Document Detail


Clinical Outcome of Staged Versus Combined Treatment Approach of Hybrid Repair of Thoracoabdominal Aortic Aneurysm With Visceral Vessel Debranching and Aortic Endograft Exclusion.
MedLine Citation:
PMID:  22316552     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Although visceral vessel debranching and endovascular aneurysm exclusion represents a hybrid treatment approach in patients with thoracoabdominal aortic aneurysm, the effect of timing with regard to the visceral debranching procedure and endovascular aneurysm exclusion in this treatment strategy remains unclear. In this study, the authors analyzed their recent institutional experience of visceral debranching and aneurysm stent-grafting procedures. Specifically, the authors compared the effect of staged (n = 27) versus combined (n = 31) hybrid treatment in patients with complex aortic aneurysms. This study showed a higher incidence of renal insufficiency in patients undergoing a combined hybrid repair than the staged hybrid approach. The possibility of aneurysm rupture may exist in the staged treatment approach if the duration of staged repair is prolonged. The combined hybrid treatment strategy should be performed with caution as it is associated with significantly higher complication rates than the staged hybrid treatment modality.
Authors:
Peter H Lin; Panagiotis Kougias; Carlos F Bechara; Sarah M Weakley; Faisal G Bakaeen; Scott A Lemaire; Joseph S Coselli
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-8
Journal Detail:
Title:  Perspectives in vascular surgery and endovascular therapy     Volume:  -     ISSN:  1521-5768     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100970607     Medline TA:  Perspect Vasc Surg Endovasc Ther     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Michael E. DeBakey VA Medical Center, Houston, TX, USA.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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