LAUSR

Thoracic endovascular aortic repair (TEVAR) is the first choice of type B aortic dissection (TBAD). However, when the dissection involves an aortic arch with close proximity to the supra-aortic branches, the situation becomes complicated and challenging for classical TEVAR. In recent years, the Hybrid-ENDO vascular-Open arch repair (HENDO) theory that consists of some treatment strategies specifically for aortic arch lesions, becomes popular. Based on the HENDO theory, the modified endovascular technique, simultaneously aiming at the reconstruction of the involved supra-aortic branches and coverage of TBAD, is the first choice with promising future development. According to the specific anatomic situation and the pathology of the disease, hybrid or open surgery can be performed selectively.