Endovascular treatment of aortic disease offers a minimally invasive alternative to traditional sternotomy or laparotomy, avoiding the need for hypothermic circulatory arrest or cardiopulmonary bypass. Despite its advantages, challenges remain, particularly with managing aortic pathologies involving major branches such as the aortic arch and visceral arteries. Technical success rates for fenestrated, branched, and parallel-graft devices in aortic arch repair are promising. New devices designed for total endovascular arch repair are emerging to ensure an adequate proximal landing zone.
Nevertheless, neurological complications, including stroke and spinal cord ischemia, are significant concerns. For thoracoabdominal aortic aneurysms involving visceral arteries, physician-modified and off-the-shelf devices are gaining traction. However, the higher reintervention rates associated with these endovascular approaches compared to open surgery present a notable challenge.
This Methods Collection aims to showcase the most advanced and up-to-date techniques for endovascular branch reconstruction, focusing on two key areas: endovascular aortic arch repair and thoracoabdominal aortic aneurysm repair. It will cover novel devices for endovascular aortic arch repair and techniques for visceral artery reconstruction using physician-modified and newly designed devices, providing insights into their advantages and applications in clinical practice.
Total Endovascular Repair of Aortic Arch Aneurysm with a Triple-Branched Graft
Zelin Niu1,
Long Cao1,
Wei Guo1,
Hongpeng Zhang*1
1Department of Vascular and Endovascular Surgery, Chinese PLA General Hospital, Beijing, China
Novel and innovative Hybrid technique for type A aortic dissection:Ascending Aorta Replacement Combined with Fenestrated Total Aortic Arch Stenting
Xiantao Ma1,
Xiaoxue Zhang1,
Yi Feng1,
Shiliang Li1,
Cai Cheng*1
1Division of Cardiothoracic and Vascular Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
Application of Castor branched stent combined with parallel stent in in aortic arch treatments
Xiang Kong*1
1Department of Cardiovascular Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China (USTC)
Early results of three-fenestration stent-grafts by surgically assisted short-distance retrograde needle puncture technique in aortic arch treatments
Hui Zheng1,
Qingwei Ding1,
Xiaoyu Zhang1,
Feng Zhu1,
Buqing Ni*2,
Qingyou Meng*1
1Department of Vascular Surgery, General Surgery Clinical Center, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China,
2Department of Cardiovascular Surgery, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China
A Novel Single-unit Concave Supra-Arch Triple Branched Stent Graft System for Aortic Arch
Yutong Xiao1,
Kun Fang1,
Chuan Tian1,
Jie Fang1,
Mingyao Luo*2,
Chang Shu*2
1Center of Vascular Surgery, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College,
2State Key Laboratory of Cardiovascular Disease, Center of Vascular Surgery, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College
A novel sheath alignment method of in-situ fenestration for left subclavian artery revascularization in TEVAR procedure
Jidong LIU*1
1Shanghai Jiaotong University School of Medicine, Renji Hospital, Department of cardiovascular surgery
Application and midterm outcomes of in situ laser fenestration for construction of the left subclavian artery in aortic arch diseases
Xu Li1,
Zhen Li1,
Zhouyang Jiao1,
Hui Cao1,
Peng Xu1,
Baoning Zhou1,
Hao Zhao1,
Zhaohui Hua*1
1Department of Endovascular Surgery, the First Affiliated Hospital of Zhengzhou University