title: [Hybrid treatment of aortic aneurysms].
abstract: The hybrid treatment of aortic aneurysms is indicated in patients having the ostia of supra aortic or visceral branches taken in to the aneurysm. Indeed, these lesions are not eligible for classic endovascular treatment because the existing endoprostheses cannot provide perfusion of the side branches without inducing major endoleaks. The surgical technique consists of 2 steps: firstly, a by-pass between normal aorta and the major aortic branches involved in the aneurysm is performed to guarantee the perfusion of the organs such as brain, bowel, and after endoprosthesis deployment. Secondly, the endoprosthesis is deployed using the classical technique to isolate the aneurysm. The hybrid approach provides safe and reliable treatment of complex aortic aneurysms with mortality and morbidity rate far below the classical open surgery.
authors.affiliation: Service de chirurgie cardiovasculaire, Centre de maladies cardiovasculaires et métaboliques, CHUV, Lausanne.
authors.forename: P
authors.initials: P
authors.lastname: Tozzi
authors.forename: S D
authors.initials: SD
authors.lastname: Qanadli
authors.forename: B
authors.initials: B
authors.lastname: Marty
authors.forename: P
authors.initials: P
authors.lastname: Ruchat
authors.forename: E
authors.initials: E
authors.lastname: Ferrari
authors.forename: D
authors.initials: D
authors.lastname: Delay
authors.forename: G
authors.initials: G
authors.lastname: Siniscalchi
authors.forename: L K
authors.initials: LK
authors.lastname: von Segesser
mesh_terms: D001014:Aortic Aneurysm / Q000628:therapy*; D003131:Combined Modality Therapy; D006801:Humans; D014656:Vascular Surgical Procedures / Q000379:methods