Clinical outcome of staged versus combined treatment approach of hybrid repair of thoracoabdominal aortic aneurysm with visceral vessel debranching and aortic endograft exclusion

Peter H. Lin, Panagiotis Kougias, Carlos F. Bechara, Sarah M. Weakley, Faisal G. Bakaeen, Scott A. Lemaire, Joseph S. Coselli

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

Although visceral vessel debranching and endovascular aneurysm exclusion represents a hybrid treatment approach in patients with thoracoabdominal aortic aneurysm, the effect of timing with regard to the visceral debranching procedure and endovascular aneurysm exclusion in this treatment strategy remains unclear. In this study, the authors analyzed their recent institutional experience of visceral debranching and aneurysm stent-grafting procedures. Specifically, the authors compared the effect of staged (n = 27) versus combined (n = 31) hybrid treatment in patients with complex aortic aneurysms. This study showed a higher incidence of renal insufficiency in patients undergoing a combined hybrid repair than the staged hybrid approach. The possibility of aneurysm rupture may exist in the staged treatment approach if the duration of staged repair is prolonged. The combined hybrid treatment strategy should be performed with caution as it is associated with significantly higher complication rates than the staged hybrid treatment modality.

Original languageEnglish (US)
Pages (from-to)5-13
Number of pages9
JournalPerspectives in Vascular Surgery and Endovascular Therapy
Volume24
Issue number1
DOIs
StatePublished - Mar 1 2012
Externally publishedYes

Keywords

  • abdominal aortic aneurysm
  • debranching
  • endovascular stent-graft
  • endovascular therapy
  • hybrid repair
  • thoracoabdominal aortic aneurysm
  • visceral bypass

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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