Indian Journal of Vascular and Endovascular Surgery (Jan 2022)

Hybrid procedures for thoracoabdominal aortic aneurysms: a feasible and cost-effective alternative

  • Tom Thomas Kattoor,
  • Harishankar Ramachandran Nair,
  • Ashutosh Kumar Pandey,
  • P M Vineeth Kumar,
  • Shivanesan Pitchai

DOI
https://doi.org/10.4103/ijves.ijves_92_21
Journal volume & issue
Vol. 9, no. 2
pp. 203 – 205

Abstract

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The surgical repair of thoracoabdominal aortic aneurysm (TAAA) remains one of the most technically demanding surgical procedures in vascular surgery. High-volume centers still have significant morbidity and mortality rates of 12%–15%. Emergence of thoracic endovascular aneurysm repair (TEVAR) improved these figures but was limited by the availability of customized grafts and cost factors. An effective alternative approach hence is a hybrid procedure that involves the combination of open technique for debranching of viscerorenal aorta and use of standard TEVAR stent graft to cover aneurysmal segment. We report a case of an elderly male who underwent a successful staged Hybrid TEVAR procedure for Type 3 equivalent TAAA.

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