Endovascular aortic arch repair using a double-branched approach.

The last 15 years have overwhelmed the surgical community with a range of approaches in treating pathologies involving the aortic arch of which some are here to stay. The ones to stay are-in the authors' opinion-refined classical surgical approaches such as the frozen elephant trunk technique, near-orthotopic combined vascular and endovascular approaches such as subclavian to carotid transposition/bypass and double transposition, and finally, near-orthotopic advanced endovascular solutions such as the double-endovascular repair using fenestrated and/or branched solutions which will be the main focus of this article.
Competing Interests: Conflict of interestMartin Czerny and Bartosz Rylski are consultants to Terumo Aortic.No need for ethics or consent as this is a review article.
(© Indian Association of Cardiovascular-Thoracic Surgeons 2019.)