“…Data arising mainly from fenestrated and branched arch repair showed a stroke risk rate up to 15% earlier in the literature, while increasing experience achieved a decrease in the potential cerebrovascular complication rate [ 28 , 29 ]. In this analysis, the stroke rate was 5% and within the reported limits in the literature for endovascular arch repair, while recent data on hybrid repair, using SAT debranching, reported a stroke rate up to 14% [ 18 , 28 , 29 , 30 , 31 ]. Anatomic factors, as shaggy or heavily calcified aorta as well as the role of medical treatment using single or double antiplatelet therapy, could not be investigated in the current analysis, despite their potentially significant role in stroke prevention, and need further assessment.…”