Open arch reconstruction in the endovascular era: analysis of 721 patients over 17 years.

Objective: Recent advancements in thoracic endovascular aortic repair, such as branched endografts or hybrid debranching/thoracic endovascular aortic repair, have extended the option of endoluminal therapy into the realm of the aortic arch. A contemporary assessment of open arch repair to provide long-term data for comparative analysis for these newer therapies is timely, warranted, and presented in this article.

Methods: Since the inception of our thoracic endovascular aortic repair program in 1993, 721 patients (mean age of 59.