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Interact CardioVasc Thorac Surg 2008;7:429. doi:10.1510/icvts.2007.164871B
© 2008 European Association of Cardio-Thoracic Surgery
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eComment

Hybrid endovascular procedure for high risk elderly patients

Mehrab Marzban

Tehran Heart Center, North Kargar Ave, Tehran 1411713138, Iran

Repair of aortic arch and the impact of cross-clamping time, New York Heart Association stage, circulatory arrest time, and age on operative outcome

An interestingly good result for aortic arch aneurysm repair [1]. Recently there are a few reports in the literature of hybrid surgical and endovascular aortic aneurysm repair as cerebral debranching and stenting of aortic arch with good results [2]. The main advantage of this procedure is avoidance of total circulatory arrest and deep hypothermia especially in elderly patients with major comorbidities. I personally have good experience with this technique and would like to know your opinion about considering this option for high risk elderly patients with high NYHA class or major comorbidities.


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  1. Schwartz JP, Bakhos M, Patel A, Botkin S, Neragi-Miandoab S. Repair of aortic arch and the impact of cross clamping time, New York Heart Association stage, circulatory arrest time, and age on operative outcome. Interact CardioVasc Thorac Surg 2008;7:425–429.[Abstract/Free Full Text]
  2. Antona C, Vanelli P, Petulla M, Gelpi G. Hybrid technique for total arch repair: aortic neck reshaping for endovascular graft fixation. Ann Thorac Surg 2007;83:1158–1161.[Abstract/Free Full Text]

Related Article

Repair of aortic arch and the impact of cross-clamping time, New York Heart Association stage, circulatory arrest time, and age on operative outcome
Jeffrey P. Schwartz, Mamdouh Bakhos, Amit Patel, Sally Botkin, and Siyamek Neragi-Miandoab
Interactive CardioVascular and Thoracic Surgery 2008 7: 425-429. [Abstract] [Full Text] [PDF]




This Article
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