Staged approach for hybrid thoracoabdominal aortic replacement

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Aim. To generalize our experience of step-by-step hybrid thoracoabdominal aortic replacement. Material and methods. Twenty-three patients were enrolled who underwent staged hybrid treatment of thoracoabdominal aortic aneurysm. There were 5 (21.7%) women and 18 (78.3%) men aged 61.4±8.3 years (37—74 years). The first stage was proximal debranching, the second — distal (abdominal) procedure and the third — stenting of the thoracoabdominal aorta. Results. There were no any complications after proximal debranching and aortic stenting. Abdominal debranching was followed by lethal outcome in 3 (13.0%) patients and early postoperative occlusion of the prosthesis brunch in 3 out of 87 cases. Conclusion. Staged approach for hybrid surgical treatment is optimal solution, especially in high risk patients. In our opinion no necessity for cardiopulmonary bypass is the main advantage of this technique.

Keywords:

aortic stenting

hybrid intervention

debranching

thoracoabdominal aortic aneurysm

Authors:

Komarov R.N.

Clinic for Aortic and Cardiovascular Surgery, I.M. Sechenov First Moscow State Medical University

ORCID: 0000-0002-3904-6415

Vinokurov I.A.

FGBU "Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo" RAMN, Moskva

Karavaĭkin P.A.

Pervyĭ MGMU im. I.M. Sechenova, Moskva

Abdulmutalibov I.M.

Clinic of Aortic and Cardiovascular Surgery, I.M. Sechenov First Moscow State Medical University, Moscow, Russia

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

SPIN RSCI: 2740-1439
Scopus AuthorID: 7101862336
ResearcherID: 7101862336
ORCID: 0000-0002-9280-8845

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