Complete renovisceral debranching and EVAR for thoracoabdominal aneurysm

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Open graft repair of thoracoabdominal aortic aneurysms (TAAA) is an incredibly complex andchallenging procedure with acceptable results achieved only by a few centers worldwide.Contemporary outcome analysis of TAAA repair performed in the United States showed greater operativemortality and morbidity rates than commonly reported. Moreover, a recent European long-termfollow-up study showed that survival remains suboptimal, especially in the early years after TAAArepair. Complete renovisceral debranching combined with EVAR offers many advantages in regardto open surgical repair with comparable or better results, especially in the high-risk patient. Althoughthis hybrid procedure will not replace open surgical repair, the latter will significantly decrease duringthe next decades, as very experienced surgeons will be lacking, due to the mainly endovasculargeneration of surgeons being educated nowadays. Similarly, the results of the hybrid TAAA repairwill improve, as new techniques will eliminate most barriers still existing today.
Lingua originaleEnglish
Titolo della pubblicazione ospiteControversies and Updates in Vascular Surgery
Numero di pagine10
Stato di pubblicazionePublished - 2011


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