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
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.
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