The long-term outcomes of one-stage hybrid procedure for aortic arch pathologies
10.3760/cma.j.cn112434-20210201-00038
- VernacularTitle:一期杂交手术治疗主动脉弓部疾病的远期结果
- Author:
Hong CHEN
1
;
Suwei CHEN
;
Yongliang ZHONG
;
Zhiyu QIAO
;
Chengnan LI
;
Yipeng GE
;
Ruidong QI
;
Haiou HU
;
Junming ZHU
Author Information
1. 首都医科大学附属北京安贞医院心外科 北京市心肺血管疾病研究所，北京 100029
- Keywords:
Hybrid;
Aortic arch;
Thoracic endovascular aortic repair;
Bypass grafting;
Long-term prognosis
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2022;38(2):75-79
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the long-term outcomes of hybrid arch repair(HAR) treating aortic arch pathologies.Methods:Between January 2009 and January 2018, 87 consecutive patients underwent HAR for aortic arch pathologies at Beijing Anzhen Hospital. 76 were males. 2 cases were in zone 0, 46 cases were in zone 1, and 39 cases were in zone 2. The zones of the aortic arch were defined following the Ishimaru classification.Results:Five(5.7%) operative death occurred. 13 patients(19.1%) died during the follow-up. The overall survival rate was 88.4%, 83.3%, 83.3%, 49.8% at 1, 3, 5, 10 year, respectively. Multivariate Cox proportional risk analysis showed that stroke( HR=20.626, 95% CI: 2.698-157.685, P=0.004) was an independent risk factor for short-term death. Stroke( HR=16.234, 95% CI: 4.103-64.229, P<0.001) and spinal cord infury( HR=11.060, 95% CI: 2.150-56.893, P=0.004) were independent risk factors for long-term death. Conclusion:In conclusion, HAR could be an alternative procedure for the patients that are not suitable for open repair under the premise of strict control of indications. In the future, the risk assessment system and uniform operational indications for HAR should be further established.
