title: Hybrid approaches to repair of complex aortic aneurysmal disease.
abstract: With the endovascular revolution upon us, the management of aortic aneurysmal disease has changed dramatically. Since 1991, more than 100,000 aneurysms worldwide have been repaired using early-generation and current-generation standardized grafts and this has dramatically reduced the 30-day mortality rates associated with open aortic surgery. A new phenomenon has also arisen from this wonderful technology. The term hybrid means "of different origins" and hybrid approaches to vascular disease involve open and endovascular techniques to achieve a common goal, namely, to prevent death caused by aneurysmal rupture. This article reviews novel approaches to the repair of complex aortic aneurysms and provides several illustrative examples.
authors.affiliation: Division of Vascular Surgery, University of Washington, Box 359796, 325 Ninth Avenue, Seattle, WA 98104, USA. starnes@u.washington.edu
authors.forename: Benjamin W
authors.initials: BW
authors.lastname: Starnes
authors.forename: Nam T
authors.initials: NT
authors.lastname: Tran
authors.forename: Jerome M
authors.initials: JM
authors.lastname: McDonald
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001014:Aortic Aneurysm / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001019:Aortic Rupture / Q000601:surgery; D021721:Balloon Occlusion; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D016896:Treatment Outcome