title: Hybrid endovascular repair of thoracoabdominal aorta: early results.
abstract: BACKGROUND
  Thoracoabdominal aortic aneurysms (TAAA) present a significant clinical challenge, as they are complex and require invasive surgery. In an attempt to prevent considerably high mortality and morbidity in open repair, hybrid endovascular repair has been developed by many authors. In this study, we evaluated the early-term results obtained from this procedure.
  
  
  METHODS
  From November 2010 to February 2013, we performed thoracoabdominal hybrid aortic repair in 18 patients. The mean age was 68 years (12 men, 6 women). All of the patients had significant comorbidities. Follow-up computed tomography (CT) scans were performed at 1 week, 3 months, 6 months, and annually thereafter.
  
  
  RESULTS
  All patients were operated on in a staged procedure and stent graft deployment was achieved. Procedural success was achieved in all cases. All patients were discharged with complete recovery. No endoleaks weres detected in further CT examination.
  
  
  CONCLUSIONS
  Our results suggests that hybrid debranching and endovascular repair of extensive thoracoabdominal aneurysms represents a suitable therapeutic option to reduce the morbidity and mortality of TAAA repair, particularly in those typically considered at high risk for standard repair.
authors.affiliation: Konya Education and Research Hospital, Clinic of Cardiovascular Surgery, Konya, Turkey.
authors.forename: Osman Tansel
authors.initials: OT
authors.lastname: Darcin
authors.affiliation: Konya Education and Research Hospital, Clinic of Cardiovascular Surgery, Konya, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Kalender
authors.affiliation: Konya Education and Research Hospital, Clinic of Cardiovascular Surgery, Konya, Turkey.
authors.forename: Ayse Gul
authors.initials: AG
authors.lastname: Kunt
authors.affiliation: Konya Education and Research Hospital, Clinic of Cardiovascular Surgery, Konya, Turkey.
authors.forename: Okay Guven
authors.initials: OG
authors.lastname: Karaca
authors.affiliation: Konya Education and Research Hospital, Clinic of Cardiovascular Surgery, Konya, Turkey.
authors.forename: Ata Niyazi
authors.initials: AN
authors.lastname: Ecevit
authors.affiliation: Konya Education and Research Hospital, Clinic of Cardiovascular Surgery, Konya, Turkey.
authors.forename: Sevtap
authors.initials: S
authors.lastname: Darcin
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging* / Q000601:surgery*; D003131:Combined Modality Therapy / Q000379:methods; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010865:Pilot Projects; D011859:Radiography; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000379:methods*