| ABSTRACTS |
| SUNDAY JUNE 8 |
Thoracic branch stent grafts complications Hybrid repair C. Ferrer Vascular Surgery, San Camillo Forlanini Hospital, Rome, Italy
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Open repair of thoracoabdominal aortic aneurysms is associated with significant morbidity and mortality. The need of a hybrid approach is based on the reduced operative stress approaching only the abdominal cavity, which may reduce complications and improve outcome. Hybrid approach allows, by surgical visceral debranching, the distal fixation for endovascular stentgraft. When thoracic endovascular aneurysm repair became available in 2005, there was much enthusiasm for this hybrid technique in order to extend the repair also for high risk patients with TAAA1. Even if hybrid approach to TAAA may be advantageous in selected population of patients who are considered at high risk for open TAAA repair, most series report similar perioperative morbidity and mortality if compared to open series. Furthermore, with the continuous improvement of branched and fenestrated stentgraft technology, the hybrid approach might be considered outdated. In addition, the safety, effectiveness, and long-term performance cannot yet be established, and lifelong follow-up must be taken into account to assess the ongoing patency of the grafts2.
| MEET 2014 | MULTIDISCIPLINARY EUROPEAN ENDOVASCULAR THERAPY |
References
1. Yamaguchi D, Jordan WD jr. Hybrid Thoracoabdominal Aortic Aneurysm Repair: Current Perspectives. Semin Vasc Surg 2012;25:203207. 2. Moulakakis KG, Mylonas SN, Avgerinos ED, Kakisis JD, Brunkwall J, Liapis CD. Hybrid Open Endovascular Technique for Aortic Thoracoabdominal Pathologies. Circulation 2011;124:2670-2680.