Endovascular Stenting With Open Surgery for Reconstructions of the Ascending Aorta and the Aortic Arch: A Review of Indications and Results of Hybrid Techniques
Hybrid approaches for repair of aneurysms involving the ascending aorta and the aortic arch have been developed to avoid or reduce duration of cardiopulmonary bypass and circulatory arrest and to decrease operative time, blood loss, hospital stay, morbidity, and mortality. These include ascending ao...
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| Veröffentlicht in: | Perspectives in vascular surgery and endovascular therapy 2012-12, Vol.24 (4), p.184-192 |
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| container_title | Perspectives in vascular surgery and endovascular therapy |
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| creator | Rana, Muhammad A. Gloviczki, Peter Oderich, Gustavo S. |
| description | Hybrid approaches for repair of aneurysms involving the ascending aorta and the aortic arch have been developed to avoid or reduce duration of cardiopulmonary bypass and circulatory arrest and to decrease operative time, blood loss, hospital stay, morbidity, and mortality. These include ascending aorta–based debranching or cervical extra-anatomical bypasses followed by stent-grafting. In patients with associated descending aortic aneurysms, the elephant trunk technique is used followed by stent-grafting of the descending thoracic aorta. A review of the literature of hybrid aortic arch reconstructions, published over past 7 years, reveals perioperative mortalities from 0% to 13%, stroke from 0% to 10%, and spinal cord injury in 0% to 13%. The outcomes are comparable to contemporary results from total open and total endovascular reconstructions in spite of the fact that the hybrid approach is generally taken in patients with high surgical risk for open repair and with prohibitive anatomy for total endovascular repair. |
| doi_str_mv | 10.1177/1531003513497984 |
| format | Article |
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| ispartof | Perspectives in vascular surgery and endovascular therapy, 2012-12, Vol.24 (4), p.184-192 |
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| source | SAGE Complete A-Z List; MEDLINE |
| subjects | Aorta, Thoracic - diagnostic imaging Aorta, Thoracic - surgery Aortic Aneurysm, Thoracic - diagnosis Aortic Aneurysm, Thoracic - mortality Aortic Aneurysm, Thoracic - surgery Aortography - methods Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - adverse effects Blood Vessel Prosthesis Implantation - instrumentation Blood Vessel Prosthesis Implantation - mortality Endovascular Procedures - adverse effects Endovascular Procedures - instrumentation Endovascular Procedures - mortality Humans Patient Selection Reconstructive Surgical Procedures - adverse effects Reconstructive Surgical Procedures - instrumentation Reconstructive Surgical Procedures - mortality Risk Factors Stents Tomography, X-Ray Computed Treatment Outcome |
| title | Endovascular Stenting With Open Surgery for Reconstructions of the Ascending Aorta and the Aortic Arch: A Review of Indications and Results of Hybrid Techniques |
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