Endovascular treatment of aortic arch pathologies lacks RCTs and direct comparisons to open surgery, requiring individualized prosthesis choice by interdisciplinary teams.
Endovascular treatment of aortic arch pathologies requires individualized decision-making by an interdisciplinary team due to the lack of randomized trials comparing it with open surgery.
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The published studies vary widely in case numbers and patient collectives; randomized controlled trials are lacking, as is a direct comparison with open aortic arch replacement surgery. Improvements in aortic arch prostheses enable improved, more individualized treatment; the risk profile of each patient must be considered by the interdisciplinary aorta team along with the advantages and disadvantages of the various available types of prosthesis.
Kunzmann et al. (Fri,) reported a other. Endovascular treatment of aortic arch pathologies lacks RCTs and direct comparisons to open surgery, requiring individualized prosthesis choice by interdisciplinary teams.