One-Year Follow-Up After Hybrid Thoracoabdominal Aortic Repair

Abstract

The presumed less invasive nature of hybrid TAAA repair does not seem to result in lower complication rates. The high mortality rate at 30 days continues to rise dramatically thereafter, suggesting that 1-year mortality is a more useful clinical parameter to use in preoperative decision-making for this kind of repair.

Commentary: Physician-Modified Fenestrated/Branched EVAR and Hybrid Techniques for Acute Thoracoabdominal Aortic Pathologies: Inequality When Comparing Alternative Options With Different Philosophies Does Not Equal Lower Quality

“…Although lower than total endovascular repair, the rate associated with hybrid repairs ranges Includes a cohort treated with physician-modified stent-grafts. from 1.2% to 13% in the literature, 6,[19][20][21][22][23][24][25][26] indicating that there is still a long way to go to diminish this pathology. In the report by Yang et al, 1 the 10% rate corresponds to the literature.…”

“…Concerning acute renal failure, the rate of deterioration was low; however, the authors had to deal with a high rate of new-onset dialysis at 30 days. Table 2 lists reports 6,[19][20][21][22][23][24][25][26] after the last meta-analysis by Canaud et al 17 in 2013.…”

Hybrid thoracoabdominal aortic aneurysm repair: is the future here?

“…This repair typically involves replacing the aorta from just distal to the left subclavian artery to the aortic bifurcation. The risk is also increased in certain patient populations, such as older patients and those with congestive heart failure, poor pulmonary function, or renal disease (3)(4)(5)(6)(7). Because of the added operative risk in patients with these comorbidities, less invasive techniques…”