{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T02:53:01Z","timestamp":1792464781919,"version":"4.5.0"},"reference-count":67,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>This review evaluates procedural and technical advancements in branched and fenestrated thoracic endovascular aortic repair (B-\/F-TEVAR) for aortic arch pathologies, with the main focus on the clinical outcomes, including stroke and mortality.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A narrative review of the literature was conducted to assess the evolution of B-\/F-TEVAR devices, including branched and fenestrated designs. Key factors such as technical success, perioperative outcomes, and long-term performance were examined across various patient cohorts, with the focus on mortality and stroke.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>B-\/F-TEVAR achieves high technical success rates (84%-100%), with 30-day mortality and stroke rates typically ranging from 0% to 25% and 3% to 36%, respectively. Fenestrated repairs are particularly suited for pathologies involving the lesser aortic curvature, offering reduced mortality (as low as 2% in some studies), while branched repairs provide greater adaptability for complex anatomies, albeit with higher stroke rates in certain cohorts.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>B-\/F-TEVAR has emerged as a feasible treatment option for selected high-risk patients with aortic arch pathology, achieving high technical success. Although outcomes may improve with growing experience, stroke remains a significant complication, and reintervention rates highlight the need for long-term durability.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezaf273","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:51:31Z","timestamp":1755046291000},"source":"Crossref","is-referenced-by-count":4,"title":["Endovascular Arch Repair: Endograft Design Options and Worldwide Results"],"prefix":"10.1093","volume":"67","author":[{"given":"Mario","family":"Lescan","sequence":"first","affiliation":[{"name":"University Heart Center Freiburg, Department of Cardiovascular Surgery , 79106 Freiburg,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1892-1487","authenticated-orcid":false,"given":"Stoyan","family":"Kondov","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg, Department of Cardiovascular Surgery , 79106 Freiburg,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6197-1212","authenticated-orcid":false,"given":"Aleksandar","family":"Dimov","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg, Department of Cardiovascular Surgery , 79106 Freiburg,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6263-9123","authenticated-orcid":false,"given":"Tim","family":"Berger","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg, Department of Cardiovascular Surgery , 79106 Freiburg,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Discher","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg, Department of Cardiovascular Surgery , 79106 Freiburg,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Gottardi","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg, Department of Cardiovascular Surgery , 79106 Freiburg,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1644-1754","authenticated-orcid":false,"given":"Joseph","family":"Kletzer","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg, Department of Cardiovascular Surgery , 79106 Freiburg,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3099-7254","authenticated-orcid":false,"given":"Maximilian","family":"Kreibich","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg, Department of Cardiovascular Surgery , 79106 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