The Evolving Role of Hybrid Arch Repair

Chung, Jennifer; Ouzounian, Maral; Chu, Michael; El-Hamamsy, Ismaı̈l

doi:10.1177/1556984520967007

Cited by 6 publications

(5 citation statements)

References 40 publications

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“…Type III HAR is an extension of type II HAR with the use of an elephant trunk in the DTA to create a longer PLZ for a second stage TEVAR. Frozen elephant trunk is now frequently considered a variant of type III hybrid repair ( 29 , 30 ). Type III HAR, primarily intended for disease in the DTA, is the most invasive of all the hybrid approaches, with a 30-day mortality of up to 12% ( 31 ).…”

Section: Different Approachesmentioning

confidence: 99%

Comprehensive review of hybrid aortic arch repair with focus on zone 0 TEVAR and our institutional experience

Singh

Pupovac

Assi

et al. 2022

Front. Cardiovasc. Med.

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Even with increasing operator experience and a better understanding of the disease and the operation, intervention for aortic arch pathologies continues to struggle with relatively higher mortality, reintervention, and neurologic complications. The hybrid aortic arch repair was introduced to simplify the procedure and improve the outcome. With recent industry-driven advances, hybrid repairs are not only offered to poor surgical candidates but have become mainstream. This review discusses the evolution of hybrid repair, terminology pertinent to this technique, and results. In addition, we aim to provide a pervasive review of hybrid aortic arch repairs with reference to relevant literature for a detailed understanding. We have also discussed our institutional experience with hybrid repairs.

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Section: Different Approachesmentioning

confidence: 99%

Comprehensive review of hybrid aortic arch repair with focus on zone 0 TEVAR and our institutional experience

Singh

Pupovac

Assi

et al. 2022

Front. Cardiovasc. Med.

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“…Endovascular arch repair technologies are rapidly evolving (3). Challenges seen in early series include elevated stroke rates, type 1A endoleaks and RTAD.…”

Section: Commentsmentioning

confidence: 99%

Endovascular arch repair using the NEXUS arch endograft

Ibrahim¹,

Lindsay²,

Chung³

et al. 2022

Ann Cardiothorac Surg

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“…However, as detailed below, this technique has become unnecessary in our opinion with the commercial availability of Dacron grafts designed for type II HAR, because the distal anastomosis for type II HAR is simpler and requires shorter cardiopulmonary bypass (CPB) and hypothermic circulatory arrest (HCA) times (11). Although not part of the original Bavaria classification system (6), some authors likewise consider the frozen elephant trunk (FET) procedure a variant of type III HAR (12,13). FET involves replacement of the ascending aorta and a portion of the aortic arch, but rather than placing a conventional Dacron elephant trunk graft into the descending thoracic aorta to serve as future PLZ, a thoracic endograft is utilized as the elephant trunk graft and placed into the descending thoracic aorta via the open arch under HCA at the time of arch replacement (Figure 5) (14).…”

Section: Type III Harmentioning

confidence: 99%