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Mastering Endovascular Techniques Chapter 24 Angioplasty and Stenting of the Arch Branches This video provides an overview of endovascular interventions for the aortic arch, detailing how modern minimally invasive techniques are replacing traditional open surgeries for complex arterial disorders. The document begins with a sophisticated case study of a high-risk patient treated with a multi-branch endograft, highlighting the technical precision required to navigate around mechanical heart valves without causing damage. It then transitions into an educational framework covering aortic embryology and anatomy, specifically defining the "Ishimaru zones" used to categorise attachment points for surgical grafts. Central to the text is the classification of various pathologies, such as aneurysms and dissections, and the evaluation of stent-graft technologies designed to maintain blood flow to the brain and arms. Ultimately, the source serves as a clinical guide for practitioners, emphasising that while advanced branched devices and angioplasty offer lower immediate risks, the choice of treatment must be tailored to the patient’s unique vascular morphology.