"Debranching" -- a new surgical option for the aortic arch and thoracoabdominal aorta hybrid interventions

• Published in: Magyar sebészet Vol. 67; no. 6; p. 353
• Main Authors: Dzsinich, Csaba, Vaszily, Miklós, Vallus, Gábor, Dzsinich, Máté, Berek, Péter, Barta, László, Darabos, Gábor, Nyiri, Gabriella, Teknős, Dániel
• Format: Journal Article
• Language: Hungarian
• Published: Hungary 01.12.2014
• Subjects: Aorta, Abdominal - surgery; Aorta, Thoracic - surgery; Aortic Aneurysm, Abdominal - surgery; Aortic Aneurysm, Thoracic - surgery; Aortic Diseases - surgery; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation - methods; Endovascular Procedures - methods; Humans; Stents; Treatment Outcome; Vascular Surgical Procedures - methods; landing zones; debranching; aorta; landing zónák
• ISSN: 0025-0295
• DOI: 10.1556/MaSeb.67.2014.6.5

Endovascular techniques in vascular surgery are frequently applied to treat aortic diseases. These minimally invasive procedures changed aortic interventions remarkably. We have to be familiar with new terminology and methods. New and old surgical procedures gained new role in preparation of endograft implantations. Transforming anatomy of aortic branches - "debranching" - is aimed to create a sufficient fixation of the endografts at safe "landing zones". Knowing the option of hybrid procedures is a fundamental requirement for the vascular surgeon. Equally important is to know the biomechanical characteristics of the available endografts, the possible complications during and after implantation and the treatment options. We have to be aware of the limitations of these new methods and the role of traditional open surgery in the new era. Our intention in this paper is to summarize methods of debranching.