2023 年 37 巻 1 号 p. 19-24
With the current development of endovascular techniques, stent-grafting for aortic arch aneurysms is still a challenging procedure, and arch replacement is the first choice. In this article, the evidence from the Japanese guidelines and the European expert consensus is reviewed, and surgical, hybrid-TEVAR, and total endovascular treatments, including the latest developing devices and techniques, are outlined.