Anatomy-driven strategies and mid-term outcomes of branched endovascular repair of the aortic arch: a single-center cohort study

In this single-center cohort study, single- and double-branch TEVAR yielded no statistically significant difference in mid-term survival. Age, and not the number of reconstructed branches, was the primary predictor of mortality. All single-branch techniques showed comparable mid-term survival, supporting an individualized, anatomy-driven approach. The observed inverse association between age and aorta-related complications highlights the critical role of patient selection in these complex procedures and warrants confirmation in larger, multicenter studies with standardized anatomical assessment and imaging follow-up.