title: [Hybrid procedures in the treatment of type IV and V thoracoabdominal aneurysms].
abstract: OBJECTIVE
  To evaluate our experience with hybrid endovascular and open surgical treatment of thoracoabdominal aneurysms.
  
  
  METHODS
  Between 1996 and 2008 8 patients with thoracoabdominal aneurysm (6 Crawford type IV and 2 type V) from the total of 257 aortic aneurysms with elective endovascular repair were treated using hybrid procedure. A retrograde revascularisation of visceral and renal arteries through the open access and endovascular exclusion of aneurysms using a stent-graft were done.
  
  
  RESULTS
  A primar technical success of the hybrid procedure was in all cases. There was no severe ischaemia of visceral organs, kidneys (no need of haemodialysis) or spinal cord (paraplegia). One patient died on an acute pancreatitis 14 postperative day. Further follow up (in range 16-52 months) showed henceforth a successful exclusion of all the aneurysms without evidence of endoleak and patency of all bypasses with a good function of revascularised organs.
  
  
  CONCLUSIONS
  Owing to minimal haemodynamic load and technical simplicity with a short time of organ ischaemia hybrid procedure represents an acceptable possibility of type IV and V thoracoabdominal aneurysms repair.
authors.affiliation: II chirurgická klinika FN a LF UP v Olomouci. petr.utikal@fnol.cz
authors.forename: P
authors.initials: P
authors.lastname: Utíkal
authors.forename: M
authors.initials: M
authors.lastname: Köcher
authors.forename: J
authors.initials: J
authors.lastname: Koutná
authors.forename: P
authors.initials: P
authors.lastname: Bachleda
authors.forename: P
authors.initials: P
authors.lastname: Drác
authors.forename: M
authors.initials: M
authors.lastname: Cerná
authors.forename: J
authors.initials: J
authors.lastname: Herman
authors.forename: L
authors.initials: L
authors.lastname: Kalinová
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D014656:Vascular Surgical Procedures / Q000379:methods*