Abstract
Open surgery for aortic dissection with crevasse in the vicinity of critical branching (CVCB-AD) is frequently associated with several complications and a high mortality rate. We report the management of 53 patients with CVCB-AD who underwent a novel hybrid procedure including both open surgery and endovascular stenting. During the follow-up period no paraplegia, stroke, renal failure, or bleeding was observed, and no elective or emergency surgical conversion was required, suggesting that this hybrid procedure is a feasible, safe, and effective strategy for the treatment of CVCB-AD.
MeSH terms
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Aorta, Thoracic / diagnostic imaging
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Aorta, Thoracic / physiopathology
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Aorta, Thoracic / surgery
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Aortic Aneurysm, Thoracic* / diagnostic imaging
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Aortic Aneurysm, Thoracic* / physiopathology
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Aortic Aneurysm, Thoracic* / surgery
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Aortic Dissection* / diagnostic imaging
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Aortic Dissection* / physiopathology
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Aortic Dissection* / surgery
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Aortography / methods
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Blood Vessel Prosthesis Implantation* / adverse effects
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Blood Vessel Prosthesis Implantation* / methods
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China
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Comparative Effectiveness Research
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Endovascular Procedures* / adverse effects
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Endovascular Procedures* / methods
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Female
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Humans
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Intraoperative Care / methods
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Length of Stay
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Male
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Middle Aged
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Postoperative Complications* / classification
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Postoperative Complications* / physiopathology
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Postoperative Complications* / prevention & control
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Treatment Outcome
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Vascular Grafting* / adverse effects
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Vascular Grafting* / methods