Endovascular total arch replacement techniques and early results
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Endovascular total arch replacement techniques and early results. / Makaloski, Vladimir; Tsilimparis, Nikolaos; Rohlffs, Fiona; Heidemann, Franziska; Debus, Eike Sebastian; Kölbel, Tilo.
In: ANN CARDIOTHORAC SUR, Vol. 7, No. 3, 05.2018, p. 380-388.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Endovascular total arch replacement techniques and early results
AU - Makaloski, Vladimir
AU - Tsilimparis, Nikolaos
AU - Rohlffs, Fiona
AU - Heidemann, Franziska
AU - Debus, Eike Sebastian
AU - Kölbel, Tilo
PY - 2018/5
Y1 - 2018/5
N2 - During the last 20 years, a clear shift has been observed towards thoracic endovascular aortic repair for different aortic pathologies. However, total endovascular repair of the aortic arch remains technically demanding. Simultaneous perfusion of all supra-aortic arteries without longer cerebral ischemia time, whilst trying to avoid cerebral embolization, labels endovascular aortic arch repair with highest level of technical difficulty and surgical expertise. The aim of this article is to present an overview of the current technical options for endovascular aortic arch repair and their early results. Currently, early results are reported from four endovascular arch replacement techniques: hybrid repair, total endovascular approach, chimney grafts and in-situ fenestration. The early results of these different arch replacement techniques are promising, especially the total arch replacement with custom-made fenestrated or branched stent-grafts. Long-term results are unknown, and larger series results and comparative studies are needed to determine safety and efficacy.
AB - During the last 20 years, a clear shift has been observed towards thoracic endovascular aortic repair for different aortic pathologies. However, total endovascular repair of the aortic arch remains technically demanding. Simultaneous perfusion of all supra-aortic arteries without longer cerebral ischemia time, whilst trying to avoid cerebral embolization, labels endovascular aortic arch repair with highest level of technical difficulty and surgical expertise. The aim of this article is to present an overview of the current technical options for endovascular aortic arch repair and their early results. Currently, early results are reported from four endovascular arch replacement techniques: hybrid repair, total endovascular approach, chimney grafts and in-situ fenestration. The early results of these different arch replacement techniques are promising, especially the total arch replacement with custom-made fenestrated or branched stent-grafts. Long-term results are unknown, and larger series results and comparative studies are needed to determine safety and efficacy.
U2 - 10.21037/acs.2018.04.02
DO - 10.21037/acs.2018.04.02
M3 - SCORING: Journal article
C2 - 30155417
VL - 7
SP - 380
EP - 388
JO - ANN CARDIOTHORAC SUR
JF - ANN CARDIOTHORAC SUR
SN - 2225-319X
IS - 3
ER -
