Abstract
We sought to analyze our experience with hybrid treatment of aortic aneurysms involving the renal and visceral arteries. We conducted a retrospective review of 36 consecutive patients who underwent renal/visceral bypasses followed by aortic endografting. Patient demographics, medical history, operations, complications, graft patency, and patient survival were recorded. Observational and comparative analyses were performed. Mean patient age was 71 years. Mean aneurysm diameter was 6.3 cm (range 4.1-9.4 cm). Crawford aneurysm types included 1 type I, 10 type II, 12 type III, 10 type IV, and 3 pararenal aneurysms. Four patients were symptomatic. One hundred twenty-three bypasses were performed (median of three per patient), including 62 renal, 32 superior mesenteric, and 29 celiac arteries. Retrograde inflow (using the iliac arteries, aorta, or a limb of an aortobifemoral graft) was obtained in 30 patients and antegrade inflow was performed in six (three from the supraceliac aorta and three celiac branch to renal bypasses). In-hospital mortality occurred in 3 patients (8.3%). Patient survival was 80% at a mean follow-up of 6 months. Major morbidity occurred in 17 patients (47%) and included need for dialysis (5), ischemic colitis ...Continue Reading
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