For Patients: Thoracic Aortic Pathologies Involving the Aortic Arch

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Current Options and Recommendations for the Treatment of Thoracic Aortic Pathologies Involving the Aortic Arch: An Expert Consensus Document of the European Association for Cardio-Thoracic Surgery (EACTS) & the European Society for Vascular Surgery (ESVS)

https://esvs.org/wp-content/uploads/2021/08/Consensus-document-ESVS-EATCS-Aortic-Arch.pdf

#AorticArch #Aneurysm #Dissection #VascularSurgery #EndovascularRepair #CTAngiography #AorticTeam #Healthcare #MedicalDeepDive #PatientInfo
This video dives into complex issues affecting the aortic arch, the crucial curved part of the main artery leaving the heart that feeds blood to the head and arms. It focuses on two main problems: aneurysms (a weakening/bulging) and dissections (a tear creating a false channel). Issues here are critical due to the location feeding vital areas, risking blood flow disruption or rupture. Diagnosis primarily uses imaging, with computed tomography angiography (CT angiography) being the strong first choice for its speed and detail, though MRI is also used. Treatment is complex and relies heavily on an "aortic team" of specialists (cardiac/vascular surgeons, radiologists, anaesthesiologists). Centralised care in specialised centres receives a strong class one recommendation for better outcomes. Treatment options include traditional open surgery, less invasive endovascular repair using stent grafts delivered via catheters, and hybrid approaches. Decisions depend on factors like aneurysm size (e.g., considering treatment for arch aneurysms at 55mm gets a class 2A recommendation) and patient anatomy. A major concern across all treatments is the risk of neurological complications like stroke or spinal cord injury. Protecting blood flow to the brain and spinal cord during procedures is critical, sometimes requiring restoring flow to vessels like the left subclavian artery. This field is rapidly evolving with ongoing research focused on minimising risks. The team approach underscores the intricate knowledge and collaboration required for managing these conditions.
Category
Cardiology
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