Abstract
The treatment of aortic arch disease has historically been limited to open surgical repair. With the evolution of endovascular therapy, application to this region has begun to be evaluated more extensively. The initial graft designs have relied on one or two directional branches to incorporate the great vessels, relying on extra-anatomic bypasses to preserve flow to this region. The article by Tenorio et al1 described the successful global use of a three-branch design, allowing for complete endovascular exclusion of the arch.
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