The endovascular repair of the aortic arch using a double branched prosthesis

The last decade has substantially broadened treatment options for patients with thoracic aortic pathology involving the aortic arch. Traditionally, treatment of aortic arch pathology was a domain of open cardiac surgery. The advent of combined vascular and endovascular procedures opened a new field thereby enabling treatment in previously operated and in less fit patients. As a subsequent technological leap, branched arch endografts became available and are currently gaining acceptance in the community. However, current suitability is limited to specific anatomical conditions. When these are respected, early results are very encouraging. Nevertheless, long-term results have to be awaited.