London Aorta 2024, London, United Kingdom – Lecture on our experience in endovascular repair of aortic arch aneurysms.
What was presented at London Aorta 2024?
At London Aorta 2024, in London, United Kingdom, the team's experience in the endovascular repair of aortic arch aneurysms was presented.
An aortic arch is the segment of the aorta between the ascending and the descending aorta, and its basic function is to supply blood to the vessels of the brain and the upper limbs. This is why it is the most demanding segment of the aorta.
What makes the aortic arch demanding?
An aortic arch lies between the ascending and the descending aorta, and from it arise the vessels that supply the brain and the upper limbs. Any procedure there must repair the aneurysm without interrupting the flow to those branches.
What is the endovascular alternative?
Open repair of the arch requires sternotomy and cardiopulmonary bypass. The endovascular approach with branched endografts, such as the Nexus Duo, is performed through a puncture of the femoral artery, without sternotomy.
Which patients benefit?
Endovascular repair of the aortic arch is intended mainly for patients who have already had surgery or who cannot undergo an open procedure with sternotomy. For many of them it is the only realistic treatment option.
How does it differ from open surgery?
Open repair requires sternotomy, cardiopulmonary bypass and a prolonged hospital stay. The endovascular approach offers less surgical trauma, less blood loss, a shorter hospital stay and a faster return to daily life. These advantages are critical for patients at high surgical risk. The choice of method is made individually, based on the anatomy, the age and the general condition of the patient.
London Aorta brings together centres that deal specifically with aortic pathology. The exchange of experience at such conferences has practical value, since procedures on the aortic arch are rare and each centre has a limited number of cases. See in detail the page on Aortic arch aneurysm.
