AI Article Synopsis
- A combined endovascular and debranching hybrid procedure was performed on 36 patients with descending aortic issues, showing a hospital stay of about 15 days and low in-hospital complication rates.
- The patients, aged around 68 on average, experienced only one death and one stroke during their hospital stay, and follow-up at 22 months showed no additional mortality among the surviving patients.
- Overall, the hybrid approach was found to be safe and effective, with most patients returning to their normal lives and only one requiring further intervention for a complication.
Article Abstract
Background A combined endovascular and debranching hybrid procedure was performed for descending aortic pathologies involving the distal aortic arch. We reviewed our results of this procedure to summarize clinical experiences. Methods From April 2009 to April 2013, 36 patients (21 males and 15 females) underwent the hybrid operation. Hospital stay and complications were closely monitored after operation. Follow-up CT scan was performed at postoperative 3 months and 12 months. Results The hospital stay ranged from 7 to 25 (15.1 ± 5.0) days. The mean age at operation was 67.6 ± 4.8 years (range: 60-79 years). In-hospital mortality and stroke rates were 2.8% (1/36) and 2.8% (1/36). At a mean follow-up of 22 months (4-52 months), the mortality was 0% (0/35). All remaining 35 patients returned to normal life. During the follow-up period, one patient required secondary endovascular reintervention for a type 1 distal endovascular leak. Conclusion Hybrid repair for descending aortic pathologies involving the distal arch proves to be effective and safe at midterm follow-up with acceptable surgical risks and satisfactory results.
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| http://dx.doi.org/10.1055/s-0035-1556819 | DOI Listing |
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