Best surgical option for thoracoabdominal aneurysm repair - the hybrid approach.

Hybrid repair of thoracoabdominal aneurysm: a two-stage approach.

Despite higher standards of perioperative care and refinements in operative techniques, conventional open repair of thoracoabdominal aneurysms (TAAAs) is still associated with remarkable morbidity and mortality rates. Hybrid procedures as an option to traditional surgical procedures are still debated, especially in elderly patients with severe comorbidities. We report the experience of our inst...

Best surgical option for thoracoabdominal aneurysm repair - the endovascular approach.

Hybrid procedures for complex thoracoabdominal aortic aneurysms in high-risk patients Procedimentos híbridos para aneurismas complexos da aorta toracoabdominal em pacientes de alto risco

Although surgical repair of thoracic (TAA) and thoracoabdominal aortic aneurysms (TAAA) is an effective therapeutic option with excellent long-term results, with a number needed to treat of two, it is also a potentially problematic procedure, owing to both technical difficulties of aortic reconstruction and organ stress suffered in patients who are often elderly and afflicted by multiple comorb...

Staged approach for spinal cord protection in hybrid thoracoabdominal aortic aneurysm repair.

At present, there are three available options for surgical thoracoabdominal aortic aneurysm (TAAA) repair: conventional open surgery, total endovascular repair, and a hybrid approach, involving conventional surgical and endovascular techniques. Each modality has a different risk/benefit profile, requiring careful patient selection. Spinal cord injury (SCI) due to compromised blood supply follow...

Hybrid endovascular repair of thoracoabdominal aorta: early results.

BACKGROUND Thoracoabdominal aortic aneurysms (TAAA) present a significant clinical challenge, as they are complex and require invasive surgery. In an attempt to prevent considerably high mortality and morbidity in open repair, hybrid endovascular repair has been developed by many authors. In this study, we evaluated the early-term results obtained from this procedure. METHODS From November 20...