Endovascular Treatment Options for the Aortic Arch

Akiko Tanaka; Anthony Estrera

doi:10.1016/j.iccl.2018.07.002

Endovascular Treatment Options for the Aortic Arch

Interv Cardiol Clin. 2018 Oct;7(4):503-512. doi: 10.1016/j.iccl.2018.07.002.

Authors

Akiko Tanaka¹, Anthony Estrera²

Affiliations

¹ Department 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.
² Department 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. Electronic address: Anthony.L.Estrera@uth.tmc.edu.

PMID: 30274616
DOI: 10.1016/j.iccl.2018.07.002

Abstract

Endovascular aortic repair to treat aortic arch abnormality has rapidly expanded in the last 2 decades, and surgeons now have options to treat patients who are poor candidates for open surgery. The devices and techniques should be tailored to the extension of the aortic abnormality and anatomy of the individual. Recent studies demonstrate promising results with branched endografts, but one of the major drawbacks of the devices is that considerable time is required to prepare the custom-made graft, which may not be available for emergent or urgent cases. Introduction of commercially available devices is forthcoming.

Keywords: Aortic arch; Hybrid procedure approach; Thoracic endovascular aortic repair.

Publication types

Review