Is total debranching a safe procedure for extensive aortic-arch disease? A single experience of 27 cases

Abstract

Hybrid approaches may represent an alternative option in the treatment of complex aortic lesions involving the arch and the proximal descending thoracic aorta in high-risk patients and emergency cases. However, the promising early results need to be confirmed by longer follow-up and larger comparative series.

Open Reconstructions for Symptomatic Atherosclerotic Lesions of the Supra-aortic Vessels: Thirty Years Results from Two University Hospitals

“…Furthermore, recent studies have introduced a hybrid treatment option as an alternative for complex occlusive disease of the supra-aortic vessels. 10,11 However, Lotfi et al 12 underline that both hybrid and conventional open repair show comparable results.…”

Thoracic Endovascular Aortic Repair for Challenging Aortic Arch Diseases Using Fenestrated Stent Grafts From Zone 0

“…Compared with conventional open repair, 1 benefit of the so-called debranching TEVAR for aortic arch aneurysms is that cardiopulmonary bypass and cerebral protection can be avoided. As this technique can be done using a commercially available SG and bypass grafting, which is a familiar procedure for vascular surgeons, debranching TEVAR has been widely accepted by many vascular surgeons and the feasibility of this procedure has been reported from many institutes [6][7][8]. While less invasive than traditional open repairs, hybrid surgical debranching procedures may still require sternotomy if BCA coverage is necessary.…”

Real chimney technique for total debranching of supra-aortic trunks

“…[4][5][6][7] To resolve this problem, we developed a new technique of proximal anastomosis for total debranching without the use of ECC or the need for side-clamping of the ascending aorta.…”