State-of-the-Art of Hybrid Procedures for the Aortic Arch: A Meta-Analysis

被引：70

作者：

Koullias, George J. ^{[1
]}

Wheatley, Grayson H., III

机构：

[1] Illinois Cardiac Surg Associates, Peoria, IL 61603 USA

来源：

ANNALS OF THORACIC SURGERY | 2010年 / 90卷 / 02期

关键词：

FROZEN ELEPHANT TRUNK; DESCENDING THORACIC AORTA; STENT-GRAFT REPAIR; ENDOVASCULAR REPAIR; CEREBRAL PERFUSION; SURGICAL REPAIR; STAGE REPAIR; ANEURYSM; DISSECTION; REPLACEMENT;

D O I：

10.1016/j.athoracsur.2009.12.016

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Questions have risen regarding procedural indications, techniques, and outcomes for hybrid arch procedures. We performed a meta-analysis to benchmark this innovative approach. Studies and case reports involving hybrid aortic arch procedures listed through May 2008 were reviewed (n = 718). End points were 30-day mortality, stroke, paraplegia, and endoleak rates. A total of 15 studies with 463 patients were included in the meta-analysis. Overall 30-day mortality was 8.3%. Endoleak rate was 9.2%, stroke was 4.4%, and paraplegia was 3.9%. Treated on-pump or off-pump did not affect any of the endpoints. Results compare favorably with standard operative repair. Long-term follow-up is needed. (Ann Thorac Surg 2010; 90: 689-97) (C) 2010 by The Society of Thoracic Surgeons

引用

页码：689 / 697

页数：9

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