Endovascular Options for the Ascending Aorta and Aortic Arch: A Scoping Review

Rohlffs, Fiona; Grandi, Alessandro; Panuccio, Giuseppe; Detter, Christian; Kodolitsch, Yskert Von; Kölbel, Tilo

doi:10.1016/j.avsg.2023.06.004

Cited by 5 publications

(2 citation statements)

References 111 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In recent years, with the development of thoracic endovascular repair (TEVAR) and improved techniques for treating thoracic aortic diseases, endovascular repair of the ascending aorta has become a research hotspot [ 90 ]. In 2002, Cribier et al [ 91 ] successfully performed the first transcatheter aortic valve replacement (TAVR), which is widely used because of its advantages of minimal trauma, fast postoperative recovery, and a stable anchoring area.…”

Section: Endovascular Therapymentioning

confidence: 99%

“…In 2014, Rylski et al [ 92 ] proposed the concept of integrated intracavitary therapy with TEVAR and TAVR, and the surgical concepts of Endo-Wheat and Endo-Bentall emerged. Endo-Wheat uses a straight ascending aortic graft and an artificial heart valve that combines TEVAR and TAVR techniques [ 90 ]. The Endo-Bentall technique uses a composite graft to simultaneously reconstruct the ascending aorta, aortic valve, and coronary artery [ 93 ].…”

Section: Endovascular Therapymentioning

confidence: 99%

See 1 more Smart Citation

Research Progress on Aortic Root Aneurysms

Du,

Wang,

Wang

et al. 2024

Med Sci Monit

View full text Add to dashboard Cite

Aortic root aneurysms are one of the most common aortic root diseases, involving the aortic valve, aortic sinus, bilateral coronary arteries, and part of the ascending aorta. It is a life-threatening aortic disease with a high mortality rate of approximately 90%, due to aortic aneurysm rupture. Aortic valve insufficiency is one of the most common complications of aortic root aneurysms that can lead to acute left heart failure. The etiology of aortic root aneurysms is not yet completely clear and is mainly related to genetic diseases, such as Marfan syndrome and atherosclerosis. It can also occur secondary to aortic valve stenosis or a bivalve deformity. Surgery is the primary treatment for aortic root aneurysms, and aortic root replacement is a classic surgical method. However, the incidences of perioperative complications and mortality are relatively high, particularly in high-risk patients. In recent years, the anatomical structure of the aortic root has been gradually refined, and an in-depth understanding of root aneurysms has led to individualized treatment methods. Conservative drug therapy (β-receptor blockers, angiotensin-converting enzyme inhibitors, or angiotensin receptor blockers), Bentall and modified Bentall surgeries (Button technology, Cabrol surgery, and modified Cabrol surgery), valve-sparing aortic root replacement (David and Yacoub), personalized external aortic root support, and endovascular intervention therapy have significantly improved the perioperative and long-term survival rates of patients with aortic root aneurysms. However, different treatment methods have their own advantages and disadvantages. This review aimed to summarize the current research progress and treatment of aortic root aneurysms.

show abstract

Section: Endovascular Therapymentioning

confidence: 99%