Various Endoluminal Approaches Available for Treating Pathologies of the Aortic Arch.


Journal

Cardiovascular and interventional radiology
ISSN: 1432-086X
Titre abrégé: Cardiovasc Intervent Radiol
Pays: United States
ID NLM: 8003538

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 01 01 2020
accepted: 09 06 2020
pubmed: 27 6 2020
medline: 17 4 2021
entrez: 27 6 2020
Statut: ppublish

Résumé

Open surgical repair of the aortic arch for degenerative aortic disease in an unfit patient is associated with significant morbidity and mortality. Endoluminal techniques have advanced over the last decade. Contemporary endovascular options including a hybrid approach (supra-aortic debranching and aortic stent graft), inner branched endograft, chimney stents, and scallop or fenestrated endografts are being used frequently as an alternative to open surgical arch repair. Understanding of the available endoluminal technology along with careful planning and effective teamwork is required to minimise complications associated with the endoluminal techniques, particularly neurological ones. Custom made techniques are superior to chimney or parallel technology in terms of their complications and durability. Integration of the protective devices such as embolic protection filters into stent design may reduce the risk of poor neurological sequelae. Long-term data are needed to assess the durability of these devices.

Identifiants

pubmed: 32588136
doi: 10.1007/s00270-020-02561-y
pii: 10.1007/s00270-020-02561-y
pmc: PMC7649180
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1756-1769

Références

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Auteurs

Muzaffar A Anwar (MA)

Department of Surgery and Cancer, Imperial College-London, London, England.

Mohammad Hamady (M)

Department of Surgery and Cancer, Imperial College-London, London, England. m.hamady@imperial.ac.uk.
St Mary's Hospital, Praed Street, London, W2 1NY, England. m.hamady@imperial.ac.uk.

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