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 language | English (US) |
|---|---|
| Title of host publication | Haimovici's Vascular Surgery |
| Subtitle of host publication | 6th Edition |
| Publisher | Wiley-Blackwell |
| Pages | 486-503 |
| Number of pages | 18 |
| ISBN (Print) | 9781444330717 |
| DOIs | |
| State | Published - Oct 1 2012 |
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Keywords
- Arch aneurysm
- Branched stent-graft
- Debranching
- Elephant trunk
- Endovascular
- Fenestrated
- Hybrid
ASJC Scopus subject areas
- Medicine(all)
Cite this
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 proceeding › Chapter
}
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 -