German Aortic Center Hamburg, Department of Vascular Medicine, University Heart Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
German Aortic Center Hamburg, Department of Vascular Medicine, University Heart Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Ann Vasc Surg. 2023 Aug;94:102-118. doi: 10.1016/j.avsg.2023.06.004. Epub 2023 Jun 14.
The gold standard for aneurysmal repair of the ascending aorta and the aortic arch has been open surgery with an established track record of good results in suitable patients. In recent years, with innovations in the endovascular field alternative endovascular solutions for pathologies of the aortic arch and ascending aorta became available. At first reserved only for highly selected patients unfit for open surgery, endovascular aortic arch repair is now being offered to patients with suitable anatomy in high-volume referral centers after discussion in an interdisciplinary team. The present scoping review aims at providing an overview on indications, available devices, technical aspects, and feasibility studies of endovascular arch repair both in elective and emergent situations, including also experiences and considerations from our center.
升主动脉和主动脉弓动脉瘤修复的金标准一直是开放手术，在合适的患者中已取得良好效果的记录。近年来，随着血管内治疗领域的创新，主动脉弓和升主动脉病变的替代血管内解决方案已经出现。最初仅保留给不适合开放手术的高度选择患者，现在在多学科团队讨论后，在大容量转诊中心向具有合适解剖结构的患者提供血管内主动脉弓修复。本范围综述旨在提供血管内弓修复在择期和紧急情况下的适应症、可用设备、技术方面和可行性研究的概述，包括我们中心的经验和考虑。
