Abstract
The surge of endovascular repair of aortic aneurysm in current modern aortic surgery practice has been the key for surgical management of elective cases of thoracic aortic aneurysms. This has paved way for the combined hybrid approach to be amongst the armamentarium for the management of aortic arch disease. The pivotal understanding of the aortic arch natural history coupled with device technology advancement allowed surgeons insight into delivery of hybrid surgery with acceptable morbidity and mortality results. This review article provides current insights into hybrid technique of aortic arch aneurysm repair and the evidences behind its applicability to arch surgery. It is aimed to highlight the challenges encountered for this innovative approach and correlate its challenges to those that are met by the conventional open aortic arch repair.
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De Bakey ME, Crawford ES, Cooley DA, Morris GC Jr. Successful resection of fusiform aneurysm of aortic arch with replacement by homograft. Surg Gynecol Obstet. 1957;105(6):657–64.
Griepp RB, Stinson EB, Hollingsworth JF, et al. Prosthetic replacement of the aortic arch. J Thorac Cardiovasc Surg. 1975;70:1051–63.
Lee T-Y, Safi HJ, Estrera AL. Cerebral perfusion in aortic arch surgery: antegrade, retrograde, or both? Tex Heart Inst J. 2011;38(6):674–7.
Volodos NL, Karpovich IP, Troyan VI, Kalashnikova YuV, Shekhanin VE, Ternyuk NE, et al. Clinical experience of the use of self-fixing synthetic prostheses for remote endoprosthetics of the thoracic and the abdominal aorta and iliac arteries through the femoral artery and as intraoperative endoprosthesis for aorta reconstruction. Vasa Suppl. 1991;33:93–5.
Volodos NL. Historical perspective: the first steps in endovascular aortic repair: how it all began. J Endovasc Ther. 2013;20(Suppl 1):I3–23.
Kato M, Ohnishi K, Kaneko M, Ueda T, Kishi D, Mizushima T, et al. New graft-implanting method for thoracic aortic aneurysm or dissection with a stented graft. Circulation. 1996;94(Suppl):II188–93.
Usui A, Fujimoto K, Ishiguchi T, Yoshikawa M, Akita T, Ueda Y. Cerebrospinal dysfunction after endovascular stent-grafting via a median sternotomy: the frozen elephant trunk procedure. Ann Thorac Surg. 2002;74(5):S1821–4 (discussion S1825–32).
Preventza O, Aftab M, Coselli JS. Hybrid techniques for complex aortic arch surgery. Tex Heart Inst J. 2013;40(5):568–71.
Moon MC, Morales JP, Greenberg RK. The aortic arch and ascending aorta: are they within the endovascular realm [published erratum appears in Semin Vasc Surg. 2007;20(3):195]? Semin Vasc Surg. 2007;20(2):97–107.
Czerny M, Schmidli J, Carrel T, Grimm M. Hybrid aortic arch repair. Ann Cardiothorac Surg. 2013;2(3):372–7. https://doi.org/10.3978/j.issn.2225-319X.2013.03.05.
Shirakawa Y, Kuratani T, Shimamura K, Torikai K, Sakamoto T, Shijo T, Sawa Y. The efficacy and short-term results of hybrid thoracic endovascular repair into the ascending aorta for aortic arch pathologies. Eur J Cardiothorac Surg. 2014;45(2):298–304
Roselli EE, Rafael A, Soltesz EG, et al. Simplified frozen elephant trunk repair for acute Debakey type I dissection. J Thorac Cardiovasc Surg. 2013;145:S197–S201.
Vallabhajosyula P, Szeto W, Desai N, Bavaria JE. Type I and Type II hybrid aortic arch replacement: postoperative and mid-term outcome analysis. Ann Cardiothorac Surg. 2013;2(3):280–7. https://doi.org/10.3978/j.issn.2225-319X.2013.05.09.
Tadros R, Safir SR, Faries PL, Han DK, Ellozy S, Chander RK, McKinsey JF, Marin ML, Stewart AS. Hybrid repair techniques for complex aneurysms and dissections involving the aortic arch and thoracic aorta. Surg Technol Int. 2017;30:243–7.
Greenberg R, Resch T, Nyman U, Lindh M, Brunkwall J, Brunkwall P, Malina M, Koul B, Lindblad B, Ivancev K. Endovascular repair of descending thoracic aortic aneurysms: an early experience with intermediate-term follow-up. J Vasc Surg. 2000;31:147–56.
Milewski RK, Szeto WY, Pochettino A, Moser GW, Moeller P, Bavaria JE. Have hybrid procedures replaced open aortic arch reconstruction in high-risk patients? A comparative study of elective open arch debranching with endovascular stent graft placement and conventional elective open total and distal aortic arch reconstruction. J Thorac Cardiovasc Surg. 2010;140(3):590–7.
Bavaria J, Milewski RK, Baker J, et al. Classic hybrid evolving approach to distal arch aneurysms: toward the zone zero solution. J Thorac Cardiovasc Surg. 2010;140:S77–80 (discussion S86–91).
Weigang E, Parker J, Czerny M, et al. Endovascular aortic arch repair after aortic arch de-branching. Ann Thorac Surg. 2009;87:603–7.
Szeto WY, Bavaria JE, Bowen FW, et al. The hybrid total arch repair: brachiocephalic bypass and concomitant endovascular aortic arch stent graft placement. J Card Surg. 2007;22:97–102 (discussion 103–4).
Ergin MA, Galla J, Lansman SL, et al. Hypothermic circulatory arrest in operations on the thoracic aorta: determinants of stroke and early mortality. J Thorac Cardiovasc Surg. 1994;107:788–99.
Gutsche JT, Cheung AT, McGarvey ML, et al. Risk factors for perioperative stroke after thoracic endovascular aortic repair. Ann Thorac Surg. 2007;84:1195–200 (discussion 1200).
Estrera AL, Miller CC 3rd, Porat EE, et al. Staged repair of extensive aortic aneurysms. Ann Thorac Surg. 2002;74:S1803–5 (discussion S1825–32).
Kotelis D, Geisbüsch P, Attigah N, et al. Total vs hemi-aortic arch transposition for hybrid aortic arch repair. J Vasc Surg. 2011;54:1182–6.e2.
Geisbüsch P, Kotelis D, Müller-Eschner M, Hyhlik-Dürr A, Böckler D. Complications after aortic arch hybrid repair. J Vasc Surg. 2011;53(4):935–41.
Abraha I, Romagnoli C, Montedori A, Cirocchi R. Thoracic stent graft versus surgery for thoracic aneurysm. Cochrane Database Syst Rev. 2013;9:CD006796. https://doi.org/10.1002/14651858.CD006796.pub3 (Review update in: Cochrane Database Syst Rev. 2016;(6):CD006796).
Orandi BJ, Dimick JB, Deeb GM, Patel HJ, Upchurch GR Jr. A population-based analysis of endovascular versus open thoracic aortic aneurysm repair. J Vasc Surg. 2009;49(5):1112–6.
Walsh SR, Tang TY, Sadat U, Naik J, Gaunt ME, Boyle JR, Hayes PD, Varty K. Endovascular stenting versus open surgery for thoracic aortic disease: systematic review and meta-analysis of perioperative results. J Vasc Surg. 2008;47(5):1094–8.
Benedetto U, Melina G, Angeloni E, et al. Current results of open total arch replacement versus hybrid thoracic endovascular aortic repair for aortic arch aneurysm: a meta-analysis of comparative studies. J Thorac Cardiovasc Surg. 2013;145:305–06.
Tokuda Y, Oshima H, Narita Y, et al. Hybrid versus open repair of aortic arch aneurysms: comparison of postoperative and mid-term outcomes with a propensity score-matching analysis. Eur J Cardiothorac Surg. 2016;49:149–56. https://doi.org/10.1093/ejcts/ezv063.
Bavaria J, Vallabhajosyula P, Moeller P, et al. Hybrid approaches in the treatment of aortic arch aneurysms: postoperative and midterm outcomes. J Thorac Cardiovasc Surg. 2013;145:S85–90. https://doi.org/10.1016/j.jtcvs.2012.11.044.
Svensson LG, Crawford ES, Hess KR, Coselli JS, Raskin S, Shenaq SA, Safi HJ. Deep hypothermia with circulatory arrest. Determinants of stroke and early mortality in 656 patients. J Thorac Cardiovasc Surg. 1993;106(1):19–28 (discussion 28–31).
Sundt TM 3rd, Orszulak TA, Cook DJ, Schaff HV. Improving results of open arch replacement. Ann Thorac Surg. 2008;86(3):787–96 (discussion 787–96).
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Bashir, M., Harky, A. & Bilal, H. Is there a prospect for hybrid aortic arch surgery?. Gen Thorac Cardiovasc Surg 67, 132–136 (2019). https://doi.org/10.1007/s11748-018-0940-z
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DOI: https://doi.org/10.1007/s11748-018-0940-z