Endovascular Aortic Repair pp 507-529 | Cite as
Technical Aspects and Results of Branched Endografts for Repair of Aortic Arch Aneurysms
Abstract
In recent years, the successful application of fenestrated and branched endograft technology in the visceral aortic segment has been expanded to include the aortic arch. A number of challenges exist specific to endovascular procedures in the aortic arch, including issues associated with the seal zone, device durability, the aortic valve, device alignment, stroke, and mortality. The arch branched endograft (a-Branch) from Cook Medical (Bloomington, IN) has been trialed in limited high-volume centers in Europe, the USA, and Canada. The device represents a third-generation arch branched endograft (ABE), which was designed to address specific challenges encountered with endovascular procedures in the aortic arch and lessons learned from earlier devices. A number of other devices are currently under clinical investigation. This chapter summarizes patient selection, technical aspects, and results of repair of aortic arch aneurysms.
Keywords
Aorta Aortic arch Aortic aneurysm Aortic arch aneurysms Endovascular Branched endograft Branched endoprosthesis Arch branched endograft Arch branched endoprosthesis Thoracic branched endoprosthesisReferences
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