Recently, significant progress has been made in the field of endovascular repair of complex aortic disease involving the major branches (aortic arch disease and complex abdominal aortic aneurysms). Open surgery was considered the "gold standard" for the treatment of these complicated aortic diseases, but was challenged by the huge surgical trauma and high risk of post-operative complications. However, the rapid development of branched and fenestrated endografts has provided an alternative safe and effective minimally invasive treatment for patients who cannot tolerate open surgery. Preliminary evidence has also shown that branched and fenestrated endografts have achieved significant technical success rates and clinical outcomes and have gradually become an important direction of innovation and development for endovascular repair of complex aortic disease. Nevertheless, both branched and fenestrated endografts are currently in the early stages of experience and a series of high-quality research studies are needed in the future to further compare them with open surgery and within different endovascular techniques.
近年来，主动脉腔内修复技术治疗累及重要分支的复杂主动脉疾病（如主动脉弓和复杂腹主动脉瘤等），取得了明显进展。分支、开窗型支架的快速发展，为无法耐受开放手术的复杂主动脉疾病患者，提供了安全、有效的微创治疗选择。初步临床证据表明，分支、开窗型支架的技术成功率和手术效果均较好，逐渐成为复杂主动脉疾病腔内修复技术创新与发展的重要方向。但不可否认，分支、开窗型支架在复杂主动脉疾病的腔内治疗中尚处于早期经验积累阶段，未来还需要一系列高质量研究验证其治疗效果，并完善其与开放手术及不同腔内技术间的疗效比较。.