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. 2019 Jun;35(Suppl 2):164-168.
doi: 10.1007/s12055-019-00788-0. Epub 2019 Feb 9.

Endovascular aortic arch repair using a double-branched approach

Martin Czerny  1   2 , Maximilian Kreibich  1   2 , Julia Morlock  1   2 , Stoyan Kondov  1   2 , Johannes Scheumann  1   2 , Holger Schröfel  1   2 , Fabian A Kari  1   2 , Tim Berger  1   2 , Matthias Siepe  1   2 , Friedhelm Beyersdorf  1   2 , Bartosz Rylski  1   2
Affiliations

Endovascular aortic arch repair using a double-branched approach

Martin Czerny et al. Indian J Thorac Cardiovasc Surg. 2019 Jun.

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.

Keywords: Double-branched approach; Endovascular aortic arch repair; Frozen elephant trunk.

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Conflict of interest statement

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

Figures

Fig. 1
Fig. 1
Isolated penetrating atherosclerotic ulceration of the aortic arch
Fig. 2
Fig. 2
Thoracoabdominal aortic aneurysm originating at the level of the mid aortic arch
Fig. 3
Fig. 3
Arch aneurysm after ascending aortic replacement, previous TEVAR, and a remaining progressive aneurysmal aortic arch pathology
Fig. 4
Fig. 4
Main body of the device showing the window for the supraaortic branches
Fig. 5
Fig. 5
Main body with extensions to the supraaortic branches inserted
Fig. 6
Fig. 6
Completion CT scan after a double endo arch procedure
See this image and copyright information in PMC

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