Endovascular stenting with open surgery for reconstructions of the ascending aorta and the aortic arch: A review of indications and results of hybrid techniques

Muhammad A. Rana, Peter Gloviczki, Gustavo S. Oderich

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)184-192
Number of pages9
JournalPerspectives in Vascular Surgery and Endovascular Therapy
Volume24
Issue number4
DOIs
StatePublished - Dec 1 2012

Keywords

  • aortic arch
  • aortic arch aneurysms
  • arch debranching
  • debranching
  • elephant trunk
  • frozen elephant trunk
  • hybrid
  • thoracic aortic aneurysms

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Endovascular stenting with open surgery for reconstructions of the ascending aorta and the aortic arch: A review of indications and results of hybrid techniques'. Together they form a unique fingerprint.

Cite this