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Hiremath N, Bhatnagar G, Mapara K, Younes H, Park WM. Hybrid repair of type II thoracoabdominal aortic aneurysm using modified branch-first technique. J Vasc Surg Cases Innov Tech 2023; 9:101105. [PMID: 36852319 PMCID: PMC9958055 DOI: 10.1016/j.jvscit.2023.101105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 12/17/2022] [Accepted: 01/05/2023] [Indexed: 01/20/2023] Open
Abstract
The hybrid modified branch-first technique has extended the feasibility of open thoracoabdominal aortic aneurysm (TAAA) repair in otherwise hostile aortic anatomy that is not entirely amenable for extent II open TAAA conventional repair or total endovascular repair. The modified branch-first open TAAA technique has been developed successfully at our center and has been used to treat extent III TAAAs with successful outcomes. By combining the modified technique with endovascular thoracic aortic repair, we have been able to successfully extend its use to more extensive extent II TAAAs. This could prove to be a useful technique in the armamentarium of aortic surgeons.
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Affiliation(s)
- Niranjan Hiremath
- Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH,Education Department, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates,Correspondence: Niranjan Hiremath, MCh, FVES, FACS(Aus), Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, and Education Institute, Department of Cardiac Surgery, Heart, Vascular and Thoracic Institute, Cleveland Clinic Abu Dhabi, Al Maryah Island, Abu Dhabi 112412, United Arab Emirates
| | - Gopal Bhatnagar
- Department of Cardiac Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - Khubaib Mapara
- Department of Vascular Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - Houssam Younes
- Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH,Department of Vascular Surgery, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - Woosup Michael Park
- Department of Surgery, Case Western Reserve University, University Hospital, Cleveland, OH
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