Hybrid procedures combining conventional and thoracic endovascular aortic repair for thoracic aortic aneurysms

Yukio Obitsu, Nobusato Koizumi, Satoshi Takahashi, Yasunori Iida, Naozumi Saiki, Yoshiko Watanabe, Satoshi Kawaguchi, Hiroshi Shigematsu

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Purpose: To minimize surgical invasiveness for extensive aortic aneurysms and expand the indications for thoracic endovascular aortic repair (TEVAR), we evaluated outcomes of hybrid procedures combining conventional surgical aortic repair and TEVAR for thoracic aortic aneurysms. Methods: The following hybrid procedures were performed: second-stage TEVAR after total aortic arch replacement using the elephant trunk as the landing zone in 17 patients; and for multiple aortic aneurysms, vascular graft replacement and TEVAR in 13 patients, vascular graft replacement and TEVAR with bypass in 2 patients, and TEVAR with bypass in 23 patients. Results: There were three (5.3%) hospital deaths, from serious complications including stroke, paraplegia, paraparesis, and aspiration pneumonia; and eight late deaths. There was only one aneurysm-related death, of a patient who underwent emergency surgery for an esophageal fistula resulting from enlargement of a residual false lumen of a thoracoabdominal aorta after second-stage TEVAR. Conclusion: Hybrid procedures minimize surgical invasiveness in thoracic aortic aneurysm repair, but further evaluation of a larger number of patients is necessary.

Original languageEnglish
Pages (from-to)922-927
Number of pages6
JournalSurgery today
Volume41
Issue number7
DOIs
Publication statusPublished - 2011 Jul 1

Keywords

  • Hybrid procedure
  • Multiple aortic aneurysms
  • Thoracic endovascular aortic repair

ASJC Scopus subject areas

  • Surgery

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    Obitsu, Y., Koizumi, N., Takahashi, S., Iida, Y., Saiki, N., Watanabe, Y., Kawaguchi, S., & Shigematsu, H. (2011). Hybrid procedures combining conventional and thoracic endovascular aortic repair for thoracic aortic aneurysms. Surgery today, 41(7), 922-927. https://doi.org/10.1007/s00595-010-4377-y