Total Endo Arch Repair

By Aortic Academy Categories: Aortic Aneurysms

About Course

Course Overview – Total Endovascular Aortic Arch Repair

Master the evolving frontier of aortic intervention with this advanced course focused exclusively on total endovascular repair of the aortic arch. Tailored for vascular and cardiac surgeons, interventional radiologists, and hybrid team members, this course provides a step-by-step approach to planning, device selection, and execution of complex arch reconstructions without open surgery.

Participants will gain the knowledge and technical insight to:

Understand the anatomical, hemodynamic, and neurological challenges unique to the aortic arch
Plan and size branched and fenestrated arch endografts using high-resolution CTA and 3D reconstruction
Compare available device platforms (custom, off-the-shelf, and in-situ techniques) and their design logic
Evaluate patient selection criteria, comorbidities, and cerebral protection strategies
Manage intraoperative complexity, including arch curvature, supra-aortic vessel cannulation, and stroke mitigation
Review real-world cases involving Zone 0–2 repairs, hybrid landing strategies, and bailout scenarios
Align treatment strategies with evolving clinical evidence and international guidelines

Through expert-led video lectures, case-based modules, and advanced imaging libraries, this course offers a rare opportunity to develop procedural fluency in one of the most challenging areas of endovascular therapy.

In the Total Endovascular Aortic Arch Repair course, you will gain in-depth clinical and technical knowledge to perform advanced, minimally invasive arch reconstructions using branched, fenestrated, or in-situ endograft strategies. By the end of this course, you will be able to:
Understand the complex anatomy and hemodynamics of the aortic arch, including supra-aortic vessel orientation, arch types, and the implications of arch curvature
Classify arch pathology and landing zones (Zone 0–2) to guide device selection and procedural planning
Interpret advanced CTA reconstructions to measure branch distances, evaluate arch angles, and assess for calcification, thrombus, and tortuosity
Compare different endograft platforms and strategies, including custom-made devices, off-the-shelf branched systems, and in-situ fenestration techniques
Perform detailed graft planning and sizing, including accurate clock-face orientation, target vessel lengths, and access route optimization
Develop strategies for cerebral protection and stroke prevention, including perfusion techniques, dual-sheath approaches, and rapid pacing
Anticipate and manage intraoperative challenges, such as branch cannulation failure, endoleaks, bird-beaking, and arch vessel malalignment
Integrate multidisciplinary collaboration with cardiac anesthesia, neuro-monitoring, perfusion, and hybrid OR teams
Review current literature and clinical trial data relevant to arch endovascular therapies and outcomes

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