Endovascular total aortic arch replacement by in situ stent graft fenestration technique.
Open surgical total aortic arch replacement is a demanding procedure which carries a substantial morbidity and mortality. A less invasive endovascular option is endovascular stent grafting using in situ fenestrations. After thoracic stent graft deployment in the arch, fenestrations are made for the major arch vessels. During this procedure, antegrad cerebral perfusion is maintained using a tempora