Hybrid Repair of Aortic Arch Aneurysms

Gustavo Oderich, Adam H. Power

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Citations (Scopus)

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

Fingerprint

Aortic Aneurysm
Thoracic Aorta
Endovascular Procedures
Hypothermia
Cardiopulmonary Bypass
Aneurysm
Thorax
Perfusion
Morbidity
Transplants
Mortality

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Oderich, G., & 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

Hybrid Repair of Aortic Arch Aneurysms. / Oderich, Gustavo; Power, Adam H.

Haimovici's Vascular Surgery: 6th Edition. Wiley-Blackwell, 2012. p. 486-503.

Research output: Chapter in Book/Report/Conference proceedingChapter

Oderich, G & Power, AH 2012, Hybrid Repair of Aortic Arch Aneurysms. in Haimovici's Vascular Surgery: 6th Edition. Wiley-Blackwell, pp. 486-503. https://doi.org/10.1002/9781118481370.ch38
Oderich G, Power AH. Hybrid Repair of Aortic Arch Aneurysms. In Haimovici's Vascular Surgery: 6th Edition. Wiley-Blackwell. 2012. p. 486-503 https://doi.org/10.1002/9781118481370.ch38
Oderich, Gustavo ; Power, Adam H. / Hybrid Repair of Aortic Arch Aneurysms. Haimovici's Vascular Surgery: 6th Edition. Wiley-Blackwell, 2012. pp. 486-503
@inbook{cd739507146d427389bb5f961f992028,
title = "Hybrid Repair of Aortic Arch Aneurysms",
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.",
keywords = "Arch aneurysm, Branched stent-graft, Debranching, Elephant trunk, Endovascular, Fenestrated, Hybrid",
author = "Gustavo Oderich and Power, {Adam H.}",
year = "2012",
month = "10",
day = "1",
doi = "10.1002/9781118481370.ch38",
language = "English (US)",
isbn = "9781444330717",
pages = "486--503",
booktitle = "Haimovici's Vascular Surgery",
publisher = "Wiley-Blackwell",
address = "United States",

}

TY - CHAP

T1 - Hybrid Repair of Aortic Arch Aneurysms

AU - Oderich, Gustavo

AU - Power, Adam H.

PY - 2012/10/1

Y1 - 2012/10/1

N2 - 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.

AB - 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.

KW - Arch aneurysm

KW - Branched stent-graft

KW - Debranching

KW - Elephant trunk

KW - Endovascular

KW - Fenestrated

KW - Hybrid

UR - http://www.scopus.com/inward/record.url?scp=84876892991&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84876892991&partnerID=8YFLogxK

U2 - 10.1002/9781118481370.ch38

DO - 10.1002/9781118481370.ch38

M3 - Chapter

AN - SCOPUS:84876892991

SN - 9781444330717

SP - 486

EP - 503

BT - Haimovici's Vascular Surgery

PB - Wiley-Blackwell

ER -