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    J Vasc Surg. 2011 Aug;54(2):507-10. Epub 2011 Mar 2.

    Staged hybrid repair using telescoped stent graft fixation for aortic arch and descending aortic aneurysms.

    Source

    Department of Vascular Surgery, Tokyo Medical University, Tokyo, Japan. nkoizumi@tokyo-med.ac.jp

    Abstract

    Staged repair of extensive thoracic aortic aneurysms is complicated, with a high incidence of interval rupture between stages. We describe the systematic staged hybrid procedure of a previous endovascular repair of a descending aortic aneurysm and open surgical repair of an aortic arch aneurysm. In the second-stage arch repair, the stent graft was easily retracted and fixed, without dissection, around the aortic arch aneurysm distal side. Extensive thoracic aortic aneurysms were managed without interim rupture or neurologic deficits. This approach avoided the potential for interim rupture because recovery from the first-stage endovascular repair was shorter than that from open repair.

    Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

    PMID:
    21367559
    [PubMed - indexed for MEDLINE]

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