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Viabahn debranching of supraaortic branches


Lachat, M; Rancic, Z; Frauenfelder, T; Pfammatter, T; Veith, F J; Mayer, D (2009). Viabahn debranching of supraaortic branches. In: Greengalgh, R M. Vascular and Endovascular Controversies Update. London, UK: BIBA Publishing, BIBA Medical Ltd., 146-154.

Abstract

Aortic arch surgery, which requires deep hypothermic circulatory arrest, has morbidity and mortality rate up to 30% [1]. Debranching of the supraaortic vessels combined with endovascular aortic repair (EVAR), so called hybrid procedures, have gained increasing acceptance as an alternative to open surgery. Unfortunately, aneurysm-related
remodelling of the supraaortic vessel anatomy and/or disease extension to these vessels can make bypass surgery challenging. To minimize or avoid manipulation-related
vascular complications and reduce clamping time during debranching, we have introduced a new non-sutured, Viabahn-based revascularisation technique of the
supraaortic vessels. This paper reports about our experience in 20 cases where Viabahn debranching was performed through a sternotomy.

Aortic arch surgery, which requires deep hypothermic circulatory arrest, has morbidity and mortality rate up to 30% [1]. Debranching of the supraaortic vessels combined with endovascular aortic repair (EVAR), so called hybrid procedures, have gained increasing acceptance as an alternative to open surgery. Unfortunately, aneurysm-related
remodelling of the supraaortic vessel anatomy and/or disease extension to these vessels can make bypass surgery challenging. To minimize or avoid manipulation-related
vascular complications and reduce clamping time during debranching, we have introduced a new non-sutured, Viabahn-based revascularisation technique of the
supraaortic vessels. This paper reports about our experience in 20 cases where Viabahn debranching was performed through a sternotomy.

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Additional indexing

Item Type:Book Section, not refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiovascular Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2009
Deposited On:13 May 2009 08:06
Last Modified:05 Apr 2016 13:12
Publisher:BIBA Publishing, BIBA Medical Ltd.
Series Name:31st Symposium Book
Number:31
Official URL:http://www.cxsymposium.com/index.htm#
Permanent URL: https://doi.org/10.5167/uzh-18301

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