Hybrid Procedure of Aortic Replacement with Transluminally Placed Endovascular Grafting for Multiple Aortic Aneurysms

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  • 重複大動脈瘤に対するハイブリッド手術

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Abstract

Purpose: We clinically performed a hybrid procedure of aortic replacement with transluminally placed endovascular grafting (TPEG) and evaluated the operative results.<br>Materials and Methods: Since April 1995, 14 patients underwent the hybrid procedure of conventional aortic replacement with TPEG. Their age was 62 to 78 years, 10 were men and 4 women. The lesions were atherosclerotic aneurysm in 10 patients, atherosclerotic aneurysm with chronic dissection in 3, chronic dissection in 1. We simultaneously performed abdominal aortic replacement with TPEG into the descending thoracic aorta in 6 of 14 patients, while we performed this procedure sequentially in 8. Five of these 8 patients underwent graft replacement of total aortic with secondary TPEG using the elephant trunk for the landing zone.<br>Results: One patient died of MRSA pneumonia three months after the simultaneous procedure, while the rest of the patients survive without any complications in the follow-up period (range, 1 to 88 months, mean 42 months).<br>Conclusion: Hybrid procedure of aortic replacement with TPEG was minimally invasive yet effective even for high-risk patients with multiple aortic aneurysms.

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