Hybrid repair of complex thoracoabdominal aortic aneurysms using applied endovascular strategies combined with visceral and renal revascularization

Biasi, Lukla; Ali, Tahir; Loosemore, T.; Morgan, Robert; Loftus, Ian; Thompson, Matt

doi:10.1016/j.jtcvs.2009.03.032

Cited by 47 publications

(41 citation statements)

References 33 publications

(46 reference statements)

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“…15.5%); however, there was great heterogeneity among the 18 eligible studies that provided adequate data 7,8,[13][14][15][16][17][18][19][20][21][22][23][25][26][27][28][29] (I 2 ϭ76.5%, 95% CI, 61.1%-84%). With respect to not supported renal insufficiency, we extracted available data from 17 studies.…”

Section: Moulakakis Et Al Hybrid Technique In Thoracoabdominal Patholmentioning

confidence: 99%

Hybrid Open Endovascular Technique for Aortic Thoracoabdominal Pathologies

et al. 2011

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Background-Many authors using a hybrid debranching strategy for the treatment of thoracoabdominal pathologies have reported disappointing results and the initial enthusiasm for the technique has given way to criticism and ambiguity. The aim of the present meta-analysis study was to assess the safety and efficacy of the technique in patients with thoracoabdominal aortic aneurysms or other aortic pathologies. Methods and Results-A multiple electronic search was performed on all articles describing hybrid open endovascular repair. Separate meta-analyses were conducted for technical success, visceral graft patency, spinal cord ischemia symptoms, renal insufficiency, and other complications as well as 30-day/in-hospital mortality. Nineteen publications with a total of 507 patients were analyzed. The pooled estimates for primary technical success and visceral graft patency were 96.2% (95% CI, 93.5%-98.2%) and 96.5% (95% CI, 95.2%-97.8%) respectively. A pooled rate of 7.5% (95% CI, 5.0%-11.0%) for overall spinal cord ischemia symptoms was observed; whereas for irreversible paraplegia the pooled rate was 4.5% (95% CI, 2.5%-7.0%). The pooled estimate for renal failure was 8.8% (95% CI, 3.9%-15.5%). The pooled 30-day/in-hospital mortality rate was 12.8% (95% CI, 8.6%-17.0%). During the mean follow-up period of 34.5 (95% CI, 31.5-37.5) months, a total of 119 endoleaks were identified in 111 patients (22.7%). Conclusions-The repair of thoracoabdominal pathologies by means of hybrid procedures in patients who are poor surgical candidates is still associated with significant morbidity and mortality rates. Future studies may substantiate whether the technique is amenable to amelioration and improvement. (Circulation. 2011;124:2670-2680.)

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Section: Moulakakis Et Al Hybrid Technique In Thoracoabdominal Patholmentioning

confidence: 99%

Hybrid Open Endovascular Technique for Aortic Thoracoabdominal Pathologies

et al. 2011

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“…При одномомент-ном подходе увеличивается время вмешательства [3,12,31,32,43,59,64,75,86] и анестезиологического пособия [60] минимум на 1 ч [55], при этом более продолжительна искусственная вентиляция легких (ИВЛ) [43,60], возни-кает необходимость инотропной поддержки, повышается риск водно-электролитных нарушений, аритмий, почеч-ной недостаточности [60], нарастает системное воспале-ние [39,86]. В течение всего времени операции брюшная полость остается «открытой» [55], что приводит к потере жидкости [8,23,32,43], прогрессирующей гипотермии [3,8,31,32,84] и, как следствие, коагулопатии [3,12,22,32,55,84], которая усугубляется большой операционной травмой [75,86], повышением доз вводимых антикоагу-лянтов [43,55]. В раннем послеоперационном периоде коагулопатии способствует также тромбоз аневризмати-ческого мешка [22,84].…”

Section: выбор стадийной или одномоментной тактики гибридного вмешатеunclassified

“…В раннем послеоперационном периоде коагулопатии способствует также тромбоз аневризмати-ческого мешка [22,84]. Все это приводит к большей кро-вопотере [3,12,31,32,43,86], которая вместе с водным дисбалансом и длительной анестезией приводит к неста-бильности гемодинамики [8,23,32,43,71,86].…”

Section: выбор стадийной или одномоментной тактики гибридного вмешатеunclassified

Cardiovascular surgeon’s role in hybrid aortic surgery (part 2)

Белов¹,

Каравайкин²,

Belov³

et al. 2016

Kardiol. serdechno-sosud. khir.

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“…Endoleak has been published between 11-44% in various reports. 1,2 Primary endoleaks, are those that appear within 30 days of stent-graft placement, while secondary, or delayed, endoleaks are those that appear after 30 days. There are five types of endoleak.…”

Section: Case Reportmentioning

confidence: 99%

“…Although it reported to be inappropriate for type 4 aneurysms it has been used by some surgeons under unusual circumstance. [1][2][3][4] Paraplegia, stroke, dissection, renal impairment and endoleaks main drawbacks of hybrid repair. Respiratory failure and myocardial infarction have also been reported.…”

Section: Case Reportmentioning

confidence: 99%

Hybrid Approach for the Treatment of Type 1b Endoleak Following Endovascular Repair of Thoracoabdominal Aortic Aneursym: Case Report

Gencpinar¹,

Hazan²,

Guzeloglu³

et al. 2015

Turkiye Klinikleri J Case Rep

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he surgical treatment of TAAA over the last decades described by Crawford in 1978. 1 The procedure has rapidly evolved over the years. Nowadays, treatment options for TAAA's include open repair, endovascular repair or hybrid repair. They perform with experienced surgical centers to have much lower mortality and morbidity rates particularly in organ protection. Moreover, high technology has led to the extended use of endovascular grafts in the visceral aorta. Hybrid approach and endovascular extended grafts usage are becoming widespread as they have lower mortality and morbidity rates with shorter hospital stay. Hybrid TAAA repairs providing concomitant visceral artery revascularization and endovascular aneursymal repair. In this paper we report a case with type 1b endoleak that was treated with hybrid treatment consisting inflow to visceral arter-

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Hybrid repair of complex thoracoabdominal aortic aneurysms using applied endovascular strategies combined with visceral and renal revascularization

Cited by 47 publications

References 33 publications

Hybrid Open Endovascular Technique for Aortic Thoracoabdominal Pathologies

Hybrid Open Endovascular Technique for Aortic Thoracoabdominal Pathologies

Cardiovascular surgeon’s role in hybrid aortic surgery (part 2)

Hybrid Approach for the Treatment of Type 1b Endoleak Following Endovascular Repair of Thoracoabdominal Aortic Aneursym: Case Report

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