Key result
Endovascular management of aortic arch pathology consists of hybrid operations and endovascular repair techniques including in vivo fenestration, retrograde branch stenting, and prefabricated grafts.
This text outlines the primary endovascular approaches for managing aortic arch pathology, categorizing them into hybrid operations and purely endovascular repair techniques.
Endovascular management of aortic arch pathology consists of two primary approaches: hybrid operations (See the article by Drs Vallabhaneni and Sanchez) involving the combination of open and endovascular techniques1 and endovascular repair without open revascularization of the arch vessels prior to stent graft deployment. The latter are grouped into three basic techniques: (1) In vivo fenestrated stent grafts, (2) retrograde branch stenting (double barrel/chimney graft/snorkeling technique), and (3) prefabricated fenestrated and branched stent grafts (See the article by Drs Greenberg and Qureshi).
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Longo et al. (2010) conducted a review in Aortic arch pathology. Endovascular techniques for arch vessel reconstruction was evaluated. Endovascular management of aortic arch pathology consists of hybrid operations and endovascular repair techniques including in vivo fenestration, retrograde branch stenting, and prefabricated grafts.
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