主动脉弓
医学
背景(考古学)
拱门
主动脉弓综合征
疾病
外科
主动脉
内科学
工程类
古生物学
土木工程
生物
作者
Hiroo Takayama,Yu Hohri,Derek R. Brinster,Edward P. Chen,Ismaı̈l El-Hamamsy,Adham Elmously,Joseph J. DeRose,Kazuhiro Hisamoto,Christopher Lau,Yutaka Okita,Mark D. Peterson,David Bergqvist,Benjamin A. Youdelman,Davide Pacini
标识
DOI:10.1093/ejcts/ezae179
摘要
Abstract OBJECTIVES The management of aortic arch disease is complex. Open surgical management continues to evolve, and the introduction of endovascular repair is revolutionizing aortic arch surgery. Although these innovative techniques have generated the opportunity for better outcomes in select patients, they have also introduced confusion and uncertainty regarding best practices. METHODS In New York, we developed a collaborative group, the New York Aortic Consortium, as a means of cross-linking knowledge and working together to better understand and treat aortic disease. In our meeting in May 2023, regional aortic experts and invited international experts discussed the contemporary management of aortic arch disease, differences in interpretation of the available literature and the integration of endovascular technology into disease management. We summarized the current state of aortic arch surgery in this review article. RESULTS Approaches to aortic arch repair have evolved substantially, whether it be methods to reduce cerebral ischaemia, improve haemostasis, simplify future operations or expand options for high-risk patients with endovascular approaches. However, the transverse aortic arch remains challenging to repair. Among our collaborative group of cardiac/aortic surgeons, we discovered a wide disparity in our practice patterns and our management strategies of patients with aortic arch disease. CONCLUSIONS It is important to build unique institutional expertise in the context of complex and evolving management of aortic arch disease with open surgery, endovascular repair and hybrid approaches, tailored to the risk profiles and anatomical specifics of individual patients.
科研通智能强力驱动
Strongly Powered by AbleSci AI