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CC BY 4.0 · Aorta (Stamford) 2015; 03(01): 16-24
DOI: 10.12945/j.aorta.2015.14-050
State-of-the-Art Review
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Application of the Bolton Relay Device for Thoracic Endografting In or Near the Aortic Arch

Vincent Riambau
1   Vascular Surgery Division, Thorax Institute, Hospital Clinic of Barcelona, Barcelona, Spain
› Institutsangaben
Weitere Informationen

Publikationsverlauf

07. August 2014

05. Dezember 2015

Publikationsdatum:
24. September 2018 (online)

   Lizenzen und Reprints

Abstract

Endovascular correction of aortic arch pathology remains a challenge, with a variety of techniques proposed over the years to minimize complications and enhance the probability of a successful result. A variety of approaches have been developed in order to deal with the aortic arch pathology and its idiosyncrasies. We review potential interventional techniques for the repair of aortic arch pathologies, beginning with conventional aortic arch surgery, followed by hybrid treatments and those along the endovascular spectrum (parallel and fenestrated endografts, scalloped endografts, and ascending and new branched endografts). We finish with an overview of all the Bolton Medical (Barcelona, Spain and Sunrise, FL, USA) thoracic platforms. Endovascular techniques show acceptable results in selected cases. Both proximal Bolton Relay configurations (with and without a bare stent) offer conformability and accuracy on deployment with very low rates of stroke. Fenestrated and scalloped designs are also useful for selected cases. Ascending and branched Bolton devices are very promising platforms for a serious, full endovascular approach to the aorta.

Key Words

Arch - Endovascular treatment - Endograft
 

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