Current arch branched devices and endovascular techniques sealing within the ascending aorta

Objective

Endovascular techniques, sealing within the ascending aorta, have broadened the scope of aortic practice and have to come to offer a realistic treatment option for many turned down for open intervention. The objective of this narrative review is to examine contemporary literature evaluating current endovascular devices and techniques sealing within the ascending aorta. current endovascular devices and techniques sealing within the ascending aorta.

Methods

Medline through PubMed was systematically search for relevant titles. Studies reporting the outcomes of primary endovascular-based interventions, with a proximal landing zone within the ascending aorta (Ishimaru’s Zone 0), were considered for inclusion. Outcomes were narratively reported.

Results

Four multibranched and four single-branch devices were reported to provide an effective deal within Zone 0. Device-specific outcomes, indications for use, and supportive technical features were further outlined.

Conclusion

The early reports of devices sealing within the ascending aorta are promising, with excellent rates of technical success. Nonetheless, these interventions are associated with significant morbidity. Further well-designed, comparative analyses are essential to definitively guide further graft development and advancements in endovascular strategy.