Hybrid or open surgery for aortic arch diseases: Which one is better?

VernacularTitle:杂交技术与传统开放手术治疗主动脉弓部疾病：孰优孰劣？
Author: Yu ZHANG ¹ ; Zhenghua XIAO ¹ ; Eryong ZHANG ¹ ; Peng YANG ¹ ; Chen LU ¹ ; Yu LIU ¹ ; Hao NIU ¹ ; Haiyue WANG ¹ ; Jia HU ¹
Author Information

1. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China
Publication Type:Journal Article
Keywords: Aortic arch aneurysm; aortic dissection; hybrid technique; traditional open surgery; aortic endovascular repair; review
From: Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2021;28(08):998-1004
CountryChina
Language:English
Abstract: The conventional total arch replacement (cTAR) with frozen elephant trunk implantation is commonly regarded as the gold standard for aortic pathologies involving ascending aorta and proximal aortic arch. By combining open supra-aortic vessels debranching and emerging endovascular technologies, hybrid arch repair (HAR) has been increasingly performed as a promising alternative in risky patients with comorbidities and frailties. Nevertheless, the advantages or disadvantages of hybrid arch procedures and cTAR in terms of survival and related outcomes remain controversial. This study is aimed to briefly review the role and results of HAR in the management of aortic arch pathology in comparison of contemporary cTAR.