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Staged total abdominal debranching and thoracic endovascular aortic repair for thoracoabdominal aneurysm  G. Chad Hughes, MD, Michael E. Barfield, MD,

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Presentation on theme: "Staged total abdominal debranching and thoracic endovascular aortic repair for thoracoabdominal aneurysm  G. Chad Hughes, MD, Michael E. Barfield, MD,"— Presentation transcript:

1 Staged total abdominal debranching and thoracic endovascular aortic repair for thoracoabdominal aneurysm  G. Chad Hughes, MD, Michael E. Barfield, MD, Asad A. Shah, MD, Judson B. Williams, MD, MHS, Maragatha Kuchibhatla, PhD, Jennifer M. Hanna, MD, MBA, Nicholas D. Andersen, MD, Richard L. McCann, MD  Journal of Vascular Surgery  Volume 56, Issue 3, Pages (September 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A custom-designed multibranched Dacron graft (Vascutek USA, Ann Arbor, Mich) was used for visceral debranching during hybrid thoracoabdominal aortic aneurysm (TAAA) repair. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Drawing demonstrates the completed hybrid thoracoabdominal aortic aneurysm (TAAA) repair. The inflow for the debranching graft in this particular case is from the right common iliac artery with end-to-end distal anastomoses to the four visceral vessels. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Three-dimensional computed tomography angiography reconstructions show a patient with a Crawford extent III aneurysm after hybrid thoracoabdominal aortic aneurysm (TAAA) repair with deployment of a bifurcated abdominal system distally for seal within the iliac arteries. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Kaplan-Meier curves demonstrate (A) overall and aorta-specific survival and (B) simultaneous vs staged repair. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

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