Inner-Branched Endoprostheses for the Treatment of Aortic Arch Aneurysms

The ‘inner branched’ endograft from Cook Medical (Bloomington, Ind) is a new technology designed to treat patients with extensive aortic arch aneurysms who are at high-risk for open surgery without the need for sternotomy. This thesis establishes criteria for patient selection and the procedural technique. Mid-term patient outcomes are presented. A CT-based feasibility study looking at the use of the endograft in patients following ascending aortic replacement for acute type A dissection is presented. Results of a CT-based long-term follow up study for patients having undergone thoracic endovascular aortic repair for blunt aortic injury are presented.