The choice of indications for traditional surgical treatment is based on both the risk of the lesion and the safety of the surgical procedure. type A entrapment has been considered to warrant aggressive surgery. Most believe that acute type B coarctation should be treated first with conservative treatment based on lowering blood pressure and heart rate, close observation of clinical and hemodynamic changes in the ICU, and active imaging monitoring of the lesion, followed by selective surgical treatment of the aortic coarctation. This selection is based on the likelihood of rupture of the entrapment. Surgery is considered once the potential for rupture exists, the lesion involves the ascending aorta, or there is impaired blood supply to the branch vessels. Uncontrollable hypertension, aortic diameters greater than 5 cm, Marfan’s syndrome and other connective tissue diseases, and long-term hormonal therapy are considered risk factors for rupture. However, there is no doubt that traditional surgical treatment of aortic coarctation is invasive and extremely challenging for the surgeon. Patients with unstable vital signs, advanced age, and severe combined organ insufficiency cannot tolerate the trauma of conventional surgery. Therefore, the scope of application is greatly limited.