Hybrid Repair of Thoracoabdominal Aortic Aneurysms Is a Durable Option for High-Risk Patients in the Endovascular Era

Abstract

The results of hybrid repair on high-risk patients with complex TAAAs are encouraging, and this approach is a valuable alternative when branched and fenestrated endovascular techniques are not considered an option.

A case report of a hybrid procedure (visceral and partial aortic arch debranching) in the treatment of a challenging aneurysm of the thoracoabdominal aorta in the endovascular era

“…Закључак Комплексна хибридна процедура у два акта која укључује 'дебранчинг' аортног лука, а потом и висцералних артерија, представља могућу терапијску опцију код болесника са високим ризиком за отворено хируршко лечење. Кључне речи: ендоваскуларна процедура; анеуризма аорте; аортна дисекција Приказ хибридне процедуре (висцералног и парцијалног 'дебранчинга' лука аорте) у третману комплексне анеуризме торакоабдоминалне аорте у ендоваскуларној ери Милош Сладојевић 1,2 , Игор Кончар 1,2 , Петар Златановић 2 , Сања Јовановић 3 , Лазар Давидовић 1,2…”

“…Hybrid treatment with visceral and arch vessel debranching followed by thoracic endovascular aortic repair (TEVAR) has been used to treat high-risk patients and therefore allows treatment in this population group [1,2,3]. This paper aimed to present a hybrid approach as a less invasive and acceptable treatment.…”

Repair of Thoracoabdominal Aortic Aneurysm with Thrombosed Infrarenal Component: A Modified Hybrid Technique without Aortic Cross Clamping

“…Improvements in anesthetic and surgical techniques permit treatment of these complex aneurysms by open surgery with improved outcomes [2, 3]. With the evolution of endovascular grafts, a hybrid technique has been viewed as a less-invasive approach for TAAA and many centers have reported good results using this technique [4, 5]. There has been a paradigm shift in the management of TAAA with the development of complex endograft technology over the last few years as good results have been reported with off-the-shelf and physician-modified fenestrated and branched devices [6, 7].…”

Hybrid Management for Supraceliac Aortic Aneurysm in a High-Risk Patient

“…With increased incidence and mortality of TAAA, the management for TAAA has been challenging to vascular surgeons. [ 1 2 3 4 ] Three options for the management of TAAA have been reported. [ 1 2 3 4 5 ] First, open repair has been reported to be durable but with high morbidity and mortality.…”

“…[ 1 2 3 4 ] Three options for the management of TAAA have been reported. [ 1 2 3 4 5 ] First, open repair has been reported to be durable but with high morbidity and mortality. [ 2 3 4 ] Second, total endovascular repair including fenestrated and branched endovascular aortic repair (F-BEVAR) and chimney/periscope technique (CPT), although a promising option, is not widely available.…”