Technical Aspects of Branched Thoracic Arch Graft Implantation for Aortic Arch Pathologies
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Technical Aspects of Branched Thoracic Arch Graft Implantation for Aortic Arch Pathologies. / Spanos, Konstantinos; Panuccio, Giuseppe; Rohlffs, Fiona; Heidemann, Franziska; Tsilimparis, Nikolaos; Kölbel, Tilo.
In: J ENDOVASC THER, Vol. 27, No. 5, 10.2020, p. 792-800.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Technical Aspects of Branched Thoracic Arch Graft Implantation for Aortic Arch Pathologies
AU - Spanos, Konstantinos
AU - Panuccio, Giuseppe
AU - Rohlffs, Fiona
AU - Heidemann, Franziska
AU - Tsilimparis, Nikolaos
AU - Kölbel, Tilo
PY - 2020/10
Y1 - 2020/10
N2 - PURPOSE: To describe the implantation steps and tips and tricks for the Inner Branch Arch Endograft designed to treat aortic arch aneurysm and chronic type A aortic dissection.TECHNIQUE: Anatomical suitability criteria should be met in order to use this device. The proximal segment of the graft lands in the ascending aorta distally to the sinotubular junction and the distal segment lands in the descending aorta. The device includes 2 inner branches; the proximal branch is used for a connection to the innominate artery (positioned slightly posterior at 12:30 o'clock), while the second branch is positioned slightly anterior at 11:30 o'clock and is used as a connection to the left common carotid artery. Access, implantation technique, deployment of the device, and catheterization of the branches are described thoroughly.CONCLUSION: This Inner Branch Arch Endograft is an appealing alternative to treat aortic arch pathology, especially in patients unsuitable for open repair. Nevertheless, complex aortic arch repair is associated with a learning curve. Meticulous preoperative planning and a high level of concentration intraoperatively are mandatory.
AB - PURPOSE: To describe the implantation steps and tips and tricks for the Inner Branch Arch Endograft designed to treat aortic arch aneurysm and chronic type A aortic dissection.TECHNIQUE: Anatomical suitability criteria should be met in order to use this device. The proximal segment of the graft lands in the ascending aorta distally to the sinotubular junction and the distal segment lands in the descending aorta. The device includes 2 inner branches; the proximal branch is used for a connection to the innominate artery (positioned slightly posterior at 12:30 o'clock), while the second branch is positioned slightly anterior at 11:30 o'clock and is used as a connection to the left common carotid artery. Access, implantation technique, deployment of the device, and catheterization of the branches are described thoroughly.CONCLUSION: This Inner Branch Arch Endograft is an appealing alternative to treat aortic arch pathology, especially in patients unsuitable for open repair. Nevertheless, complex aortic arch repair is associated with a learning curve. Meticulous preoperative planning and a high level of concentration intraoperatively are mandatory.
KW - Aorta, Thoracic/abnormalities
KW - Aortic Diseases/diagnostic imaging
KW - Blood Vessel Prosthesis
KW - Blood Vessel Prosthesis Implantation/adverse effects
KW - Endovascular Procedures/adverse effects
KW - Humans
KW - Postoperative Complications/etiology
KW - Prosthesis Design
KW - Risk Factors
KW - Stents
KW - Time Factors
KW - Treatment Outcome
U2 - 10.1177/1526602820925443
DO - 10.1177/1526602820925443
M3 - SCORING: Journal article
C2 - 32431247
VL - 27
SP - 792
EP - 800
JO - J ENDOVASC THER
JF - J ENDOVASC THER
SN - 1526-6028
IS - 5
ER -
