Key result
Total endovascular arch repair carries 5-8% early stroke rates, keeping open and hybrid approaches central.
Why the study?
Aortic arch diseases require individualized surgical strategies balancing cerebral protection, organ perfusion, anatomical complexity, and durability as hybrid and endovascular options evolve.
Reinforces open and hybrid techniques as central to aortic arch repair; leaves open long-term durability of total endovascular approaches.
Aortic arch diseases represent one of the most complex domains in cardiovascular surgery due to the need for cerebral protection, anatomical precision, and durable reconstruction. Their management requires highly individualized strategies that balance cerebral protection, systemic organ perfusion, anatomical complexity, and long-term durability. Over recent decades, antegrade cerebral perfusion has significantly reduced neurological morbidity. In parallel, vascular prostheses have progressed from conventional Dacron grafts to hybrid stent graft systems simplifying arch reconstruction and expanded treatment options in high-risk cohorts. Total endovascular arch repair using branched or fenestrated devices has emerged for selected high-risk patients; however, current data remain limited, with early stroke rates of approximately 5–8% and restricted long-term durability evidence. From both clinical and economic perspectives, open and hybrid approaches remain central to durable arch management.
No takes yet. Share an insight, caveat, or question.
Likaj et al. (2026) studied this question. Total endovascular aortic arch repair has early stroke rates of 5–8%, but long-term durability data are limited, keeping open and hybrid approaches central.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: