Hybrid and redo strategies for descending and thoracoabdominal aorta

Abstract

Aortic aneurysm is the 13th leading cause of death in the United States. The prevalence of aortic aneurysmsappears to be increasing, due in part to a higher level ofawareness, advancement in imaging modalities, and an agingpopulation. The incidence of thoracic aortic aneurysms is estimated to be around 10.4 cases per 100,000 person-years. In the future, it is likely that hybrid repair will be replaced by total endovascular techniques in most centers. Future applications may be for patients who are high risk for open TAAA repair, those who fail total endovascular repair or in centers with no access or experience with fenestrated and branched endografts. Keys for successful outcomes include patient selection, case planning, and knowledge of the technical aspects of the procedure.