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CC BY 4.0 · Aorta (Stamford) 2015; 03(02): 61-66
DOI: 10.12945/j.aorta.2015.14-046
State-of-the-Art Review
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Saccular Aneurysms of the Transverse Aortic Arch

Treatment Options Available in the Endovascular Era
Ourania Preventza
1   Department of Cardiovascular Surgery, the Texas Heart Institute, and Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA
,
Joseph S. Coselli
1   Department of Cardiovascular Surgery, the Texas Heart Institute, and Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA
› Author Affiliations
Further Information

Publication History

31 July 2014

12 February 2015

Publication Date:
24 September 2018 (online)

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Abstract

Based on a Presentation at the 2013 VEITH Symposium, November 19–23, 2013 (New York, NY, USA)

Saccular aneurysms of the aortic arch, whether single or multiple, are uncommon. The choice of repair technique is influenced by patients' comorbidities and age. Repairing saccular aneurysms with traditional open techniques can be technically demanding; therefore, endovascular technology and a variety of hybrid approaches have been developed to facilitate such repairs and, potentially, to improve clinical outcomes, especially in high-risk patients. There have been no large, randomized studies to compare the outcomes of these different treatment options in patients with single or multiple saccular aneurysms of the arch. In this review, we outline the etiology and common locations of these aneurysms, the different open, completely endovascular, and hybrid techniques used to treat them, and the treatment selection process.

Key Words

Saccular aneurysms - Aortic arch - Chimney and snorkel technique - Hybrid technique
 

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