title: Anatomic feasibility of endovascular reconstruction in aortic arch aneurysms.
abstract: The purpose was to estimate the proportion of current open aortic arch reconstructions that might be feasible for endovascular repair. From all elective repair made in Southern Sweden in one center between 2005 and 2012, 129 open and eight endovascular aortic arch repairs were identified. The anatomy of the ascending arch and descending aorta as well as the arch vessels was categorized from multiplanar and axial computed tomography scans. Of 129 open cases, only two (1.5%) were suitable for endovascular repair. Among 137 all arch open and endovascular arch reconstructions performed during the study period, only 10 (7%) were candidates for endovascular repair. The most common exclusion for endovascular repair was an excessively large ascending aortic diameter. In conclusion, only a small proportion of patients having an open arch repair are suitable for endovascular arch repair, a finding related to the large diameter of the ascending aorta.
authors.affiliation: Vascular Center Malmö-Lund, Skåne University Hospital, Lund, Sweden b.sonesson@gmail.com.
authors.forename: B
authors.initials: B
authors.lastname: Sonesson
authors.affiliation: Department of Cardiothoracic Surgery, Skåne University Hospital, Lund, Sweden.
authors.forename: M
authors.initials: M
authors.lastname: Landenhed
authors.affiliation: Vascular Center Malmö-Lund, Skåne University Hospital, Lund, Sweden.
authors.forename: N
authors.initials: N
authors.lastname: Dias
authors.affiliation: Vascular Center Malmö-Lund, Skåne University Hospital, Lund, Sweden.
authors.forename: T
authors.initials: T
authors.lastname: Kristmundsson
authors.affiliation: Department of Cardiothoracic Surgery, Skåne University Hospital, Lund, Sweden.
authors.forename: R
authors.initials: R
authors.lastname: Ingemansson
authors.affiliation: Department of Cardiothoracic Surgery, Skåne University Hospital, Lund, Sweden.
authors.forename: B
authors.initials: B
authors.lastname: Koul
authors.affiliation: Vascular Center Malmö-Lund, Skåne University Hospital, Lund, Sweden.
authors.forename: M
authors.initials: M
authors.lastname: Malina
authors.affiliation: Vascular Center Malmö-Lund, Skåne University Hospital, Lund, Sweden.
authors.forename: T
authors.initials: T
authors.lastname: Resch
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D017558:Elective Surgical Procedures; D057510:Endovascular Procedures / Q000295:instrumentation; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000295:instrumentation; D015607:Stents; D013548:Sweden; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Arch anatomy; arch aneurysm; endovascular repair