title: Visceral/renal artery debranching for complex thoracoabdominal hybrid procedures via retroperitoneal abdominal aortic exposure: a preliminary report.
abstract: Visceral/renal artery debranching can lengthen the distal landing zone in patients with complex thoracoabdominal aortic disease, thus enabling endograft repair. Initial reports of "hybrid" procedures are promising, but they usually describe transperitoneal visceral/renal artery exposure. This clinical series describes four complex thoracoabdominal aortic aneurysm/dissection cases in which the visceral and renal artery debranching procedure was accomplished via a retroperitoneal approach.
authors.affiliation: Department of Surgery, Vascular Institute, St. Joseph Hospital, Orange, CA, USA. jlb@vascularspecialistsoc.com
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Ballard
authors.forename: M
authors.initials: M
authors.lastname: Razavi
authors.forename: Timothy R S
authors.initials: TR
authors.lastname: Harward
authors.forename: D Preston
authors.initials: DP
authors.lastname: Flanigan
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012077:Renal Artery / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods*; D014781:Viscera / Q000098:blood supply