Aortic-arch Reconstruction with Bolton Medical Branched Thoracic Stent Graft

IntroductionSurgical repair of the aortic arch is technically demanding and requires complex circulatory management. Endovascular techniques can treat arch diseases but frequently need surgical de-branching of supra-aortic vessels.ReportWe describe the use of a new, custom-made, branched stent-graft system to treat a penetrating atherosclerotic ulcer of the aortic arch. This system consisted of a combination of three endoluminal prostheses introduced via peripheral arteries.DiscussionThe branched stent-graft system was effective and safe. Minimally invasive techniques for aortic-arch repair are attractive but technological progress and further improvements are still necessary in the endovascular treatment of complex arch anatomy.