Staged total abdominal debranching and thoracic endovascular aortic repair for thoracoabdominal aneurysm.

Journal of Vascular Surgery
G Chad HughesRichard L McCann

Abstract

Thoracoabdominal aortic aneurysms (TAAAs) occur most commonly in elderly individuals, who are often suboptimal candidates for open repair because of significant comorbidities. The availability of a hybrid option, including open visceral debranching with endovascular aneurysm exclusion, may have advantages in these patients who are at high-risk for conventional repair. This report details the evolution of our technique and results with complete visceral debranching and endovascular aneurysm exclusion for TAAA repair in high-risk patients. Between March 2005 and June 2011, 47 patients (51% women) underwent extra-anatomic debranching of all visceral vessels, followed by aneurysm exclusion by endovascular means at a single institution. A median of four visceral vessels were bypassed. The debranching procedure was initially performed through a partial right medial visceral rotation approach, leaving the left kidney posterior in the first 22 patients, and in the last 25 by a direct anterior approach to the visceral vessels. The debranching and endovascular portions of the procedure were performed in a single operation in the initial 33 patients and as a staged procedure during a single hospital stay in the most recent 14. Median pati...Continue Reading

References

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Citations

Feb 12, 2014·The Journal of Thoracic and Cardiovascular Surgery·Marco Di EusanioRoberto Di Bartolomeo
Nov 14, 2013·The Journal of Thoracic and Cardiovascular Surgery·Sarah GeisbüschGabriele Di Luozzo
May 3, 2013·The Annals of Thoracic Surgery·Jennifer M HannaG Chad Hughes
Oct 8, 2013·Journal of Vascular Surgery·Jennifer M HannaG Chad Hughes
Sep 6, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A GkremoutisM Keese
Nov 29, 2012·Journal of Vascular Surgery·Nicholas D AndersenG Chad Hughes
Feb 5, 2013·Journal of Vascular Surgery·Nicholas D AndersenG Chad Hughes
Feb 8, 2014·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Claude D VaislicUNKNOWN STRATO Investigators Group
Sep 27, 2012·The Journal of Thoracic and Cardiovascular Surgery·Sarah GeisbüschGabriele Di Luozzo
Mar 2, 2016·Journal of Vascular Surgery·Francesco SetacciMario Lachat
Oct 26, 2016·Journal of Vascular Surgery·Ehsan BenrashidG Chad Hughes
Jun 10, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Claude D VaislicUNKNOWN STRATO Investigators Group
Jan 20, 2017·Vascular and Endovascular Surgery·Rob A van de GraafFelix van Lier
Feb 8, 2018·Interactive Cardiovascular and Thoracic Surgery·Takashi ShutoHiromu Mori
Oct 5, 2017·Journal of the American Heart Association·Hanghang WangG Chad Hughes
Jul 7, 2018·Journal of Thoracic Imaging·Daniel B GreenChristopher Lau
Jul 3, 2018·Journal of Cardiac Surgery·Patrick R VargoEdward G Soltesz
Jul 20, 2021·Journal of Vascular Surgery Cases and Innovative Techniques·Tyler D YanJerry C Chen

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