Total Endovascular Aortic Arch Repair with Branched Graft.

Daniela Bacich,Vincenzo Giambruno,Giuseppe Faggian,Ilaria Franzese,Giovanni Puppini,Giuseppe Petrilli

doi:10.1055/s-0039-1694014

Daniela Bacich, Vincenzo Giambruno + Show 4 more

Open Access

https://doi.org/10.1055/s-0039-1694014

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Journal: AORTA	Publication Date: Jun 1, 2019
Citations: 4	License type: CC BY 4.0

Affiliation: University of Verona

Abstract

In selected cases, the utilization of branched endografts for the treatment of aortic arch aneurysms could be a safe and advantageous alternative to high-risk procedures such as open total aortic arch replacement or hybrid arch repair. We present the case of a 70-year-old man with saccular aneurysm of a bovine aortic arch which was endovascularly treated using a double-branched custom-made aortic endoprosthesis based on the Relay NBS (Non-Bare Stent) Plus platform intended for zone 0 deployment. The postoperative clinical course was uneventful. The postoperative computed tomography scan showed a good result of the implant. The patient was discharged 6 days after the procedure.

Highlights

The endovascular repair techniques developed for aortic arch disease offer an alternative treatment to open surgery, especially for patients with a high-risk surgical profile
We present the case of a 70-yearold man with saccular aneurysm of a bovine aortic arch which was endovascularly treated using a double-branched custom-made aortic endoprosthesis based on the Relay NBS (NonBare Stent) Plus platform intended for zone 0 deployment
Hybrid aortic arch repairs have been developed combining the use of thoracic endovascular aortic repair (TEVAR) with a conventional elephant trunk repair or with an open surgical debranching of the cerebral vessels.[1,2]

Summary

Introduction

The endovascular repair techniques developed for aortic arch disease offer an alternative treatment to open surgery, especially for patients with a high-risk surgical profile. Keywords ► endovascular aortic arch repair ► branched TEVAR ► multibranched graft The utilization of branched endografts for the treatment of aortic arch aneurysms could be a safe and advantageous alternative to high-risk procedures such as open total aortic arch replacement or hybrid arch repair.

Results

Conclusion