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Abugov S.A.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Poliakov R.S.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Charchian É.R.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Puretskiĭ M.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Saakian Iu.M.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Mardanian G.V.

FGBU RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Kudrinsky A.V.

Petrovsky Russian Research Center for Surgery, Moscow, Russia

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Endovascular repair in hybrid and staged aortic surgery

Authors:

Abugov S.A., Poliakov R.S., Charchian É.R., Puretskiĭ M.V., Saakian Iu.M., Mardanian G.V., Kudrinsky A.V., Belov Yu.V.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2018;11(6): 38‑44

DOI: 10.17116/kardio20181106138

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Table of contents

ENDOVASCULAR REPAIR IN HYBRID AND STAGED AORTIC SURGERY
ENDOVASCULAR REPAIR IN HYBRID AND STAGED AORTIC SURGERY

To cite this article:

Abugov SA, Poliakov RS, Charchian ÉR, et al. Endovascular repair in hybrid and staged aortic surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2018;11(6):38‑44. (In Russ.)
https://doi.org/10.17116/kardio20181106138

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Abstract Aim — to study immediate and in-hospital results of endovascular stage in hybrid or staged aortic surgery. Material and methods. The study included 135 patients after hybrid aortic interventions. Ninety-six (71,1%) patients underwent simultaneous or staged endovascular aortic repair after previous surgical reconstruction of supra-aortic and/or visceral arteries. Special commercial hybrid stent graft systems for open aortic arch surgery were used in 39 (28.9%) patients and postoperative outcomes were not considered in this analysis. Immediate in-hospital outcomes including technical success, major cardiovascular complications, endoleaks, local complications of surgical access, graft infection and postimplantation syndrome were assessed. The results of endovascular repair in hybrid group were compared with those in the control group after isolated endovascular repair of thoracic aorta. Results. Technical success of stenting was achieved in all patients. In-hospital mortality was 3.1%, incidence of ischemic stroke — 1.04%, myocardial infarction — 1.04%. Spinal cord ischemia after graft deployment was noted in 4 (4.2%) patients, retrograde dissection of aortic arch and ascending aorta — in 3 (3.1%) patients. In-hospital deterioration or de novo renal insufficiency occurred in 1 (1.04%) patient, post-implantation syndrome — in 58 (60.4%) patients, local complications of surgical access — in 2.1% of patients. These data were comparable with those after isolated endovascular aortic repair. Conclusion. Endovascular procedure in hybrid and staged aortic surgery is followed by acceptable incidence of in-hospital complications.

Keywords:

hybrid aortic surgery
thoracic endovascular aortic repair
descending thoracic aortic aneurysm
thoracic aortic dissection

Authors:

Abugov S.A.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Poliakov R.S.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Charchian É.R.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Puretskiĭ M.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Saakian Iu.M.

RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Mardanian G.V.

FGBU RNTsKh im. akad. B.V. Petrovskogo RAMN, Moskva

Kudrinsky A.V.

Petrovsky Russian Research Center for Surgery, Moscow, Russia

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

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