Current role and future directions of hybrid repair of thoracoabdominal aortic aneurysms

Gustavo S. Oderich, Bernardo C. Mendes, Peter Gloviczki, Manju Kalra, Audra A. Duncan, Thomas C. Bower

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Hybrid procedures were introduced as a less invasive alternative to open conventional repair, avoiding thoracotomy, single-lung ventilation, and in many patients, aortic cross-clamping. Despite these potential advantages over open repair, results of hybrid repair have varied in the literature, with several reports indicating high morbidity and mortality rates. It is likely that once fenestrated and branched endografts receive approval from the Food and Drug Administration for clinical use, indications for hybrid repair of complex aortic aneurysms will further diminish. This article summarizes the current state of the art on patient selection, techniques, and results of hybrid procedures for the treatment of thoracoabdominal aortic aneurysms.

Original languageEnglish (US)
Pages (from-to)14-22
Number of pages9
JournalPerspectives in Vascular Surgery and Endovascular Therapy
Volume24
Issue number1
DOIs
StatePublished - Mar 1 2012

Keywords

  • debranching
  • fenestrated stent grafts
  • hybrid repair
  • thoracoabdominal aneurysm

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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