PARALLEL GRAFT TECHNIQUE: UMA ALTERNATIVA PARA O TRATAMENTO DE PATOLOGIA DO ARCO AÓRTICO

• Main Author: Augusto, Rita
• Publication Date: 2020
• Other Authors: Campos, Jacinta, Coelho, Andreia, Coelho, Nuno, Pinto, Evelise, Semião, Carolina, Ribeiro, João, Peixoto, João, Brandão, Daniel, Canedo, Alexandra
• Format: Article
• Language: eng
• Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
• Download full: https://doi.org/10.48750/acv.246
• topic: Aorta; Aortic arch; Aneurysm; Chimney technique; Endovascular repair; Aorta; Arco aórtico; Aneurisma; Chimney technique; Reparação endovascular

Treatment of aortic pathologies involving the aortic arch represents a great challenge for vascular surgeons. Endografting techniques, comparing to open surgery, are less invasive approaches. However, an adequate proximal landing zone remains a challenge and, regarding this issue, parallel graft techniques represent a viable endovascular treatment option in patients with challenging aortic arch pathology by extending the proximal landing zone while maintaining aortic side branches perfusion. Parallel graft techniques required a thorough planning and the clinical and imagiological follow-up are mandatory. They appear to be a safe and minimally invasive alternative techniques in selected fragile patients. The authors report three clinical cases that required the use for parallel grafts to treat complex pathology of aortic arch.