Hybrid repair of aortic aneurysms involving the visceral and renal vessels

Annals of Vascular Surgery
Loay S KabbaniRamon Berguer

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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Citations

Oct 16, 2012·Seminars in Vascular Surgery·Armando C Lobato, Luciana Camacho-Lobato
Jan 5, 2011·Current Problems in Surgery·Guillermo A Escobar, Gilbert R Upchurch
Sep 7, 2014·Cardiovascular and Interventional Radiology·Anna WinklehnerThomas Frauenfelder
May 14, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Zhongzhou HuWei Guo
Oct 16, 2016·Circulation·Walter R WilsonUNKNOWN American Heart Association Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular
Nov 17, 2011·Circulation·Konstantinos G MoulakakisChristos D Liapis
Apr 16, 2015·International Surgery·Takatsugu MatsumotoKeiichi Kubota
Aug 6, 2014·Heart·Bulat A Ziganshin, John A Elefteriades
Jul 13, 2018·Chinese Medical Journal·Jun Seong KwonSang Dong Kim
Aug 16, 2012·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Matt J MetcalfeMatt M Thompson
Jan 12, 2020·The Journal of Thoracic and Cardiovascular Surgery·Ivancarmine GambardellaLeonard N Girardi

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