title: Hybrid repair of aortic arch aneurysms in same session.
abstract: BACKGROUND
  Management of thoracic aorta aneurysms-especially the ones including aortic arch-is highly complicated. Isolated or nonisolated aortic arch aneurysms can be repaired by hybrid procedure especially in patients with comorbidities as well as by conventional open methods.
  
  
  METHODS
  Eleven patients who underwent total arch debranching and endovascular stent implantation on antegrade route in the same session between November 2006 and October 2009 were retrospectively evaluated using clinical and perioperative criteria.
  
  
  RESULTS
  The mean age was 65 ± 6.2 and nine of the patients were male. Primary technical success rate was 100%. Mortality, stroke, or transient paraplegia/paraparesia was not seen during in-hospital follow-up. Average follow-up period was 36 ± 13 months and no late-term aortic pathology was seen. In only one of the patients, endovascular reintervention was required for type 1B endoleak. No mortality or neurological pathology was seen in long-term postoperative follow-up.
  
  
  CONCLUSIONS
  Hybrid procedures could be performed safely with lower complication and higher success rates in the same session via antegrade route and zone 0 graft deployment for high-risk cases with isolated or nonisolated aortic arch aneurysms.
authors.affiliation: Department of Cardiovascular Surgery, Izmir Ataturk Education and Research Hospital, Izmir, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Yilik
authors.forename: Orhan
authors.initials: O
authors.lastname: Gokalp
authors.forename: Ismail
authors.initials: I
authors.lastname: Yurekli
authors.forename: Serdar
authors.initials: S
authors.lastname: Bayrak
authors.forename: Tevfik
authors.initials: T
authors.lastname: Gunes
authors.forename: Nihan
authors.initials: N
authors.lastname: Karakas
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Ozsoyler
authors.forename: Ali
authors.initials: A
authors.lastname: Gurbuz
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D057867:Endoleak / Q000209:etiology / Q000601:surgery; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012086:Reoperation; D012189:Retrospective Studies; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome