Hybrid Repair of Aortic Arch Aneurysms

Gustavo S. Oderich, Adam H. Power

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Scopus citations

Abstract

Isolated aortic arch aneurysms are infrequent. More often aortic arch aneurysms represent distal extension of ascending aortic aneurysms or proximal extension of descending thoracic and thoracoabdominal aneurysms. Conventional open repair has been the time-honored treatment, but carries significant risks of mortality, morbidity, and neurological complications. Hybrid endovascular procedures have emerged as a less-invasive alternative to open conventional repair. These procedures avoid the need for cardiopulmonary bypass, deep hypothermia with circulatory arrest, and antegrade or retrograde cerebral perfusion, potentially decreasing the risk of death or neurological complications. A variety of approaches have been used: hybrid elephant trunk procedures, aorto-brachiocephalic bypasses and extra-anatomic cervical debranching; and more recently the use of "chimney" grafts, fenestrated and branched endografts, usually combined with cervical debranching. This chapter summarizes the evaluation, current techniques, and results of hybrid techniques used to treat aortic arch aneurysms.

Original languageEnglish (US)
Title of host publicationHaimovici's Vascular Surgery
Subtitle of host publication6th Edition
PublisherWiley-Blackwell
Pages486-503
Number of pages18
ISBN (Print)9781444330717
DOIs
StatePublished - Oct 1 2012

Keywords

  • Arch aneurysm
  • Branched stent-graft
  • Debranching
  • Elephant trunk
  • Endovascular
  • Fenestrated
  • Hybrid

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Oderich, G. S., & Power, A. H. (2012). Hybrid Repair of Aortic Arch Aneurysms. In Haimovici's Vascular Surgery: 6th Edition (pp. 486-503). Wiley-Blackwell. https://doi.org/10.1002/9781118481370.ch38