Hybrid Repair of Aortic Arch Aneurysms in Same Session

Yilik, Levent; Gokalp, Orhan; Yurekli, Ismail; Bayrak, Serdar; Güneş, Tevfik; Karakas, N; Özsöyler, İbrahim; Gürbüz, Ali

doi:10.1055/s-0031-1299580

Cited by 11 publications

(11 citation statements)

References 17 publications

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“…Technical and clinical challenges rising from the anatomical structures of aneurysms of the aortic arch have led to alternative treatment options to conventional open surgery. [1,[10][11][12][13][14][15] Of these options, the leading choice is endovascular intervention, which is used more commonly currently, thanks to the advances in technology and increasing experience. However, as the proximal attachment site of the endovascular grafts coincide with the aortic arch or more proximal areas, one or more aortic arch branches may be covered by the endovascular graft.…”

Section: Discussionmentioning

confidence: 99%

“…To overcome this problem, hybrid procedure has been developed that includes surgical reconstruction of aortic arch elements and endovascular repair of aneurysms. [1] As it is used more commonly today, the results of these hybrid procedures have started to appear in publications. To the best of our knowledge, there are a few studies comparing open surgery with the hybrid technique in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…For patients with an ascending aortic aneurysm in addition to an aortic arch aneurysm, CBP is a must for the replacement of ascending aorta. [1,2] Proximal anastomosis of the ascending aortic graft was performed using conventional technique after crossclamping (aortic root replacement with composite graft can be considered for patients with aortic valve regurgitation, but aortic valve was normal in our patients). Distal attachment site was either distal ascending aorta or proximal aortic arch.…”

Section: Surgical Procedures Of Hybrid Interventionmentioning

confidence: 99%

“…Operation was terminated after control angiography. The hybrid procedure technique was previously described by Yilik et al [1]…”

Section: Endovascular Procedures Of Hybrid Interventionmentioning

confidence: 99%

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Treatment of aortic arch aneurysms: Open surgery or hybrid procedure?

Gokalp

Yilik

İner

et al. 2018

Turk Gogus Kalp Dama

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ÖZAmaç: Bu çalışmada arkus aort anevrizmalarının tedavisinde hibrid işlem ve açık cerrahi sonuçları karşılaştırıldı.Ça lış mapla nı:Ocak 2004 -Ocak 2010 tarihleri arasında arkus aort anevrizması nedeniyle total arkus aort replasmanı yapılan 26 hasta (21 erkek, 5 kadın; ort. yaş 56.6±12.4 yıl; dağılım, 20-83 yıl) retrospektif olarak değerlendirildi. Hastalar açık konvansiyonel cerrahi grubu (grup 1, n=15) ve hibrid işlem (aynı seansta total arkus aort debranching ve endovasküler stent implantasyonu) grubu (grup 2, n=11) olarak iki gruba ayrıldı. Sağkalım oranları ve tekrar ameliyat gereksinimi gruplar arasında karşılaştırıldı. Bul gu lar:Ameliyat sonrası revizyon, ekstübasyon süresi ve drenaj miktarları açısından hibrid işlem daha iyi bulundu. Ancak sağkalım oranları, tekrar ameliyat gereksinimi ve ciddi advers kardiyovasküler olaylar açısından gruplar arasında istatistiksel olarak anlamlı bir fark yoktu.So nuç: Çalışma sonuçlarımız arkus aort anevrizması nedeniyle total arkus aort replasmanı yapılan hastalarda sağkalım ve kısa ila orta dönem sonuçlar açısından açık konvansiyonel cerrahi ve hibrid işlemin benzer olduğunu göstermektedir.Anah tarsöz cük ler: Arkus aort anevrizması; konvansiyonel açık cerrahi; hibrid işlem. ABSTRACTBackground: This study aims to compare the results of hybrid procedure and open surgery for the treatment of aortic arch aneurysms. Methods:Twenty-six patients (21 males, 5 females; mean age 56.6±12.4 years; range, 20 to 83 years) who underwent total aortic arch replacement for aortic arch aneurysm between January 2004 and January 2010 were retrospectively analyzed. The patients were divided into two groups: open conventional surgery group (group 1, n=15) and hybrid procedure (total debranching of the aortic arch and simultaneous endovascular stent) group (group 2, n=11). Survival rates and need for reoperation were compared between the groups.Results:The hybrid procedure was found to be more favorable in terms of postoperative revision, extubation period, and drainage amounts. However, there was no statistically significant difference in the survival rates, need for reoperation, and major adverse cardiovascular events between the groups. Conclusion:Our study results suggest that conventional open surgery and hybrid procedure are similar in terms of survival and short-to-mid-term results in patients undergoing total aortic arch replacement for aortic arch aneurysm.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Surgical Procedures Of Hybrid Interventionmentioning

confidence: 99%

“…Operation was terminated after control angiography. The hybrid procedure technique was previously described by Yilik et al [1]…”

Section: Endovascular Procedures Of Hybrid Interventionmentioning

confidence: 99%

See 2 more Smart Citations

Treatment of aortic arch aneurysms: Open surgery or hybrid procedure?

Gokalp

Yilik

İner

et al. 2018

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

show abstract

“…One of the risks of performing separate operations is rupture while waiting for the second procedure. 4 In the study by Kang et al, 1 one patient waited for 133 days for the second operation. Did any patients die while waiting for the second operation?…”

Section: Transposition During Hybrid Endovascular Repair For Aortic Amentioning

confidence: 99%