“…23,28 Despite this seemingly logical theoretical benefit, many published studies regarding this treatment strategy continue to report a high incidence of perioperative morbidity and mortality, 15,16,[18][19][20][21]28,29 whereas others advocated the safety and efficacy of this hybrid treatment approach. 17,[22][23][24]27 The disparity of the widely reported treatment outcome may be due in part to the difference in patient selection, surgical technique, as well as the staged treatment strategy between the debranching operation and endovascular procedure.…”