Aneurysms and dissections of aortic arch and thoracoabdominal aorta: Single centre experience with hybrid treatment

R. Chiesa, Y. Tshomba, D. Baccellieri, D. Logaldo, E. Rinaldi, E. Civilini, E. M. Marone Maria, G. Melissano

Research output: Contribution to journalArticlepeer-review

Abstract

Aim. In the last decade, several "off-label" indications for thoracic endovascular aortic repair (TEVAR), have modified the way that most surgeons approach thoracic aortic disease. Among these is the so-called hybrid (open and endo) repair. Methods. From 1998 through 2012, 231 aortic arch repairs and 467 thoraco-abdominal aortic repairs were performed at our centre. From 2001 we categorized, according to Ishimaru's classification, a total of 167 aortic arch aneurysms (66.5% atherosclerotic and 33.5% dissecting) as zone 0 (48), zone 1 (37), or zone 2 (82) and, according to Crawford's classification, a total of 52 thoraco-abdominal aortic aneurysms (57% atherosclerotic and 43% dissecting) as type I (20), type II (six), type III (10), type IV (six) or aneurysms of the visceral aortic patch (10) who underwent hybrid repair by means of aortic arch / visceral aortic debranching followed by TEVAR. The most of these patients were selected for hybrid repair having increased surgical risk defined as age > 75 yrs, and/or EF <20%, and/or FEV1

Original languageEnglish
Pages (from-to)11-18
Number of pages8
JournalItalian Journal of Vascular and Endovascular Surgery
Volume20
Issue number1
Publication statusPublished - Mar 2013

Keywords

  • Aorta, thoracic
  • Aortic aneurysm, thoracic
  • Surgical procedures, operative

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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