Abstract
Endovascular correction of aortic arch pathology remains a challenge, with a variety of techniques proposed over the years to minimize complications and enhance the probability of a successful result. A variety of approaches have been developed in order to deal with the aortic arch pathology and its idiosyncrasies. We review potential interventional techniques for the repair of aortic arch pathologies, beginning with conventional aortic arch surgery, followed by hybrid treatments and those along the endovascular spectrum (parallel and fenestrated endografts, scalloped endografts, and ascending and new branched endografts). We finish with an overview of all the Bolton Medical (Barcelona, Spain and Sunrise, FL, USA) thoracic platforms. Endovascular techniques show acceptable results in selected cases. Both proximal Bolton Relay configurations (with and without a bare stent) offer conformability and accuracy on deployment with very low rates of stroke. Fenestrated and scalloped designs are also useful for selected cases. Ascending and branched Bolton devices are very promising platforms for a serious, full endovascular approach to the aorta.
Highlights
Aortic Arch-Related PathologiesThere are an increasing number of patients with thoracic aortic pathology
Endovascular correction of aortic arch pathology remains a challenge, with a variety of techniques proposed over the years to minimize complications and enhance the probability of a successful result
A variety of approaches have been developed in order to deal with the aortic arch pathology and its idiosyncrasies
Summary
Aortic Arch-Related PathologiesThere are an increasing number of patients with thoracic aortic pathology. Reports using open surgical techniques to treat the aortic arch and ascending aorta show rates of mortality, which range from 0% to 16.5% and stroke rates from 2% to 18% [7]. This technique, implying replacement of aortic arch portions by synthetic grafts to restore blood flow through the aorta and all branch vessels, has improved during recent years.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have