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SHORT-TERM OUTCOME OF AORTIC ARCH REPAIR: DEBRANCHING AND THORACIC ENDOVASCULAR AORTIC REPAIR

Omar Dawoud ABDELAZIZ, Saied Abdelaziz BADR, Hosam Fathy Ali SAYED, Abdelrahman Hamdy Abdelmonem ABDELWAHAB, Ismail Maged ELNAGGAR

Turkish Journal of Vascular Surgery - 2026;35(1):23-31

Cairo University, Faculty of Medicine, Department of Cardiothoracic Surgery, Cairo, Egypt

 

Aim: Open repair for aortic arch pathologies remains the gold standard, despite its association with significant neurological and cardiovascular risks due to the need for cardiopulmonary bypass and deep hypothermic circulatory arrest. Hybrid techniques, combining supra-aortic trunk debranching with thoracic endovascular aortic repair (TEVAR), have emerged as promising alternatives for high-risk patients and they are still a viable alternative in face of recently intervening extremely expensive branched and fenestrated stents of total endovascular techniques in unaffordable situations. Our study aimed to evaluate the short-term outcomes of hybrid arch repair using debranching and TEVAR from our tertiary center experience prospectively.