Treatment of aortic arch aneurysms: Open surgery or hybrid procedure?
| Autor: | Hasan Iner, Ali Gürbüz, Levent Yilik, Kazim Ergunes, Banu Lafci, Yuksel Besir, Orhan Gokalp, Nihan Karakas Yesilkaya |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic arch medicine.medical_specialty business.industry Open surgery medicine.medical_treatment Significant difference Conventional surgery Stent Aortic arch aneurysm 030204 cardiovascular system & hematology Surgery 03 medical and health sciences 0302 clinical medicine 030228 respiratory system medicine.artery medicine Aortic arch replacement cardiovascular system In patient Original Article Cardiology and Cardiovascular Medicine business |
| Zdroj: | Turk gogus kalp damar cerrahisi dergisi. 26(3) |
| ISSN: | 1301-5680 |
| Popis: | BACKGROUND: This study aims to compare the results of hybrid procedure and open surgery for the treatment of aortic arch aneurysms. METHODS: Twenty-six p atients (21 m ales, 5 females; m ean a ge 56.6±12.4 years; range, 20 to 83 years) who underwent total aortic arch replacement for aortic arch aneurysm between January 2004 and January 2010 were retrospectively analyzed. The patients were divided into two groups: open conventional surgery group (group 1, n=15) and hybrid procedure (total debranching of the aortic arch and simultaneous endovascular stent) group (group 2, n=11). Survival rates and need for reoperation were compared between the groups. RESULTS: The hybrid procedure was found to be more favorable in terms of postoperative revision, extubation period, and drainage amounts. However, there was no statistically significant difference in the survival rates, need for reoperation, and major adverse cardiovascular events between the groups. CONCLUSION: Our study results suggest that conventional open surgery and hybrid procedure are similar in terms of survival and short-to-mid-term results in patients undergoing total aortic arch replacement for aortic arch aneurysm. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|