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2014 ; 29
(4
): 527-36
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Hybrid treatment of aortic arch disease
#MMPMID25714205
Metzger PB
; Rossi FH
; Moreira SM
; Issa M
; Izukawa NM
; Dinkhuysen JJ
; Spina Neto D
; Kambara AM
Rev Bras Cir Cardiovasc
2014[Oct]; 29
(4
): 527-36
PMID25714205
show ga
INTRODUCTION: The management of thoracic aortic disease involving the ascending
aorta, aortic arch and descending thoracic aorta are technically challenging and
is an area in constant development and innovation. OBJECTIVE: To analyze early
and midterm results of hybrid treatment of arch aortic disease. METHODS:
Retrospective study of procedures performed from January 2010 to December 2012.
The end points were the technical success, therapeutic success, morbidity and
mortality, neurologic outcomes, the rate of endoleaks and reinterventions.
RESULTS: A total of 95 patients treated for thoracic aortic diseases in this
period, 18 underwent hybrid treatment and entered in this study. The average ages
were 62.3 years. The male was present in 66.7%. The technical and therapeutic
success was 94.5% e 83.3%. The perioperative mortality rate of 11.1%. There is
any death during one-year follow- up. The reoperation rates were 16.6% due 2
cases of endoleak Ia and one case of endoleak II. There is any occlusion of
anatomic or extra anatomic bypass during follow up. CONCLUSION: In our study, the
hybrid treatment of aortic arch disease proved to be a feasible alternative of
conventional surgery. The therapeutic success rates and re- interventions
obtained demonstrate the necessity of thorough clinical follow-up of these
patients in a long time.
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