Total abdominal debranching hybrid thoracoabdominal aortic aneurysm repair versus chimneys and snorkels.

ABSTRACT: Open thoracoabdominal aortic aneurysm (TAAA) repair remains a surgical challenge. Hybrid and total endovascular repair have emerged as alternatives in treating TAAA. Total endovascular TAAA repair may be best performed with branched/fenestrated stent grafts. However, these technologies are not yet widely available. Thus, currently total endovascular TAAA repair using the chimney/snorkel techniques is considered a viable option in many centers. In this article, we briefly review 2 readily available techniques with off-the-shelf devices, hybrid procedure using total abdominal debranching, and total endovascular repair using chimney/snorkel procedures. The hybrid TAAA repair avoids thoracotomy but requires laparotomy and carries high morbidity and mortality (eg, operative mortality, 4%-26% an

SUBMITTER: Tanaka A 

PROVIDER: S-EPMC8691180 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature