BACKGROUND: Management of thoracic aorta aneurysms-especially the ones including aortic arch-is highly complicated. Isolated or nonisolated aortic arch aneurysms can be repaired by hybrid procedure especially in patients with comorbidities as well as by conventional open methods. METHODS: Eleven patients who underwent total arch debranching and endovascular stent implantation on antegrade route in the same session between November 2006 and October 2009 were retrospectively evaluated using clinical and perioperative criteria. RESULTS: The mean age was 65 ± 6.2 and nine of the patients were male. Primary technical success rate was 100%. Mortality, stroke, or transient paraplegia/paraparesia was not seen during in-hospital follow-up. Average follow-up period was 36 ± 13 months and no late-term aortic pathology was seen. In only one of the patients, endovascular reintervention was required for type 1B endoleak. No mortality or neurological pathology was seen in long-term postoperative follow-up. CONCLUSION: Hybrid procedures could be performed safely with lower complication and higher success rates in the same session via antegrade route and zone 0 graft deployment for high-risk cases with isolated or nonisolated aortic arch aneurysms. Georg Thieme Verlag KG Stuttgart · New York.
BACKGROUND: Management of thoracic aorta aneurysms-especially the ones including aortic arch-is highly complicated. Isolated or nonisolated aortic arch aneurysms can be repaired by hybrid procedure especially in patients with comorbidities as well as by conventional open methods. METHODS: Eleven patients who underwent total arch debranching and endovascular stent implantation on antegrade route in the same session between November 2006 and October 2009 were retrospectively evaluated using clinical and perioperative criteria. RESULTS: The mean age was 65 ± 6.2 and nine of the patients were male. Primary technical success rate was 100%. Mortality, stroke, or transient paraplegia/paraparesia was not seen during in-hospital follow-up. Average follow-up period was 36 ± 13 months and no late-term aortic pathology was seen. In only one of the patients, endovascular reintervention was required for type 1B endoleak. No mortality or neurological pathology was seen in long-term postoperative follow-up. CONCLUSION: Hybrid procedures could be performed safely with lower complication and higher success rates in the same session via antegrade route and zone 0 graft deployment for high-risk cases with isolated or nonisolated aortic arch aneurysms. Georg Thieme Verlag KG Stuttgart · New York.
Authors: Orhan Gökalp; Levent Yılık; Hasan İner; Yüksel Beşir; Nihan Karakaş Yeşilkaya; Kazım Ergüneş; Banu Lafcı; Ali Gürbüz Journal: Turk Gogus Kalp Damar Cerrahisi Derg Date: 2018-07-03 Impact factor: 0.332