Parallel graft technique: an alternative procedure to treat the aortic arch

• 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: Report
• Language: eng
• Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
• Download full: http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-706X2020000100007
• topic: Aorta; Aortic arch; Aneurysm; Chimney technique; Endovascular repair

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.