Figure - available from: Frontiers in Cardiovascular Medicine
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Purpose
The use of inner-branch aortic stent grafts in the treatment of complex aortic pathologies aims at broad applicability and stable bridging stent sealing compared to other endovascular technologies. The objective of this study was to evaluate the early outcomes with a single manufacturer custom-made and off-the-shelf inner-branched endograft...
Citations
Open thoracic and thoracoabdominal aortic repair represents one of the major surgical challenges with respect to the operative technique. Despite increasing use of fenestrated and branched stent prostheses, open aortic replacement is the gold standard for specific indications, such as young and fit patients, patients with connective tissue diseases, unsuitable anatomy for endovascular treatment or failure of endovascular treatment, tumor surgery, and prosthesis infections. In specialized centers the morbidity and mortality can be reduced by the use of intraoperative organ-protective measures, such as stepwise cross-clamping, selective renovisceral and distal perfusion, revascularization of spinal arteries, and the use of cerebrospinal fluid drainage, as well as adequate hemotherapy and volume therapy.
