Hybrid Procedures for Thoraco-Abdominal Aortic Aneurysm

Editor's Choice – Hybrid Treatment of Thoracic, Thoracoabdominal, and Abdominal Aortic Aneurysms: A Multicenter Retrospective Study

“…Another advantage of the one-stage procedure is that graft patency and integrity can immediately be verified after stent deployment. 18 However, our results and those reported in the literature (Table 7) show a satisfactory patency rate of visceral reconstruction in both one and twostage procedures.…”

“…Eight definite spinal complications (11.4%) were observed in this series, a rate that is close to that recently published by St Mary's hospital (10%). 18 In this study, these complications were mainly observed in patients with an extended aneurysmal lesion and in whom extensive treatment of the thoracoabdominal aorta had been performed. Paradoxically, however, some patients treated for extensive lesions experienced no spinal complications, which is further evidence, as previously observed by Donas et al, 22 of the importance of hemodynamic factors in the incidence of these complications.…”

“…In 2006, Saint Mary's hospital in London reported a mortality rate of 13% and no spinal complications. 18 In a literature review conducted in 2009 by Farber et al, 20 which included 182 hybrid procedures, the mortality rate was 11.9% and spinal complication rate 6.6%.…”