-endovascular repair using fenestrated and/or branched solutions which will be the main focus of this article.

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References

  1. Shrestha M, Bachet J, Bavaria J, et al. Current status and recommendations for use of the frozen elephant trunk technique: a position paper by the vascular domain of EACTS. Eur J Cardiothorac Surg. 2015;47:759–69.

    Article  Google Scholar 

  2. Shrestha M, Beckmann E, Krueger H, et al. The elephant trunk is freezing: the Hannover experience. J Thorac Cardiovasc Surg. 2015;149:1286–93.

    Article  Google Scholar 

  3. De Paulis R, Czerny M, Weltert L, et al. Current trends in cannulation and neuroprotection during surgery of the aortic arch in Europe. Eur J Cardiothorac Surg. 2015;47:917–23.

    Article  PubMed  Google Scholar 

  4. Chiesa R, Melissano G, Tshomba Y, et al. Ten years of endovascular aortic arch repair. J Endovasc Ther. 2010;17:1–11.

    Article  PubMed  Google Scholar 

  5. Gottardi R, Funovics M, Eggers N, et al. Supra-aortic transposition for combined vascular and endovascular repair of aortic arch pathology. Ann Thorac Surg. 2008;86:1524–9 Erratum in: Ann Thorac Surg. 2014;97:739.

    Article  PubMed  Google Scholar 

  6. Weigang E, Parker JA, Czerny M, et al. Should intentional endovascular stent-graft coverage of the left subclavian artery be preceded by prophylactic revascularisation? Eur J Cardiothorac Surg. 2011;40:858–68.

    PubMed  Google Scholar 

  7. Eggebrecht H, Thompson M, Rousseau H, et al. Retrograde ascending aortic dissection during or after thoracic aortic stent-graft placement- insights from the European Registry On Endocascular Aortic Repair Complications (EuREC). Circulation. 2009;120:S276–81.

    Article  Google Scholar 

  8. Czerny M, Rieger M, Schmidli J. Incidence, risk factors and outcome of retrograde type A aortic dissection after TEVAR- a systematic review. Gefässchirurgie. 2015;20:25–31.

    Article  Google Scholar 

  9. Czerny M, Rylski B, Morlock J, et al. Orthotopic branched endovascular aortic arch repair in patients who cannot undergo classical surgery. Eur J Cardiothorac Surg. 2018;53:1007–1012.

  10. Czerny M, Rodler S, Fakhimi S, et al. Mid-term results of TEVAR in patients with aneurysms involving the descending aorta originating from chronic type B dissections. Ann Thorac Surg. 2010;90:90–4.

    Article  PubMed  Google Scholar 

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Correspondence to Martin Czerny.

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Martin Czerny and Bartosz Rylski are consultants to Terumo Aortic.No need for ethics or consent as this is a review article.

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Czerny, M., Kreibich, M., Morlock, J. et al. Endovascular aortic arch repair using a double-branched approach. Indian J Thorac Cardiovasc Surg 35 (Suppl 2), 164–168 (2019). https://doi.org/10.1007/s12055-019-00788-0

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  • DOI: https://doi.org/10.1007/s12055-019-00788-0

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